UnitedHealthcareMedium ImpactAdministrative

Pennsylvania Medicaid: Revalidate Medical Assistance enrollment every 5 years

Published April 1, 2026

AI Summary

Pennsylvania Medicaid requires all Medical Assistance healthcare professionals to revalidate their enrollment for each service location every 5 years as mandated by federal and state regulations. Providers must submit revalidation at least 60 days before the due date to avoid payment disruptions and maintain compliance.

Action Required

At least 60 days before revalidation due date: All Pennsylvania providers must log into the Pennsylvania Department of Human Services PROMISeā„¢ portal, check revalidation dates under Provider Services > Enrollment Summary, and submit revalidation for each service location. Credentialing team should create calendar reminders for all PA locations. Failure to revalidate will result in payment or service disruptions.

Plan Types

Medicaid

States

PA

Specialties

all-specialties