Revalidation

Enrolled pharmacy providers must revalidate every five years or stated otherwise in the Provider Agreement. As part of revalidation, TMHP conducts a full screening appropriate to the providers' risk category according to the CMS Medicaid Provider Enrollment Compendium. CMS designates pharmacies as limited risk providers. The screening will include licensure and background checks using various federal and state databases to verify whether providers meet Medicaid enrollment criteria. TMHP will disenroll pharmacy providers not revalidating their enrollment by the designated date.