All Medicaid providers, including managed care organization (MCO) network providers, are required to revalidate their provider enrollment in the DMAS provider services solutions (PRSS) at least every five years.

• DMAS encourages providers to begin the revalidation application upon receipt of the notice to allow sufficient time for processing.

Why it matters: Providers who do not revalidate by the revalidation due date will have their Virginia Medicaid participation status terminated from fee-for-service and MCO networks until the provider successfully enrolls/revalidates in PRSS.

• Providers can verify their revalidation date via the provider portal.

How to complete your revalidation: Providers must submit the revalidation electronically through the Provider Services Solution portal.

• PRSS revalidation is when a provider submits a revalidation application for a Provider/National Provider Identifier (NPI) that has an existing enrollment record in PRSS prior to the end of their enrollment period without an enrollment gap.
• Providers should receive a DMAS notice to begin their revalidation applications at least 90 days before the end of their enrollment period. The notice is sent via email or US mail depending on the provider’s communications preferences recorded in PRSS. Reminder notices are also sent (via email from appshcproductNoReply@gainwelltechnologies.com) at 60 and 30 days prior to the deadline. Providers should add this email to their contacts so that the email is not marked as spam.

How to use the new Manage Revalidation Panel in PRSS: DMAS has implemented a new Manage Revalidation panel within the PRSS Provider Portal. This panel displays a list of the in-process revalidation application tracking numbers for the base identification number and any locations for whom that provider may be an Authorized Administrator for a Primary Account Holder.

• This new panel provides information required to access the revalidation application without having to match up numerous notification emails. It also provides a link directly into the Resume/Revalidate Enrollment page to reset the password if needed. The Provider Portal User Guide PRSS-120is located on the MES Provider Training webpage and has information on the new Manage Revalidation panel.

Additional information is provided on MCO Provider Network Resources | MES (virginia.gov), and includes links to FAQs, tutorials and contact information to reach Gainwell with any aspect of the provider’s revalidation application.