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UPDATED 4/28/20 Page 1 of 17 Provider Web Portal Quick Guide: Revalidation All providers must revalidate at least every five (5) years to continue participation in Health First Colorado and Child Health Plan Plus (CHP+). Much of the information needed for revalidation will be pre-populated, and providers should verify that the information is still valid. Required fields that are not pre-populated must be completed. Once the revalidation application has been approved, information that cannot be updated in the revalidation application may be updated through the Provider Maintenance option of Provider Web Portal. 1. Login to Provider Web Portal. 2. Click “Revalidation Application”. This will direct providers to the Revalidation Status Panel.

Provider Web Portal Quick Guide: Revalidation...UPDATED 4/28/20 Page 1 of 17 Provider Web Portal Quick Guide: Revalidation All providers must revalidate at least every five (5) years

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Page 1: Provider Web Portal Quick Guide: Revalidation...UPDATED 4/28/20 Page 1 of 17 Provider Web Portal Quick Guide: Revalidation All providers must revalidate at least every five (5) years

UPDATED 4/28/20

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Provider Web Portal Quick Guide: Revalidation All providers must revalidate at least every five (5) years to continue participation in Health First Colorado and Child Health Plan Plus (CHP+). Much of the information needed for revalidation will be pre-populated, and providers should verify that the information is still valid. Required fields that are not pre-populated must be completed. Once the revalidation application has been approved, information that cannot be updated in the revalidation application may be updated through the Provider Maintenance option of Provider Web Portal.

1. Login to Provider Web Portal.

2. Click “Revalidation Application”.

This will direct providers to the Revalidation Status Panel.

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3. Click the “Continue” button to start the revalidation application.

Clicking “Continue” will direct providers to the Revalidation: Request Information panel.

Throughout the revalidation application, providers may use the “Continue” button to navigate to the next panel in the application or the “Finish Later” button to save the application and complete it at a later time.

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4. Add the Contact Information.

Providers are encouraged to make sure the contact information is current. The contact person will potentially be contacted to answer questions regarding the revalidation application.

Click the “Continue” button to move to the Specialties panel.

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5. Providers have read-only access to Specialties and Taxonomies within the revalidation application and cannot update this information.

Click the “Continue” button to move to the Addresses panel.

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6. Providers have read-only access to the Service Location Address. The Billing and Mailing Addresses can be updated.

Click the “Continue” button to move to the Provider Identification panel.

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7. Providers have read-only access to the Provider Legal Name, Doing Business As Name and Organization Type.

Provider may also:

• Add Durable Medical Equipment information. • View existing licenses, update the End Date for existing licenses.

• View, add and update Medicare Participation information.

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• View and add new, non-overlapping DEA records and end date existing records.

Note: Network Participation cannot be viewed or updated as part of revalidation.

Click the “Continue” button to move to the Languages panel.

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8. Providers may add, update and view languages.

Click the “Continue” button to move to the Other Information panel.

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9. View, update and add Malpractice/General Liability Insurance records and Certifications. View and answer Supplemental Questions. Add a Website Address.

Click the “Continue” button to move to the Disclosures panel.

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10. Each disclosure must be completed before the provider will be allowed to continue to the next page.

Click the “Continue” button to move to the Attachments and Fees panel. Providers with the fingerprinting option on the left side will be directed to the Fingerprinting page.

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11. From the Fingerprinting page, review and or update the information for each entity identified.

Click the “Continue” button to move to the Attachments and Fees panel.

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12. Submit the applicable attachments.

Note: If providers click Finish Later to save the revalidation application to finish it at a later date, attachments that have been added will not be saved and will need to be reattached before application submission.

Click the “Continue” button to move to the Agreement panel.

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13. Review the Provider Participation Agreement and sign the agreement by entering the Name of the Person completing the application.

After the Participation Agreement is reviewed by clicking the link, the “I accept” box is selected and all required fields are completed, the inactive “Review” button becomes active. Click the “Review” button to move to the Summary panel.

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14. Review revalidation updates on the Summary page. Click the Submit button once complete.

Click Print Preview to view and then print the entire revalidation application. Click the “Submit” button to submit the revalidation application.

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When the ‘Submit’ button is selected, the user will be asked if they have printed a copy of the revalidation application for their records. If a copy is desired and has not been printed, click “Cancel” to return to the application to print a copy. This is the final opportunity to print the application before submission. If a copy has been printed or is not desired, click “OK”.

15. Retain tracking number

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Returned Revalidation Application

If the revalidation application is returned for additional information, follow the instructions detailed below.

1. Login to Provider Web Portal.

2. Click Revalidation Application.

3. Click Revise Revalidation Application.

Note: The Revise Revalidation Application link only displays if the application has been returned for additional information or updates.

Make the necessary corrections listed in the provider letter and resubmit the application.

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Check the Status of the Revalidation Application

To check the current status of the revalidation application, follow these steps:

1. Login to Provider Web Portal.

2. Click Revalidation Application.

3. Check the status of the revalidation request.

Need More Help?

Please visit the Quick Guides web page to find all the Provider Web Portal Quick Guides.