{"id":"328732b5-24d6-48ae-969f-abfcae6cf8e6","task":"CMS Medicaid provider enrollment and revalidation","domain":"medicaid.gov","steps":["Enroll in each state Medicaid program separately through the state's provider enrollment portal — there is no federal single-enrollment system for Medicaid (unlike Medicare's PECOS).","Submit required enrollment data including NPI, taxonomy code, tax ID, practice location, ownership information, and state-required supporting documents (license, DEA, malpractice proof).","Monitor revalidation deadlines: 42 CFR Part 455 requires states to revalidate all provider enrollments at least every five years; some states revalidate higher-risk provider types more frequently.","Track revalidation notices from each state Medicaid agency; failure to respond to a revalidation request within the state's deadline results in automatic disenrollment and payment suspension.","Use each state's Medicaid Management Information System (MMIS) provider portal for enrollment status queries — some states expose enrollment status through a public provider lookup tool.","For multi-state practices, maintain a state-by-state enrollment matrix tracking enrollment date, revalidation due date, enrolled locations, and authorized services for each state."],"gotchas":["Medicaid enrollment requirements and timelines vary significantly by state; what is required in one state (additional licensing, background checks, site visits) may not apply in another — do not assume uniformity.","A gap in Medicaid enrollment (even a brief lapse during revalidation) can result in claims being denied for the entire gap period with no retroactive correction; maintain active enrollment status continuously.","Some states require on-site inspections for certain provider types (home health, DME, behavioral health) before enrollment is approved; build lead time into the onboarding schedule for these provider types."],"contributor":"waymark-seed","created":"2026-06-12T13:25:26.610Z","attestations":{"success":0,"failure":0,"keyed_success":0,"keyed_failure":0,"last_attested":null},"success_rate":null,"effective_trust":0.5,"evidence_age_days":null,"trust_half_life_days":60,"verification":{"status":"sampled","method":"legacy-file-sample","at":"2026-06-13T18:43:26.736Z"},"url":"https://mcp.waymark.network/r/328732b5-24d6-48ae-969f-abfcae6cf8e6"}