Provider Revalidation

 

Thank you for your continued participation with Montana Healthcare Programs.

In order to comply with the Patient Protection and Affordable Care Act, Section 6401(a) and 42 CFR 455.414, Montana Healthcare Programs now requires all actively enrolled providers and suppliers to revalidate the enrollment information on file every three to five years, depending on provider type.

Currently the Montana Department of Public Health and Human Services (DPHHS) is revalidating provider enrollment for providers actively enrolled with Montana Healthcare Programs who have not had a revalidation request in the last five years. Providers who are required to complete revalidation will be mailed a Revalidation letter.

On December 13, 2021, Montana Healthcare Programs began sending revalidation request notices to providers. The letters specify a due date. Montana Healthcare Programs is extending the required revalidation date to June 2022 for any provider who has received a revalidation notice. This extension is due to the challenges presented by learning a new provider enrollment and maintenance system, in addition to the significant volume of providers requiring revalidation.

 

Steps to Complete Revalidation

If you have not already registered for the Provider Services Portal, please follow the steps in chapter 2 of the Provider Services Portal User Guide to register and set up your user access for the Provider Services Portal. 

Please log in to the Provider Services Portal to complete the revalidation process following the steps below: 

  • Click Provider Enrollment tab under myMenu.
  • Search for the NPI.
  • Click Radio button at the beginning of the enrollment line.
  • Click the Revalidate tab, now visible under the Enrollment menu.
  • Click Pencil icon on the revalidate line, located at the end of your current work bench list.
  • Review the information and enter/update any missing or incorrect information upload documentation as applicable and Submit.

Note: Providers must be linked before you can view the provider in your work bench.

 

MPATH Provider Services Portal Link Request Form Instructions

Click on the blue Complete request form button

Section 1 enter the NPI & name you registered with.
Section 2 enter the NPIs you want to link.
Sections 3 & 4 enter the submitter’s information.

Once completed, upload the form for processing using the Upload Request button. Allow 10 business days for processing. The Status will change from Submitted to Completed, when processed

 

If you have any questions, please call Provider Services at 800-624-3958, or email us at MTPRhelpdesk@conduent.com.