Mandatory Medicaid-Enrolled Healthcare Provider Revalidation Resuming, Following Pandemic Pause

Lawndale News Chicago's Bilingual Newspaper - Health

Providers actively enrolled in the Illinois Medicaid program will need to revalidate their enrollment status to continue providing services to Medicaid customers and bill Medicaid. This federal requirement was temporarily discontinued during the COVID-19 federal public health emergency. The Illinois Department of Healthcare and Family Services (HFS), which administers the Illinois Medicaid program, is resuming that practice effective. Providers will receive revalidation notifications 90 days before their due date, which is based on when they initially enrolled. Providers with November deadlines will receive their notifications in September, for example. They will also receive a reminder email 30 days before their revalidation deadline. To raise awareness about revalidation, HFS launched a multi-platform ‘Stay Connected’ outreach campaign. To help them to discuss the process with their networks, key stakeholders such as medical associations, managed care organizations and legislators are being provided with turnkey communications materials and webinars. HFS conducted a similar outreach called ‘Ready to Renew’ when customer redeterminations resumed after the public health emergency. If providers need further assistance in completing revalidation, Provider Enrollment call center staff are available Monday through Friday from 8:30 a.m. to 5 p.m. at 877-782-5565.

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