Tuesday, March 29, 2016

Provider/Supplier Cycle 2 Enrollment Revalidation

Dianne De La Mare

In early March, the US Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Division of Enrollment Operations, conducted a national provider call and released new information regarding its providers and supplier Cycle 2 enrollment revalidation process. CMS has already completed its initial round of revalidations as required under the Affordable Care Act, and Cycle 2 will now resume the regular, periodic revalidations in accordance with 42 CFR Section 424.515.

All providers and suppliers currently enrolled in Medicare are required to resubmit and recertify the accuracy of their enrollment information under new enrollment screening criteria every 5 years. In an effort to streamline this process, CMS has implemented a major revalidation process change, and determined that due dates for revalidations will fall on the last day of a month and will generally remain the same for subsequent revalidation cycles. These due dates are posted on a new CMS website

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