Changes for Novitas Providers

novitasProvider Enrollment Revalidation Cycle 2

All Medicare Part A and B providers are required to recertify the accuracy of their enrollment information every five years through a process known as revalidation. The initial five-year revalidation cycle was completed in 2015 and the Centers for Medicare & Medicaid Services (CMS) began Cycle 2 in March 2016.

CMS implemented improvements to streamline the revalidation process during Cycle 2. One enhancement is that CMS is establishing due dates with six months’ advance notice of when the revalidation application must be received by to remain compliant with Medicare’s revalidation requirements. CMS posts the due dates for all currently enrolled providers in the Medicare Revalidation Lookup Tool at A due date of “TBD” (to be determined) means that CMS has not set the date yet. An application will be considered “unsolicited” if it is submitted but the provider/supplier is not due for revalidation in the current six-month period. If a due date is not established (i.e., “TBD”), a revalidation application should not be submitted. All unsolicited revalidation applications will be returned by Novitas.

The Revalidation Lookup Tool is updated every 60 days, so we encourage providers to check the tool periodically and respond timely once your due date is established. Novitas is also issuing notices by mail to providers two to three months in advance of the due date.

Providers/suppliers must submit a complete revalidation application by the established due date and respond to all requests for additional information issued by Novitas in a timely manner.

In order to reestablish Medicare billing privileges subsequent to deactivation, the provider/supplier is required to submit a new, fully completed application. The provider/supplier will maintain their original Provider Transaction Access Number (PTAN); however, an interruption in billing will occur during the period of deactivation resulting in a gap in coverage.

Novitas encourages providers/suppliers to utilize Internet-based PECOS (PECOS Web) to submit their revalidation application. This is the fastest and most efficient method for submission of revalidations.
The processing status of Cycle 2 revalidation applications can be obtained utilizing the Provider Enrollment Status Inquiry Tool located on Novitas’ website.
Please access the following key resources for additional information:

This communication is from Novitas’ Provider Outreach and Education department. If you have questions, please contact the Provider Enrollment Help Line at (JL) 1-877-235-8073 or (JH) 1-855-252-8782.