Business Entity Verification Renewal

This serves as a reminder of the Endorsement Policy effective April 15, 2011 regarding Business Entity Verification Renewal. It is the responsibility of the provider to ensure this process is initiated. The Re-Endorsement Attestation Letter mentioned below is located on the Pathways LME Website at http://www.pathwayslme.org/provider/PROVIDERPA.HTM .

Business entity verification status is valid for up to three years. In order to renew a provider’s business entity verification, the provider shall submit to the endorsing agency that granted the provider’s business entity verification; a copy of the National Accreditation Certificate, a standardized Re-Endorsement Attestation Letter that includes the current business information (i.e., name, business status, and address), and a report of any dissolutions, revocations, or revenue suspensions that have occurred over the past three years. In addition, the provider shall submit evidence of good standing with the U.S. or the North Carolina Departments of Revenue.

The provider shall submit the above mentioned information at least 30 calendar days prior to the expiration of the current business entity verification via trackable mail. The endorsing agency shall review the information submitted as well as any adverse actions and sanction activity involving the provider within 10 calendar days of the receipt of the Re-Endorsement Attestation Letter. The endorsing agency has the authority and the discretion to conduct an onsite review(s) based upon the information contained in the standardized Re-Endorsement Attestation Letter.

If the information submitted meets business verification requirements, the LME shall complete a Notification of Endorsement Action (NEA) indicating the new effective business verification dates and send the updated NEA to the provider via trackable mail. The provider will be responsible for submitting the updated NEA to the Division of Medical Assistance (DMA).

A provider that fails to submit the standardized Re-Endorsement Attestation Letter prior to the business verification expiration date or that provides false or misleading information on the standardized Re-Endorsement Attestation Letter to the endorsing agency shall have its business entity verification involuntarily withdrawn. The endorsing agency shall notify the provider via an NEA sent via trackable mail that the business entity verification was involuntarily withdrawn because of failure to submit the Re-Endorsement Attestation Letter and/or because false or misleading information was submitted. The endorsing agency shall also notify DMA and the Division of Mental Health/Developmental Disablities/Substance Abuse Services (DMH/DD/SAS) via an NEA letter that the business entity verification has expired and has not been renewed because of the provider’s failure to submit the Re-Endorsement Attestation Letter and/or because the provider submitted false or misleading information in the Re-Endorsement Attestation Letter.

The provider must notify the endorsing agency immediately if at any time the provider’s national accreditation status lapses or is withdrawn. The provider’s endorsement shall be involuntarily withdrawn in the event the provider fails to notify the endorsing agency that the accreditation status has lapsed or has been withdrawn. Loss of national accreditation for the affiliated business entity shall lead to withdrawal of endorsement for MH/DD/SAS services that require accreditation.

Good Standing Requests

The endorsement policy effective April 15, 2011 states that providers must submit evidence of good standing with the U.S. and N.C. Department of Revenue at the time of the initial business verification and the business entity verification renewal. A letter from the IRS and the NC Department of Revenue is sufficient.