Certain Apple Health providers, including some Medicaid-contracted adult family homes, will be asked to complete an off-cycle provider revalidation.

The big picture

Provider revalidation is an administrative process used to confirm that Apple Health enrollment information and credentials are accurate and meet state and federal requirements.

Providers generally revalidate every five years. DSHS-contracted providers typically complete revalidation when renewing their Medicaid contracts.

An off-cycle revalidation happens outside that normal schedule.

Why this is happening

The Centers for Medicare & Medicaid Services has directed HCA and DSHS to complete revalidations of Apple Health providers by June 5, 2028.

This is a federally directed revalidation project. Receiving a notice does not necessarily mean HCA or DSHS has identified a problem with the provider.

Who may need to revalidate?

DSHS-contracted providers

A DSHS provider may need to complete off-cycle revalidation if the provider:

• Did not renew a contract between June 2025 and June 2026; and

• Is not scheduled to renew a contract between June 2026 and June 2028.

DSHS providers will need to complete the off-cycle process only once, even if they hold multiple contracts. The process does not create a new DSHS contract.

Providers will still complete their regular revalidation at their next scheduled contract renewal.

HCA-enrolled providers

HCA-enrolled providers generally do not need off-cycle revalidation if they completed regular revalidation between June 2025 and June 2026 or are scheduled to complete it between June 2026 and June 2028.

Other HCA-enrolled providers—including some out-of-state providers—may be required to participate.

How providers will be notified

Providers should wait until they receive an official revalidation notice.

DSHS-contracted providers: DSHS will email affected providers with the required materials, deadline, instructions, and contact information.

HCA-enrolled providers: HCA will send a notice to the email address listed in ProviderOne. If no email address is available, HCA will mail the notice to the provider’s listed address.

The deadlines are different:

• HCA-enrolled providers generally have 30 days from the notice date.

• DSHS-contracted providers should follow the deadline stated in the DSHS notice.

What revalidation may involve

Providers will use the standard revalidation process. Depending on the risk level of the Apple Health services provided, revalidation may include background checks or an unannounced site visit.

The notice will explain what information or documentation is required.

Will payments continue?

Yes. HCA and DSHS state that provider payments will continue normally during the off-cycle revalidation process.

What happens if a provider does not respond?

HCA may terminate a provider’s Apple Health enrollment if revalidation is not completed by the applicable deadline.

DSHS says it will make every effort to contact and support affected providers. If a provider does not respond or complete the process, DSHS may follow its standard contract-termination procedure.

What AFH providers should do now

• Confirm that provider email and mailing information is current.

• Monitor email, spam folders, and postal mail.

• Read any revalidation notice carefully.

• Gather and submit the requested information by the stated deadline.

• Keep copies of the notice and submitted materials.

• Contact HCA or DSHS if instructions are unclear.

The bottom line

This is a required administrative process—not a new Medicaid contract. Providers do not need to begin revalidation until contacted, but they should make sure official notices can reach them and respond promptly when one arrives.

Read the HCA announcement

Review the off-cycle provider revalidation FAQ

DSHS questions: ProviderRevalidationDSHS@dshs.wa.gov