NEW YORK STATE MEDICAID REVALIDATION PROCESS IS TEMPORARILY ON HOLD DUE TO COVID-19; CERTAIN TERMINATED PROVIDERS ARE REACTIVATED

Generally speaking, providers enrolled in the New York State Medicaid program have to revalidate (essentially reapply) for enrollment every five years pursuant to federal law. The Centers for Medicare and Medicaid Services (CMS) approved New York’s recent request to temporarily cease revalidation of Medicaid providers who are in New York State or are otherwise directly impacted by the COVID-19 emergency.

As a result, the New York State Medicaid program has made the following changes to the rules pertaining to provider revalidation and enrollment, which remain in effect during the corona virus emergency:

• Suspend all notices requesting provider revalidation;
• Suspend all notices of termination due to a provider’s failure to revalidate;
• Suspend review of revalidation applications that are currently pending;  
• Allow providers who have already received revalidation notices to suspend their revalidation application process until further notification that the emergency is terminated and then revalidation will resume;
• Reactivate the participation of non-revalidating providers terminated or scheduled for termination on or after March 1, 2020 (please contact eMedNY to confirm at 1-800-343-9000 or via emednyalert@csra.com; and
• Upon termination of the corona virus emergency, providers will be notified of their obligation to revalidate.

If you have any questions please contact David R. Ross, Esq., Senior Shareholder, at dross@oalaw.com or via telephone at (518) 312-0167.