Last Modified: 11/19/2019
Location: FL, PR, USVI
Business: Part A, Part B
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.
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