Medicare Re-Validation

All Medicare providers who enrolled prior to March 25, 2011 will be required to re-validate their enrollment information.  The preferred method of re-validation is through the Internet based PECOS system at https://pecos.cms.hhs.gov but a paper application will also be accepted.  Providers are instructed to complete the re-validation process once they have been notified by their MAC (Medicare Administrative Contractor).  MAC's will be sending out notices to providers between now and 2015.  Failure to complete the re-validation process within 60 days after being contacted will result in deactivation of provider billing privileges.

GLHP Providers

Effective December 1, 2011, Great Lakes Health Plan Medicaid members will no longer require an authorization for routine outpatient behavioral health services.  Psychological testing will still need authorization.