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Last Modified: 11/26/2021 Location: FL, PR, USVI Business: Part A

IDM overview and registration procedure

Providers must register to gain access to the redesigned PS&R (provider statistical and reimbursement) report. Providers must request and receive their PS&R reports from the CMS system. Over the last two years, CMS has sent multiple letters and Listserv messages to facilities instructing providers that obtaining the PS&R is the responsibility of the facility. As you have been previously informed, you will now obtain the PS&R reports needed to file your Medicare cost report. The PS&R system is web-based, and allows you to access data specific to your organization at any time. You previously may have received redesigned PS&R reports from us, but they will no longer be provided. It is the responsibility of each of you to obtain your own individual reports.
Prior to accessing the PS&R system, you will need to register for a user ID and password in CMS’ IDM (identity management system). IDM is the CMS identification and authentication system used to access CMS web-based applications. IDM allows users to obtain one ID and password needed to access multiple web-based systems, one of which is the PS&R system. Please register in IDM as soon as possible, as IDM authentication involves a provider verification process that includes the submission of supporting documentation. Failure to complete this registration soon may cause a delay in the ability to access your PS&R.
IDM operates under a delegated authority model. Therefore, the first person to register for a provider organization is the designated security official. This person is designated by the provider organization to be ultimately responsible for all users in your organization.
The security official will:
Register your organization in IDM,
Submit all required verification documentation, and
If approved, will then be given the ability to approve other users’ access to the PS&R system.
Please note that the security official can approve users, but cannot access the PS&R application. If you are a chain provider, each provider within the chain will need to register individually. The PS&R does not allow home offices or surrogate groups to access data.
More information regarding the IDM process can be found at
To register in IDM, use the following web link: Click “New User Registration” and then select the “Provider/Supplier Community” to begin the registration process.
Once your security official has been approved (notified via email), other users can register for IDM accounts. Each new user will be approved by your security official. Once the ID and password are received, the user may request, within IDM, access to the PS&R application. PS&R user guides and web-based training (WBT) are located within the PS&R application.
Note: If your organization and security official have already been approved in IDM for a different CMS system, you will not need to complete this initial registration process again. However, all subsequent users will still need to register in IDM and for PS&R.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.