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July 3, 2018

Take Action Now: Important News for Annual DDE PPTN RECERTIFICATION

Direct Data Entry (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 Annual DDE PPTN Recertification Form can be found with step by step instructions at www.cgsmedicare.com (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:

  • Home Health and Hospice deadline is July 31, 2018
  • Part A deadline is August 31, 2018
  • Part B deadline is September 30, 2018

Complete the Annual DDE PPTN Recertification Form as soon as possible.  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 (listed below) for your line of business. Failure to recertify by the deadline dates will result in deactivations of current users based on the CMS requirement of Publication 100-25External Website, Appendix A, AC-2, page 3.

Note: This form is not used to add new users, delete users, or to update current users. To add, delete, or update User ID information, you must complete an Online Inquiry ServicesPDF form.

FAX completed form (for faster service) to:

Ohio

Kentucky

Home Health and Hospice

Part A: 1.615.664.5945
Part B: 1.615.664.5927

Part A: 1.615.664.5943
Part B: 1.615.664.5917

1.615.664.5947

Annual DDE PPTN Recertification Form Instructions

Step 1:

Access the Annual DDE PPTN Recertification FormPDF

Step 2:

Enter the user’s ID, First Name, Middle Initial, and Last Name.

Step 3:

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 4:

Enter the name of the Authorized contact in the Authorized Signature field.

Step 5:

Enter the email address of the Authorized contact.

Step 6:

Enter the phone number of the Authorized contact.

Step 7:

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.

If you have any questions concerning the recertification process, please contact the CGS J15 EDI department at the number below for your line of business.

  • Ohio/Kentucky Part B 1.866.276.9558 option 2
  • Ohio/Kentucky Part A 1.866.590.6703 option 2
  • Home Health/Hospice 1.877.299.4500 option 2

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