ONBASE
PECOS
RFI
TDL
EFFECTIVE DATE
100

The App Type for adding a new reassignment? 

What is a Reassignment 

100

The L&T reason used when creating manual updates to PECOS. 

What is "Other"

100

The amount of time a provider has to complete their first RFI?

30 days 

100

The tagline you add for applications in LA or Ventura counties received after 01/07/2025.

What is CAFIRE2025

100

What calculator do you use to determine the effective date for a reassignment?

What is the 60- day calculator 

200

The PE status code for open applications

What is status code 10

200

The number of licenses that are entered for a NP in PECOS?

What is 2 licenses.

200

The sections a provider needs to submit to correct their legal name? 

Section 2 and 15

200

The amount of retro effective days a group member reassignment can receive if in LA or Ventura county and submitted an application after 1/7/25. 

What is 120 days

200

The effective date you use when receiving a group member reassignment being added to a new group PTAN. 

What is the effective date of the new group PTAN

300

The correct Par status for a Registered Dietitian who is reassigning to a Par group. 

What is Mandatory Par

300

The comment you add to the correspondence address if a DPV error occurs. 

What is "This is a valid address." 

300

The next processing steps when an RFI has been sent for signatures, has expired and the provider resubmits a new application without a signature. 

Send the new application to be attached to your application and reject due to non-response to RFI. 

300

The correct process for ordering a site visit on an application in LA or Ventura County in CA for an application received after 1/7/25. 

What is continue to order the site visits, but do not wait for the results to keep processing the application.

300

The effective date you use when an NP provider is requesting 01/01/2025 on the ADR and their RN license is effective 12/01/24 and their NP license is effective 12/25/2024 and their national certification is effective 01/05/2025.

What is 01/05/2025

400

The option code for a group member who is reassigning to an Ambulatory Surgical Center (ASC).

What is Option code 9

400

The region code for the L&T that is needed to add a PTAN in CA. 

What is Region code 01112.

400

The information that belongs in a Concierge Call log?

What is Incoming or Outgoing, phone #, detailed description of what discussed, first and last name of who spoke to or VM left for

400

The county codes for LA or Ventura county? 

What is county code 03 or 04

400

The effective date you use when the group member is requesting 01/01/25 on the ADR and the group PTAN is effective 01/01/24. 

What is 01/01/25

500

True or False: Site Visit dates are not required on the datasheet if you did not request it.

True

500

The status for other state enrollment licenses that need to be validated during the initial process. 

What is Approved, Rejected, Revoked, Denied

500

The clock stoppage reason when needing to RFI for another application. 

What is Dependent application 

500

The correct process if accidently creating a duplicate enrollment in PECOS. 

What is send TDL 200137 Enrollment Deletion Request to ep and include open L&T tied to duplicate enrollment

500

The DOR used to calculate the effective date when the group member submitted their 855I on 01/01/25 and their 855R on 01/20/2025.

What is the DOR of the 855I which is the initial application received