Correspondence Templates (PETS)

• PETS LETTER BULLETS: Active PETS Bullets
• PETS LETTER 3: Out-of-State WithOut Deficiency
• PETS LETTER 4: Out-of-State WITH Deficiency
• PETS LETTER 5: Allied - Supplemental Form Deficiencies - Wrong Application
• PETS LETTER 6: Physician
• PETS LETTER 7: Onsite Referral Request New
• PETS LETTER 8: DME Moratorium
• PETS LETTER 9: Pharmacy Moratorium
• PETS LETTER 10: Return Correspondence
• PETS LETTER 11: Return Supplemental Application (RSA)
• PETS LETTER 12: Approval Letter
• PETS LETTER 13: Moratorium - 30 Day
• PETS LETTER 14: Verification Letter
• PETS LETTER 15: Correspondence Letter
• PETS LETTER 16: Re-Enrollment Denial Letter & Deactivation - Failure to Respond Timely
• PETS LETTER 18: Physician or All Providers Application Deficiency
• PETS LETTER 19: Deficiency for Onsite for All Provider Types
• PETS LETTER 20: Pharmacy Applicant-Deficiency for Onsite Visit
• PETS LETTER 21: Denial Letter - Applicant does not Respond Timely

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• PETS LETTER 22: Application Package Sent After Intent to Enroll Received
• PETS LETTER 24: Re-Enrollment - Physician Individual Deficiency Letter
• PETS LETTER 26: Supplemental Applications Deficiency Letter - All providers
• PETS LETTER 27: Continued Enrollment Approval
• PETS LETTER 29: Not Exempt from Clinic Licensure
• PETS LETTER 30: EXE Notification Letter to Applicant
• PETS LETTER 31: Already Enrolled in Group
• PETS LETTER 32: Rendering Provider
• PETS LETTER 33: Confirmation of PIN
• PETS LETTER 34: NMP Approval
• PETS LETTER 35: NMP Requesting Enrollment under Rendering
• PETS LETTER 36: Allied Provider Need to Form Group
• PETS LETTER 37: Status Change due to Enrollment in Group at Same Location
• PETS LETTER 38: Applicant Already in Group
• PETS LETTER 39: Change of Ownership Deactivation
• PETS LETTER 40: Corporate Suspension
• PETS LETTER 41: Correspondence - No Further Action Requested
• PETS LETTER 42: 1-3-7 Status Change Due to Enrollment in Group at Same Location

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• PETS LETTER 44: Physician Need to Form Group
• PETS LETTER 45: Provider Number Deactivated
• PETS LETTER 46: Registered Nurse Letter
• PETS LETTER 47: Supplemental Form Received - Need Full Application
• PETS LETTER 48: Re-Enrollment - Group Deficiency
• PETS LETTER 50: Re-Enrollment - Deactivation Onsite (Pre 10/7/05 Regulations)
• PETS LETTER 51: Re-Enrollment - Deactivation Onsite (Post 10/7/05 Regulations)
• PETS LETTER 53: Pharmacy Permit Not Valid
• PETS LETTER 54: Cannot Mix Provider Types
• PETS LETTER 55: Billing Both Offices - Uses Only One Number
• PETS LETTER 56: Crossover Approval Letter
• PETS LETTER 57: Clinic - Rendering Not Necessary to Enroll
• PETS LETTER 58: Submitted Incorrect Application Form
• PETS LETTER 59: Denial - Not Certified Orthotist/Prosthetist
• PETS LETTER 60: Special Faculty Permit - Foreign Physician
• PETS LETTER 61: Clinic Based Providers
• PETS LETTER 62: Group Removing Rendering
• PETS LETTER 63: Duplicate Application
• PETS LETTER 64: Provider Number Issued in Error
• PETS LETTER 65: Supplemental Changes Completed
• PETS LETTER 66: Out of State Provider to EDS
• PETS LETTER 67: Certified Nurse Practitioner Letter (State Plan Amendment)
• PETS LETTER 68: PIN Reissuance
• PETS LETTER 69: Referral to Benefits Notification