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Revalidation > Frequently Asked Questions

Frequently Asked Questions (FAQs) for Revalidation

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Q.

My practice/business/institution is currently enrolled in Medicare. Do I need still need to pay an application fee to NY Medicaid?

 

 

Category: Fee

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Published: 7/18/2016

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Updated: 7/18/2016

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QID: R1

 
 

A.

No. If you are already enrolled in Medicare you must complete the Application Fee Exemption Form (EMEDNY-520101) and mail it in with your Application.

 
 

Q.

I already submitted a yearly certification statement for billing. Does this mean I am revalidated?

 

 

Category: General

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Published: 2/17/2016

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Updated: 2/17/2016

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QID: R2

 
 

Q.

I am currently actively enrolled in NYS Medicaid. Do I still need to revalidate?

 

 

Category: General

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Published: 2/17/2016

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Updated: 3/4/2016

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QID: R3

 
 

Q.

My provider type requires an application fee to revalidate. Will my application fee be refunded if I get denied?

 

 

Category: Fee

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Published: 2/17/2016

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Updated: 2/17/2016

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QID: R4

 
 

Q.

If I have more than one Provider Identification Number (PID), do I pay multiple fees?

 

 

Category: Fee

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Published: 2/17/2016

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Updated: 2/17/2016

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QID: R5

 
 

Q.

What is the application fee amount and to whom should the check/money order be payable?

 

 

Category: Fee

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Published: 2/17/2016

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Updated: 12/29/2016

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QID: R6

 
 

Q.

If I have been closed either by voluntary means or no billing within 2 years, can I still revalidate?

 

 

Category: General

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Published: 2/17/2016

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Updated: 2/17/2016

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QID: R7

 
 

Q.

My business is an ambulance and an Ambulette service. Each has its own PID number. Does this require two revalidation applications?

 

 

Category: Other

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Published: 2/17/2016

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Updated: 2/17/2016

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QID: R8

 
 

Q.

If I can't pay the fee, what is needed to submit a hardship case?

 

 

Category: Fee

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Published: 2/17/2016

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Updated: 2/17/2016

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QID: R9

 
 

Q.

My practice/business/institution has recently paid Medicare the application fee. Do I still need to pay an application fee to NY Medicaid?

 

 

Category: Fee

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Published: 2/17/2016

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Updated: 7/18/2016

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QID: R10

 
 

Q.

What professions must revalidate?

 

 

Category: General

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Published: 2/17/2016

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Updated: 2/17/2016

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QID: R11

 
 

Q.

What happens if I don't revalidate with NY Medicaid?

 

 

Category: General

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Published: 2/17/2016

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Updated: 2/17/2016

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QID: R12

 
 

Q.

If new information is issued about the revalidation process, how can I make sure I am aware of it?

 

 

Category: Communications

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Published: 2/17/2016

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Updated: 2/17/2016

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QID: R13

 
 

Q.

Our entity successfully revalidated a few months ago. We now need to make changes to the enrollment profile. How do I do that? What forms do I use?

 

 

Category: General

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Published: 2/17/2016

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Updated: 2/17/2016

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QID: R14

 
 

Q.

I submitted my enrollment form and want to verify it was received. Who do I contact and what do I need when I call?

 

 

Category: Form Completion

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Published: 2/17/2016

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Updated: 2/17/2016

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QID: R15

 
 

Q.

I submitted my enrollment form. How will I know I sent in the correct documents?

 

 

Category: Communications

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Published: 2/17/2016

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Updated: 2/17/2016

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QID: R16

 
 

Q.

When and how will I know the Revalidation process is complete?

 

 

Category: Communications

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Published: 2/17/2016

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Updated: 3/4/2016

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QID: R17

 
 

Q.

To ensure my enrollment form can be processed expeditiously, what should I be aware of when completing the form?

 

 

Category: Form Completion

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Published: 2/17/2016

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Updated: 2/17/2016

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QID: R18

 
 

Q.

Our board members refuse to provide their social security number. Will our revalidation be processed without this information?

 

 

Category: Form Completion

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Published: 2/17/2016

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Updated: 2/17/2016

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QID: R19

 
 

Q.

When we revalidate, do we also need to resubmit the EFT and ERA forms?

 

 

Category: Form Completion

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Published: 2/17/2016

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Updated: 2/17/2016

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QID: R20

 
 

Q.

Our durable medical equipment business was once enrolled in Medicare. We are no longer enrolled in Medicare. Does Medicaid require Medicare participation to revalidate?

 

 

Category: Other

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Published: 2/17/2016

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Updated: 2/17/2016

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QID: R21

 
 

Q.

I submitted my revalidation application and contacted eMedNY 7-10 days later to verify my application is in process. What's my next step?

 

 

Category: Communications

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Published: 3/1/2016

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Updated: 3/4/2016

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QID: R22

 
 

Q.

Why did I receive my revalidation application back in the mail?

 

 

Category: Form Completion

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Published: 3/1/2016

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Updated: 3/1/2016

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QID: R23

 
 

Q.

I recently received a notice that my enrollment has been terminated because I did not revalidate. How do I become an active Medicaid provider again?

 

 

Category: Terminations

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Published: 3/4/2016

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Updated: 3/4/2016

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QID: R24

 
 

Q.

I am a Practitioner affiliated with more than 1 group. Do I complete a revalidation form for each group I am affiliated with?

 

 

Category: General, Form Completion

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Published: 3/4/2016

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Updated: 3/4/2016

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QID: R25

 
 

Q.

I recently received a notice that my enrollment has been terminated because I did not complete the revalidation process. How do I reactivate my enrollment?

 

 

Category: Terminations

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Published: 3/4/2016

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Updated: 3/4/2016

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QID: R26

 
 

Q.

Over three months ago I received a letter saying my enrollment was terminated because I did not revalidate my enrollment. Can I be reactivated now?

 

 

Category: Terminations

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Published: 3/4/2016

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Updated: 3/4/2016

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QID: R27

 
 

Q.

Does an Application fee apply to me?

 

 

Category: Fee

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Published: 3/11/2016

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Updated: 3/11/2016

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QID: R28

 
 

Q.

How do I fill out the Disclosure of Ownership Section of the Enrollment / Revalidation form.

 

 

Category: Form Completion

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Published: 3/11/2016

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Updated: 3/11/2016

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QID: R29

 
 

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