Deactivation of a Provider - FAQs
1. When can a provider number be deactivated without notification?
A provider number is deactivated when:
-
Warrants or documents mailed to the service or business address or the pay-to address were returned by the United States Postal Service as not deliverable.
-
A claim has not been submitted for reimbursement from the provider for one year.
-
A Medi-Cal enrolled business is sold and the new owner (transferee) has been subsequently approved for enrollment.
Prior to deactivating a provider number for either of the first two reasons above, DHCS makes an attempt to contact the provider by telephone or mail. If unable to make contact, DHCS is required to deactivate the provider number immediately without prior notice. For additional information about deactivation for returned mail or for non-participation, please refer to Welfare and Institutions (W&I) Code, Section 14043.62(a) for the full text of the statute and the
Provider Guidelines section of the Part 1 manual.
2. Can provider numbers be reactivated?
Submission of a complete application package specific to the provider type is required for provider number reactivation.
In cases where a deactivation was due to DHCS sanctions, re-application may be subject to specific restrictions. Detailed information is included with the written notification to a sanctioned provider.
