Compliance · Enrollment

Medicare revalidation for home health & hospice agencies

Short answer

Medicare requires institutional providers — including home health and hospice agencies — to revalidate their enrollment (Form CMS-855A, usually through PECOS) on a cycle that’s generally every five years. Miss your revalidation due date and CMS can deactivate your billing privileges, which stops your payments until you’re reinstated.

What revalidation is

Revalidation is CMS re-confirming that everything in your Medicare enrollment is still accurate — ownership, managing employees, practice locations, and the financial and organizational details on file. Institutional providers file it on Form CMS-855A.

When yours is due

CMS assigns revalidation due dates on a roughly five-year cycle and posts them; you’ll also get a notice. Don’t wait for the letter — check your due date in PECOS, because a missed date can lead to deactivation of your billing privileges.

The financial side people miss

  • Ownership and control disclosures on the 855A must match your actual cap table and operating agreement — inconsistencies trigger development requests and delays
  • Institutional providers generally owe an application fee at revalidation
  • Managing-employee and adverse-history questions need current, accurate answers
Let NavSuccess handle itWe keep your ownership and financial disclosures consistent with your books, so revalidation is a form, not a scramble.

NavSuccess does this for home care & healthcare agencies — see Fractional CFO & advisory.

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Common questions

How often do I revalidate?

Institutional providers generally revalidate every five years; CMS sets and publishes your specific due date.

What happens if I miss it?

CMS can deactivate your billing privileges. You keep your enrollment record but can’t bill until you’re reactivated — a real cash-flow gap.

Is there a fee?

Institutional providers generally owe an enrollment application fee at revalidation; the amount is set by CMS annually.

Talk to an accountant who knows your agency

Book a free 30-minute consultation. We’ll look at where your books and compliance stand and show you exactly what we’d take off your plate.