Provider Revalidation

Provider revalidation is the mandatory, periodic process in which healthcare providers and suppliers confirm, update, and reverify their enrollment information, credentials, licenses, ownership details, and practice locations are accurate and up to date with programs such as Medicare or State Medicaid. To maintain active participation in the program, all Medicaid providers must revalidate their enrollment whenever requested by HFS. 

The Centers for Medicare & Medicaid Services (CMS) requires state Medicaid programs to revalidate all actively enrolled Medicaid providers at least once every five years, as outlined in 42 CFR 455.414. This requirement applies to all Medicaid providers, including Facilities, Agency and Organizations (FAOs), Groups, Individuals, and A-typical providers. In April 2026, CMS issued updated guidance directing states to conduct additional, more frequent provider revalidations in addition to those currently scheduled. Under this federal initiative, certain Medicaid providers will be required to complete revalidation within an upcoming two-year cycle. 

Providers can see when their upcoming revalidation cycle begins and when they must complete revalidation by checking the Basic Information section of their IMPACT enrollment record. 

Actively enrolled Medicaid providers receive two email notifications before their revalidation due date: 

• The first notice is sent 90 days prior to the end of the revalidation cycle. 

• The second notice is sent 30 days prior to the end of the revalidation cycle. 

Notifications are emailed to the addresses listed in the Basic Information section of the IMPACT application. Providers with multiple service locations must revalidate each service location separately and will receive separate notices for each one.  

Note: Providers should not attempt to revalidate until they have received an official email notification. 

Providers who fail to revalidate will be disenrolled from the program.  If the revalidation is not completed and submitted before the end of your revalidation cycle, you will be disenrolled, creating a break in your enrollment which will impact payments. Reactivation of your enrollment cannot be retroactive in accordance with federal regulations. 

Before beginning the revalidation process, providers should: 

• Ensure you can access the IMPACT enrollment you are revalidating with the ILogin User ID created to access IMPACT.  This ILogin User ID should be a registered email address.  Click here for assistance with ILogin issues 

• Use a web browser supported by IMPACT, such as Microsoft Edge or Firefox. Note: Safari is not compatible with IMPACT and certain fields will not populate, which may result in incomplete application or modification. 

• Once logged into IMPACT, providers should:  

• Verify that your IMPACT enrollment accurately reflects all the services you currently provide and bill for.  

• Confirm that your NPI information in NPPES reflects the correct Taxonomy you are providing and billing services for. 

• Ensure that all relevant licenses and certifications are current.  

• Review and update all contact information, as needed. This includes all email addresses within the enrollment.   

Questions can be directed at the IMPACT Help Desk by calling, 877.782.5565, option 1, 2 and 1.