School districts participating in the School-Based Health Care Services (SBHS) Program are required to complete Medicaid revalidation every five years. This year, over 100 school districts are due for revalidation!
What is Medicaid revalidation?
Federal regulations require state Medicaid agencies to revalidate the enrollment of Medicaid providers once every five years. During the provider revalidation process, your school district will need to update a few forms and may need to update information in ProviderOne. Revalidation is required for school districts (also known as "billing providers"). Servicing providers enrolled under a district's ProviderOne account do not have to complete revalidation.
Is my school district due for revalidation?
The district will be notified by mail when selected for revalidation. No action is required until the district receives the revalidation letter from the Health Care Authority (HCA). The revalidation notice will be sent to the mailing address listed in ProviderOne.
My school district received a revalidation letter. What is the district required to do?
The revalidation letter specifies the requirements needed to complete the revalidation. Requirements are also summarized below.
School districts must complete the following steps:
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Login to the district's ProviderOne account via OneHealthPort. Once logged into ProviderOne, click on 'Manage Provider Information'. This link will take you to the Business Process Wizard (BPW) where you will need to review and update the district's information as needed.
- Upload a signed Core Provider Agreement, Debarment Statement, Internal Revenue Service (IRS) W-9 form, and a Trading Partner Agreement.
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Note: The forms must be signed by the person listed as a "Managing Employee" under Step 4: Ownership and Managing Controlling Interests in ProviderOne.
Questions?
For assistance with, or questions about the Medicaid revalidation process, please visit HCA's Revalidation webpage.
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