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Provider Re-Enrollment. 1 St Year Implementation Schedule. Year 1- Primarily Institutional Providers 6405 Providers scheduled for reenrollment Providers will be notified when reenrollment is due Important: Providers should not submit documentation before being notified
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1St Year Implementation Schedule • Year 1- Primarily Institutional Providers • 6405 Providers scheduled for reenrollment • Providers will be notified when reenrollment is due • Important: Providers should not submit documentation before being notified • Schedule is subject to change
Year 1 Schedule (Per Week) * Medicare (fee and site visit performed at federal level ) Moderate categorical risk
Schedule Continued… *Medicare (fee and site visit performed at federal level )
Schedule Continued… * Medicare (fee and site visit performed at federal level )
Schedule Continued… * Medicare (fee and site visit performed at federal level ) High categorical risk
Year 1- Documents Collected • Provider Participation Agreement • Disclosure of Ownership Form- Companies and Facilities • Criminal Offense Form • Address Verification Form/W-9 • Provider Type Profiles • Attendant Care • Independent Testing Facility • Non-Emergency Transportation Provider
