State Medicaid agencies are federally required to revalidate the enrollment of all enrolled providers at least every 5 years (see
42 CFR §455.414). This requirement:
- Applies to all providers, including rendering, billing, ordering and referring providers.
- Permits state Medicaid agencies to revalidate more frequently, at their discretion.
How Revalidation Works
When it is time for revalidation, we will send enrolled health care providers a notice, using the Mail-to address listed in our system for the health care provider.
- The notice applies only to the provider name and Oregon Medicaid ID listed at the top of the notice.
- Failure to return requested revalidation information for the listed provider may result in the Oregon Health Authority (OHA) ending the provider's participation in Oregon's Medicaid program, as outlined in
Oregon Administrative Rule 410-120-1260(16)(b) - Terminations).
What Providers Need to Do
Complete and return the form(s) listed below
only for the provider listed on the notice. OHA must receive the form(s) by the due date listed on the notice.
Provider Revalidation Forms
Only complete these forms if OHA has sent you a revalidation notice asking you to do so. If you have questions about which forms to complete, please email
Complete the following forms:
The files below list providers who need to submit revalidations, and providers whose enrollment was inactivated due to revalidation. The filename lists the date of the file and the revalidation due date for listed providers.
If OHA receives revalidations for inactivated providers:
- OHA will process revalidations received within 30 days of inactivation as revalidations.
- OHA will process revalidations received after 30 days of inactivation as re-enrollments. This may require submitting additional forms based on provider type. Providers will remain inactive until OHA processes their re-enrollment.