Revalidation overview
Due date
CMS publishes a national database of all existing providers and their revalidation due dates.
The database uses a search function to view revalidation due dates that can be searched by:
- Organization name
- First/last name
- NPI
- Location
Submit the revalidation
Expedite the revalidation process by using internet-based PECOS. This online process is the easiest way to revalidate:
Our Enrollment Gateway allows the option to upload the paper enrollment application instead of mailing. For more information, please refer to the Enrollment Gateway user guide.
To mail the revalidation application, send the completed, signed form and all supporting documentation.
Failure to submit by the due date
Revalidation applications must be received by the due date listed in the revalidation letter. Failure to submit the revalidation application by the due date, will result in a "stay of enrollment".
The stay of enrollment notification will be sent indicating the time frame we must receive the revalidation application:
- The provider / supplier has 30 days to submit the revalidation application and during this timeframe, claims will reject.
Failure to respond to the stay of enrollment revalidation request by the due date will result in being deactivated:
- Deactivated status will result in a gap in coverage (no payments) between the date of deactivation and the new Medicare effective date:
- The deactivation effective date is retroactive to the date of the non-compliance (the revalidation due date)
- The new Medicare effective date is the date the new, completed reactivation application is received by the MAC