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NEWS & EVENTS |
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Attention All Home Health Agencies(HHA)
License/Accreditation Verification Required
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Effective April 12,2010 Palmetto GBA is requesting verification of license and/or accreditation documentation by April 30, 2010
Please submit a copy of your HHA State License OR Accreditation documentation by mail OR fax with the attached coversheet by April 30, 2010 to the following address. |
Palmetto GBA
Part A Provider Enrollment (AG-330)
P.O. Box 100144
Columbia, SC 29202
FAX: 803-763-2030
Failure to submit valid state license and /or accreditation documentation by the requested date will result in your Medicare billing privileges being revoked.
Please direct any questions you may have regarding this process to our Provider Contact Center at 866-801-5301
or contact our office at (713) 995-8146 to have form faxed if you have problems with downloading
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