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June 21, 2018

Important News for Annual DDE PPTN RECERTIFICATION

DDE and PPTN users are required to recertify on an annual basis. To ensure a smooth transition for the 2018 DDE PPTN Recertification, CGS has added a user friendly PDF form.  The form can be found with step by step instructions at (also provided below).  Select the appropriate line of business, select Electronic Data Interchange (EDI) on the left side of the page, select EDI Enrollment and select Annual DDE PPTN Recertification FormPDF.

The recertification timeline is as the follows:

HHH deadline is July 31, 2018

Part A deadline is August 31, 2018

Part B deadline is September 30, 2018

Please ensure that all users are listed. If there are more than 10 users please submit additional forms. You must submit your recertification form prior to the deadline above for your Line of Business. Failure to recertify by the dates listed above will result in deactivations of current users based on the CMS requirement of IOM Publication 100-25, Appendix A, AC-2, page 3.

FAX completed form (for faster service) to:

Ohio Part A: 1.615.664.5945

Ohio Part B: 1.615.664.5927

Home Health & Hospice: 1.615.664.5947

Kentucky Part A: 1.615.664.5943

Kentucky Part B: 1.615.664.5917

Annual DDE PPTN Recertification Form Instructions

Step 1: Go to

Step 2: Select the appropriate Line of Business (Part A, Part B or HHH)

Step 3: Select the Electronic Data Interchange (EDI) tab on the left side of the page.

Step 4: Select the EDI Enrollment icon.

Step 5: Select the Annual DDE PPTN Recertification FormPDF link.

Step 6: Enter the user's ID, First Name, Middle Initial, and Last Name.

Step 7: Place an "X" in the Active field for current users or Place an "X" in the Inactive field for Users that no longer need or have access.  Note: users that are no longer working for the facility should be marked as Inactive.

Step 8: Enter the name of the Authorized contact in the Authorized Signature field.

Step 9: Enter the email address of the Authorized contact.

Step 10: Enter the phone number of the Authorized contact.

Step 11: Print and Fax to the appropriate fax number on the bottom of the form.

Note: By completing and submitting this DDE PPTN Recertification form you certify that you are authorized to complete this Annual Recertification on the behalf of the user.

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