Sample notices of appeal are. found in FORMS (pages 13 and 14). Along with the notice of appeal, you will generally file these additional documents: a. pre-calendar statement, a copy of the order or judgment appealed from, any decisions. the order or judgment is based on, and an affidavit of service.
Accessing the Medicaid Interactive Web Portal. A secure logon to the Medicaid Interactive Web Portal is required to access the new attachment option. For new providers, Medicaid will send a letter containing a personal identification number (PIN) and other information on how providers can access the Portal.
Since 2003, the Centers for Medicare and Medicaid. Services (CMS) has used the Provider Enrollment, Chain and Ownership System (PECOS) for physician. Medicare enrollment. In December 2008, CMS launched. the internet-based PECOS, an online provider-. enrollment system that allows physicians, non-physician. practitioners and providers, and supplier organizations.