Maintaining PECOS Enrollment Medicare Revalidation Requirements for All Medicare-Enrolled Providers and Suppliers

April 05, 2019

Medicare providers/suppliers must revalidate their enrollment record information every 3 to 5 years.

Medicare providers/suppliers must revalidate their enrollment record information every 3 to 5 years. In accordance with Shared Savings Program guidelines, ACO participants and SNF affiliates must be enrolled in Medicare. In order to minimize jeopardizing their ACO participant status, the following tools are available to ACOs and ACO participants to remind ACO providers/suppliers and SNF affiliates to revalidate in a timely manner to maintain active Medicare enrollment. Note that ACO participants and ACO provider/suppliers must revalidate their enrollment information; ACOs may not revalidate their ACO participants and ACO provider/suppliers Medicare enrollment.

There are several ways that entities can determine revalidation information:
• The most efficient way for an entity to submit revalidation information is by using the internet-based Provider Enrollment, Chain, and Ownership System (PECOS) on the CMS website. PECOS allows you to review information currently on file, electronically update and submit your revalidation, and electronically sign after uploading supporting documentation. It is important for entities to keep all of their contact information in PECOS up to date, so the Medicare Administrative Contractor (MAC) can contact them as needed. Revalidation cannot be completed through ACO-MS. Providers and suppliers must contact their respective MACs or use PECOS to revalidate their information.
• A listing of all currently enrolled entities is available by using the Medicare Revalidation List. You can search for an entity by last name, first name, organization name, or by National Provider Identifier; or download a list of all revalidation due dates. Those on the list due for revalidation will display a revalidation due date. All other entities with more than 6 months until their revalidation due date will display “TBD” (to be determined) in the due date field.
The revalidation due date will be posted up to 6 months in advance of the revalidation due date to provide sufficient notice and time for the entity to comply. All due dates will continue to be displayed on the website even after an entity has revalidated successfully. If an entity does not submit a complete revalidation application by its due date, it faces a possible hold on its Medicare payment, deactivation of its Medicare billing privileges, and will be ineligible to participate in the Shared Savings Program.


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