CMS released a new version of Form CMS-460 (version 12/28). The former version (11/22) will no longer be accepted by the MACs...
View these guidelines for completing the CMS-855A enrollment application for Part A institutional providers.
View instructions on completing the CMS-20134 enrollment application.
View instructions for completing the EFT authorization agreement (CMS-588 application).
View these instructions for the CMS-855I form.
View helpful hints for completing the CMS-855B application.
View these instructions for completing the CMS-855O form.
Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your...