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Ready to renew your Medicaid coverage? Explore our step-by-step guide to Medicaid renewal. Here's how
Ready to renew your Medicaid coverage? Explore our step-by-step guide to Medicaid renewal. Here's how

If you didn’t complete Medicaid revalidation in 2024, you’re up in 2025. Get ready now.

Date: 01/02/25

The Centers for Medicare and Medicaid Services (CMS) requires all actively enrolled Medicaid providers to revalidate at least every five years. This requirement was waived during the Public Health Emergency, but effective September 3, 2024, all Illinois providers are required to revalidate based upon their enrollment date. This affects Meridian Medicaid Plan, Meridian Medicare-Medicaid Plan (MMP), and YouthCare contracted providers.

Disenrollment risk: Providers who do not revalidate within their 90-day revalidation window may be terminated, creating a break in enrollment that will impact payments. Reactivation of enrollment is not retroactive in accordance with federal regulations.

What you should know: Revalidation learnings

  • Log into IMPACT and find your revalidation cycle. Providers who use IMPACT infrequently sometimes have challenges logging in. Make sure you can access your organization’s IMPACT account and contact HFS for support if you experience difficulties.
  • Providers with inaccurate email information in IMPACT have missed their 90-day and 30-day revalidation notices from HFS. These notices are sent only by email. The email addresses listed for every service location must be up-to-date. Multiple service locations must revalidate separately.
  • Don’t assume someone at your organization has completed revalidation. Providers of all types have inadvertently missed revalidation deadlines. Administrators should ensure accountable staff are aware of revalidation status.
  • Do not wait until the last minute. Completing the revalidation steps as soon as possible within the 90-day cycle gives HFS ample processing time to transmit information to Meridian and its family of plans.

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