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Medicaid Provider Enrollment Revalidation Process
Frequently Asked Questions
April 8, 2014,
Program Background
Section 6401 (a) of the Affordable Care Act (ACA) established a requirement for all enrolled
providers
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What is medicaid provider enrollment revalidation?
Medicaid provider enrollment revalidation is the process by which Medicaid providers update and verify their information with the Medicaid program.
Who is required to file medicaid provider enrollment revalidation?
All Medicaid providers are required to file for enrollment revalidation.
How to fill out medicaid provider enrollment revalidation?
Medicaid provider enrollment revalidation can typically be completed online through the Medicaid program's website or portal.
What is the purpose of medicaid provider enrollment revalidation?
The purpose of medicaid provider enrollment revalidation is to ensure that Medicaid providers are still eligible to participate in the program and to verify their current information.
What information must be reported on medicaid provider enrollment revalidation?
Medicaid provider enrollment revalidation typically requires providers to report updated contact information, billing information, licensure, certifications, and any changes in ownership or practice location.
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