Last Modified: 6/6/2018 Location: FL, PR, USVI Business: Part A, Part B
What to include FAQ
Q: What should I include with my revalidation application? Do I need a coversheet?
A: As with any CMS-855 application that is submitted, a signed and dated certification page and any supporting documentation that is needed to process your application should be submitted.
You should also include the coversheet -- which you will find enclosed with your revalidation request letter from First Coast Service Options (First Coast) -- and place the coversheet on top of your application submission.
Note: The purpose of the coversheet and its placement is to ensure that your application is easily identified as a response to a revalidation request.
If you are submitting your revalidation prior to receipt of First Coast’s letter based upon the due date listed online at https://data.cms.gov/revalidation , then the coversheet is not required. First Coast will identify these as revalidations.
Please use your browser's back button to return to the referring page.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.