Terminations
✔ Voluntary: Submit written notice (90-day notice typically required)
✔ Involuntary: Due to non-compliance, license issues, or fraud
✔ Notify Payers: Medicare (PECOS), Medicaid (state portal), commercial (CAQH)
✔ Patient Transition Plan: Required for continuity of care
Reinstatements
✔ Review Requirements: Payer-specific rules (may include new application)
✔ Update Credentials: Licenses, malpractice insurance, CAQH
✔ Submit Request: Medicare (CMS-855), commercial payers (re-credentialing)
✔ Processing Time: 30-90 days (varies by payer)
