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Medicaid Enrollment Revalidation Deadline Looming

The Affordable Care Act requires Medicare and Medicaid providers to revalidate their enrollment information, initially by March 24, 2016 and at least every five (5) years thereafter. This process is already underway in Pennsylvania for Medical Assistance providers, and is coordinated through the Office of Long Term Living (OLTL). You can access OLTL's revalidation information here.

A revalidation application that is not processed by March 24, 2016 will result in the termination of the provider's enrollment in the MA Program. A minimum of 60-90 days is required for fully processing the revalidation application. If a provider's enrollment is closed, the provider will not be paid for services provided to MA recipients. If the provider wishes to re-enroll, the provider must submit a new application. The effective date of the new enrollment will not be made retroactive to cover any lapsed enrollment periods. Note that the revalidation application that must be processed by March 24, 2016 does not apply to a provider that has changed ownership within the past 2 years. We recommend that a provider contact OLTL to confirm that the March 24, 2016 requirement does not apply if you have changed ownership recently.

If you have not already done so, we recommend that providers submit their revalidation filing as soon as possible to ensure processing by the March 24, 2106 date. If you have any questions regarding this process, or the required applications, please do not hesitate to contact David Marshall of our office at (717) 620-2424.

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