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Last Modified: 8/9/2018 Location: FL, PR, USVI Business: Part B

Certification statement timeframe

Q: I used the internet-based Provider Enrollment, Chain, and Ownership System (PECOS) to enroll online. When do I need to send my certification statement and supporting documentation to my assigned Medicare contractor?
A: Internet-based PECOS allows providers to provide signatures and documents via hard copy or electronic copy.
If electronic signature (e-signature) and uploading documents are chosen, the tasks are completed within internet-based PECOS at the time the application is being completed.
If e-signature and uploading documents are not chosen, the hard copies must be mailed to your assigned Medicare contractor as quickly as possible. First Coast Service Options Inc. (First Coast) is the assigned Medicare administrative contractor (MAC) for Florida, Puerto Rico, and the U.S. Virgin Islands.
The Centers for Medicare & Medicaid Services (CMS) has established the timeliness requirement for a signed and dated certification statement to be submitted to the assigned Medicare contractor within 20 calendar days of the submission of the PECOS application.
Note: If a provider fails to submit the signed and dated certification statement within CMS’ specified timeframe, contractors are required to reject the provider’s Internet-based PECOS application. Copies of the certification statement will not be accepted, and blue ink is recommended.
To find out more about PECOS, please review the PECOS FAQs external link or visit CMS’ Internet-based PECOS page external link.
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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.