Once received, how long do I have to complete the revalidation information and what documentation should be included?

Answer:

The revalidation is to be submitted by the due date on the revalidation letter. The revalidation can be completed via internet-based PECOS; or download and submit a completed CMS 855S along with all required documentation. If the information is not received timely, the supplier is subject to deactivation of its billing privileges.

CMS lists the enrollments needing revalidation on the Data.CMS.gov website.  CMS sets supplier revalidation due dates at the end of a month and posts the upcoming six months online.

The following chart indicates what documentation must be submitted:

In addition, if revalidating and the supplier is not already enrolled to receive payments through electronic funds transfer, the supplier should submit the Authorization Agreement for Electronic Funds Transfer (CMS 588). Suppliers must ensure the form has the signature of the authorized or delegated official. In addition, suppliers are required to attach either a voided check or letter on bank letterhead verifying the account information. Either one of these attachments must be included with the form submitted.

Also note, if a supplier is deleting an individual from the supplier file, no additional documentation is required to be submitted. For example, if a supplier is removing a board member, additional documentation such as board minutes is not required. As long as the appropriate section in the application is completed accurately to delete the individual and the certification statement is signed and submitted properly, the individual will be removed from the file.