PM4
Revalidation
CMS-required outcome
The system tracks the provider enrollment period to ensure that the state initiates provider revalidation at least every five years.
Default metrics
- Number of providers scheduled for revalidation by year. (Total # of providers in Medicaid)
- Percentage of providers enrolled in the state system that are in the CMS Adverse Actions List.
- # of state providers enrolled that are on the CMS Adverse Actions List/
- # state providers enrolled
Regulatory sources