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Year 1 Provider Re-Enrollment Implementation Schedule Overview

This document outlines the implementation schedule for Year 1 re-enrollment of primarily institutional providers, comprising 6,405 providers slated for re-enrollment. Providers will receive notifications when their re-enrollment is due; it is critical they refrain from submitting documentation until notified. The schedule is subject to change and takes into account various Medicare provider categories, which include moderate and high categorical risk. Essential documents required for participation include the Provider Participation Agreement, Disclosure of Ownership Form, and others pertinent to verification and compliance.

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Year 1 Provider Re-Enrollment Implementation Schedule Overview

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  1. Provider Re-Enrollment

  2. 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

  3. Number of Providers

  4. Year 1 Schedule (Per Week) * Medicare (fee and site visit performed at federal level ) Moderate categorical risk

  5. Schedule Continued… *Medicare (fee and site visit performed at federal level )

  6. Schedule Continued… * Medicare (fee and site visit performed at federal level )

  7. Schedule Continued… * Medicare (fee and site visit performed at federal level ) High categorical risk

  8. Schedule Continued…

  9. 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

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