FQHC Medicaid Providers Required to Revalidate Credentials
As of Spring 2017, Medicaid enrolled providers were required to revalidate their credentials with the Mississippi Division of Medicaid (DOM). Medicaid provider revalidation is a requirement stemming from the Affordable Care Act (ACA), which requires all state Medicaid agencies to revalidate the enrollment of all providers at least every five years.
A revalidation requires a provider to verify or revalidate the information currently on his or her provider file. Providers also will need to complete and sign a new Provider Disclosure form and a new Provider Agreement. Providers will be able to revalidate through the Envision web portal. If providers fail to complete the revalidation process by the due date in their notice, their
Medicaid enrollment will terminate and they will have to reapply
. Additionally, if a provider fails to revalidate in time with Medicaid and they are also enrolled with the MississippiCAN, Magnolia Health and United Healthcare Community Plan,
enrollment with the CCOs will be terminated
To prepare for revalidation, all FQHC providers should take the following steps immediately:
Providers should verify the address information on file with DOM is correct
. The notifications will be mailed to the “Mail Other” address on their file, and if there is no “Mail Other” address, it will be mailed to the Billing address. To ensure each individual provider receives a notification, please validate your addresses on file with DOM.
Check the link to see if a revalidation notice has been mailed and completed:
Given that a large number of providers failed to revalidate, Medicaid is in the process of opening up the provider portal for sites to revalidate.