Wednesday, March 16, 2016

IMPORTANT: Deadline for Medicaid Provider Revalidation

“Although the Centers for Medicare and Medicaid (CMS) has extended its deadline for states to complete provider revalidation, it is important that Colorado providers complete revalidation and/or enrollment as soon as possible. By completing the revalidation and enrollment process as soon as possible through the Online Provider Enrollment (OPE) tool providers will not experience any delay in payment. The Department is launching its new claims management system, the Colorado interChange, on November 1, 2016. Starting on that date, claims and encounters submitted by providers who have not enrolled and/or revalidated will be denied. For more information, contact Provider.Questions@state.co.us.

Providers must utilize the Online Provider Enrollment (OPE) tool to complete their applications. Provider resources, including training, an enrollment reference guide, and several FAQs, are available online on the Medicaid Provider Resources page. Providers are urged to review these resources prior to beginning the revalidation process! [Source: HCPF]

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