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On May 31, the department made provider revalidation determinations for nearly 5,600 organizations that deliver high-risk Medicaid services. Completing the effort is a key part of the state's corrective action plan required by CMS, which has threatened to withhold up to $2 billion in federal Medicaid funding, pending the timely completion of provider revalidation.
A significant number of providers were disenrolled for incomplete or inaccurate administrative data. Providers can appeal their disenrollment decision within 60 days. If you intend to appeal, please submit your appeal right away. DHS will reinstate your ability to bill if you:
- submitted materials during the revalidation period (but have not yet successfully revalidated),
- submit an appeal, and
- continue to work with us to submit complete and accurate information.
Refer to the "Questions about termination" section for more information.
Due to the high volume of inquiries about revalidation, callers to the Provider Resource Center (PRC) will likely experience longer than usual wait times. Consider using the online contact form to submit your question.
The MN–ITS transition to LoginMN has been postponed from the date previously announced. Currently there is no confirmed date for the transition.
Providers must still validate contact info before the switch to retain access to MN–ITS accounts.
If you have not validated your info yet, when you login to MN–ITS you will see a pop-up with instructions. No pop-up means you're all set.
Don't forget to sign up for email updates to get news from the department delivered straight to your inbox. We send information on a variety of health care topics — including this newsletter — that you choose.
Remember to check these provider channels for key policies, changes and assistance as well:
Pro tips for navigating your MN–ITS mailbox:
» Revalidation: Look for the PRVLTR folder, watching for these messages in particular:
- request for more information
- site visit referral
- site visit completion
- termination notice
» Pre-payment review: Look for the PREPAYDOCREQUEST folder for requests for documentation. Providers have 5 business days from the date of the letter to respond.
» No folder means there are no messages.
» Other issues? Contact your organization's MN–ITS administrator for help.
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