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Mandatory Provider Enrollment Off-Cycle Revalidation for ALL SNFs

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  • Mandatory Provider Enrollment Off-Cycle Revalidation for ALL SNFs
September 25, 2024
CMS - updated logo 2024

The Centers for Medicare and Medicaid Services (CMS) recently issued an announcement in the MLN Connects newsletter that all skilled nursing facility (SNF) providers will receive off-cycle provider enrollment revalidation notices from their Medicare Administrative Contractor (MAC) to collect additional data on ownership, managerial, and related party information not previously required. This information is to be submitted in a new Appendix on the Form CMS-855A (09/24) version.

The MAC will be issuing the revalidation notice to SNFs over the next three months, October through December 2024. Providers will have 90 days from the date of the letter to respond and submit the newly required information into the Medicare Provider Enrollment, Chain, and Ownership System (PECOS) system to keep their provider enrollment status active.

The requested information is quite complex and affects every SNF, regardless of size or ownership characteristics. Providers should review the new Form CMS-855A and the new GUIDANCE FOR SNF ATTACHMENT ON FORM CMS-855A. CMS is suggesting that providers seek counsel from an attorney to help interpret the new SNF reporting requirements and begin compiling the new information that will be required to be reported ASAP.

AHCA plans an upcoming webinar on this new SNF provider enrollment reporting requirements.

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