Tools & forms: Enrollment
Use these self-service tools and forms to enroll as a Medicare provider or make changes to an existing enrollment record.
Articles
Article Type
Category
Change of practice address for individual Part B providers using the Medicare Enrollment Application - Physicians and Non-Physician Practitioners (CMS-855I)
Read this document to learn how to change your address using the 855I enrollment application.
Providers must be operational when applications submitted
This article includes requirements that providers must be operational when enrollment applications are submitted. Review this...
Enrollment for rural emergency hospitals
To address the growing concern over closures of rural hospitals, the Consolidated Appropriations Act of 2021 established REHs as...
Checklist: Annual wellness visit (AWV)
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation...
Checklist: Ambulance
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation...
Checklist: Chronic care management (CCM)
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation...
Checklist: Home health referrals
Medicare home health referrals must contain information in the medical record from the certifying physician and/or acute/post...
Checklist: Surgical services - Cataract extraction
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation...
Targeted probe and educate (TPE) round results: Wound care (CPT 11042 and 11045)
View targeted probe and educate (TPE) round results for wound care (CPT 11042 and 11045).