Federal (United States) · Agency guidance
Chapter 10
235 sections
235 sections
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.1Introduction to Medicare Provider Enrollment
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.1.1Definitions
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.1.2Enrolling to Receive Medicare Payment
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.1.3General Summary of Process to Enroll in Medicare
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.1.4General Overview of Medicare Enrollment Application Forms
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2Provider and Supplier Types/Services
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.1Certified Providers and Certified Suppliers That Enroll Via the Form
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.1.1Community Mental Health Centers (CMHCs)
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.1.2Comprehensive Outpatient Rehabilitation Facilities (CORFs)
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.1.3End-Stage Renal Disease Facilities (ESRDs)
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.1.4Federally Qualified Health Centers (FQHCs)
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.1.5Histocompatibility Laboratories
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.1.6Home Health Agencies (HHAs)
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.1.6.1Reserved for Future Use
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.1.6.2HHA Capitalization
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.1.7Hospices
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.1.8Hospitals and Hospital Units
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.1.8.1Rural Emergency Hospitals (REHs)
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.1.8.1.1Indian Health Service (IHS) Rural Emergency Hospital (REH)
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.1.9Indian Health Services (IHS) Facilities
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.1.10Organ Procurement Organizations (OPOs)
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.1.11Outpatient Physical Therapy/Outpatient Speech Pathology
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.1.12Religious Non-Medical Health Care Institutions (RNHCIs)
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.1.13Rural Health Clinics (RHCs)
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.1.14Skilled Nursing Facilities (SNFs)
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.2Suppliers That Enroll Via the Form CMS-855B
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.2.1Ambulatory Surgical Centers (ASCs)
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.2.2Home Infusion Therapy Suppliers
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.2.3Independent Clinical Laboratory Improvement Act (CLIA)
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.2.4Independent Diagnostic Testing Facilities (IDTFs)
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.2.5Intensive Cardiac Rehabilitation (ICR)
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.2.6Mammography Screening Centers (MSCs)
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.2.7Pharmacies
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.2.8Portable X-Ray Suppliers (PXRSs)
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.2.9Radiation Therapy Centers (RTCs)
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.2.10Suppliers of Ambulance Services
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.3Individual Practitioners Who Enroll Via the Form CMS-
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.3.1Anesthesiology Assistants
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.3.2Audiologists
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.3.3Certified Nurse-Midwives
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.3.4Certified Registered Nurse Anesthetists
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.3.5Clinical Nurse Specialists
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.3.6Clinical Psychologists
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.3.7Clinical Social Workers
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.3.8Nurse Practitioners
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.3.9Occupational Therapists in Private Practice
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.3.10Physical Therapists in Private Practice
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.3.11Physicians
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.3.12Physician Assistants
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.3.13Psychologists Practicing Independently
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.3.14Registered Dietitians/Nutrition Professionals
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.3.15Speech Language Pathologists in Private Practice
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.3.16Manufacturers of Replacement Parts/Supplies for Prosthetic
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.3.17Marriage and Family Therapists (MFTs)
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.3.18Mental Health Counselors (MHCs)
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.4Other Medicare Part B Services
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.5Suppliers That Enroll Via the Form CMS-855S
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.5.1DMEPOS Supplier Accreditation
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.5.2Fraud Level Indicators for DMEPOS Suppliers - Development and
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.5.3Surety Bonds
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.5.3.1Basics of the Surety Bond Requirement
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.5.3.2Claims against Surety Bonds
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.5.4Indian Health Services (IHS) Facilities’ Enrollment as DMEPOS
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.5.5Pharmacy Enrollment as a DMEPOS Supplier - Accreditation
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.6Medicare Diabetes Prevention Program (MDPP) Suppliers
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.7Opioid Treatment Programs
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.8Providers/Suppliers Not Eligible to Enroll
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3Medicare Enrollment Forms – Information, Processing, and PECOS
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1CMS-855 Series Enrollment Forms: Information and Processing
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.1Form CMS-855A – Medicare Enrollment Application for
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.1.1(Basic Information) - Form CMS-855A
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.1.2(Identifying Information) - Form CMS-855A
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.1.3(Final Adverse Legal Actions/Convictions) - Form CMS-
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.1.4(Practice Location Information) - Form CMS-855A
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.1.55 and 6 (Ownership Interest and/or Managing Control
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.1.6(Chain Home Office Information) - Form CMS-855A
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.1.7(Billing Agency Information) - Form CMS-855A
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.1.8(Special Requirements for Home Health Agencies) -
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.1.913 and 14 (Contact Person and Penalties for Falsifying
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.1.10Certification Statement - Form CMS-855A
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.1.11(Authorized Officials) - Form CMS-855A
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.1.12(Delegated Officials) - Form CMS-855A
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.1.13Additional Form CMS-855A Processing Information
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.1.14Form CMS-855A Processing Alternatives
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.2Form CMS-855B –Medicare Enrollment Application for Clinics,
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.2.1(Basic Information) - Form CMS-855B
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.2.2(Identifying Information) - Form CMS-855B
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.2.3(Final Adverse Legal Actions/Convictions) - Form CMS-
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.2.4(Practice Location Information) – Form CMS-855B
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.2.55 and 6 (Ownership Interest and/or Managing Control
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.2.68, 13, and 14 (Billing Agencies, Contact Persons, and
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.2.7Certification Statement - Form CMS-855B
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.2.8(Authorized Officials) - Form CMS-855B
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.2.9(Delegated Officials) - Form CMS-855B
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.2.10Additional Form CMS-855B Processing Information
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.3Form CMS-855I – Medicare Enrollment Application for Physicians
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.3.1(Basic Information) – Form CMS-855I
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.3.2(Personal Identifying Information) – Form CMS-855I
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.3.3(Final Adverse Legal Actions/Convictions) - Form CMS-
- Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.3.4(Business Information) - Form CMS-855I