Pennsylvania Provider Revalidation Requirements Will Be Reinstated
Effective June 1, 2021
The PA Department of Human Services (DHS) announced last week that effective June 1, 2021, provider revalidation requirements, as applicable prior to the COVID-19 public health emergency (PHE), will be reinstated. The DHS had issued temporary flexibilities related to provider enrollment and revalidations during the PHE on April 9, 2020. Although there is still a PHE, many of the mitigation measures that were imposed have been lifted. DHS will work with providers to complete overdue revalidations as described below.

For provider revalidations due on and after June 1, 2021, providers must submit revalidation applications by the due dates indicated on the 90-day and 30-day revalidation notices. Failure to submit the revalidation applications by the revalidation due date specified in the revalidation notices will result in closure of the provider service locations in PROMISe™.

For provider revalidations due, but not yet completed, during the PHE period of March 1, 2020 through May 31, 2021, the Department will set new revalidation due dates based on a monthly staggered method, starting with the revalidations overdue from March 2020. The Department will notify providers of the new revalidation due dates via the 90-day and 30-day revalidation notices to ensure that providers receive advance notice of new revalidation due dates. Please note that failure to submit the revalidation applications by the new revalidation due date will result in closure of the provider service locations in PROMISe™.

For more information about the provider revalidation requirements, please see Medical Assistance Bulletin 99-21-01.
Contact your Arnett Carbis Toothman advisor to discuss how these requirements impact your specific situation or email us at info@actcpas.com.