Health Center Regulatory Issues, Uncategorized

Medicare Revalidation: What FQHCs Need to Know

By: Lidia Niecko, NACHC Regulatory Affairs Intern

We have received several questions on the Medicare revalidation process and wanted to provide some more information on the process and impact to FQHCs.

Section 6401(a) of the Affordable Care Act requires all providers and suppliers (including FQHCs) that enrolled with Medicare before March 25, 2011 to revalidate their enrollment information under new enrollment screening criteria; but only after such providers or suppliers receive notification from their MAC.  Once contacted by a MAC, suppliers and providers have 60 days from the date of the letter to submit complete enrollment forms.  Please note that failure to submit the enrollment forms as requested may result in the deactivation of Medicare billing privileges.  Additionally, the $505 Medicare enrollment fee that we told you about here also applies to revalidation.

CMS has posted two important Medicare Learning Network articles on the revalidation process and the new enrollment fee here: MLN MattersNumber: SE1126 and MLN MattersNumber: MM7350.

Save the Date! CMS is holding a call on revalidation on Thursday, October 27, 2011 from 12:30-2pm eastern.   Watch the CMS website and the Policy Shop for more information how to register for this important call.

For more information on the revalidation process, please contact Susan Sumrell or Gervean Williams.