Revalidating Providers

New state and federal regulations require all currently enrolled Medicaid providers to revalidate their enrollment at least every five (5) years.  MMAC has established a revalidation schedule for all currently enrolled providers.  During the next two state fiscal years (July 1, 2015 to June 30, 2017), MMAC will concentrate on revalidating the approximately 20,000 currently enrolled Physicians (MD and DO).  During state fiscal year 2018, MMAC will revalidate individual providers such as Dentists, Podiatrists, Advanced Practice Nurses and Licensed Professional Counselors.  During state fiscal years 2019 and 2020, MMAC will revalidate any remaining individual non-physician practitioners and all institutional providers such as hospitals, clinics, pharmacies and nursing homes.

MMAC will contact currently enrolled providers approximately 120 days prior to their scheduled revalidation due date.  Instructions and forms will be provided by mail or e-mail.  The completed revalidation applications forms, and any requested accompanying documentation, should be returned to MMAC prior to the established due date using one of the following methods:

  • Scan and e-mail to MMAC.Revalidation@dss.mo.gov
  • Fax to MMAC Revalidation at (573) 634-3105
  • Mail to MMAC Revalidation, Missouri Medicaid Audit & Compliance, P.O. Box 6500, Jefferson City, MO 65102 or the physical address is 205 Jefferson Street, 2nd Floor, Jefferson City, MO 65102.

Applications and Forms

Application Fees

Provider Revalidation Schedule

Fingerprint Based Criminal History Checks

Provider Assigned Risk Categories

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