Beginning July 8, providers who have already received a 180-calendar day extension for their provider enrollment revalidation due date will be eligible for a second 180-calendar day extension if they do not complete revalidation by their revised due date. This will allow providers additional time to complete and submit their revalidation requests in the Provider Enrollment and Management System (PEMS) and help prevent disenrollment.
The second revalidation due date extension will be visible in PEMS on the Provider Information page. The Revalidation Due Dates column will reflect the extension starting July 8. Providers will also receive a letter by mail and an email notification confirming their new revalidation due date.
Note: Providers that have already received a 180-calendar day extension with a current revalidation due date between June 1 and July 7 may receive a disenrollment letter until PEMS is updated to show the 180-calendar day extension. When PEMS is updated, providers that were disenrolled for failure to revalidate will be reactivated, and TMHP will reprocess their impacted claims.
For more information, refer to TMHP’s Providers to Receive Second Revalidation Due Date Extension, on TMHP’s Provider Enrollment webpage.
Providers are encouraged to share this information with their staff. If you have any questions about this notice, please email Provider Relations at ProviderRelations@cfhp.com or call 210-358-6030. You can also contact your Provider Relations Representative directly.
To access all Provider alerts:
- Log into the Community First Provider Portal
- Go to CommunityFirstHealthPlans.com/Provider-News
- Sign up for the Community First Provider eNewsletter