State Operations Manual (Pub. 100-07), Ch. 4 § 4055
Ordering CMS Forms and Literature
4055 - Ordering CMS Forms and Literature
(Rev. 1, 05-21-04)
The Chief of the Printing Management Branch at CMS CO sends an order form to each
SA every 6 months. The SA head may request a supply of forms and CMS literature
sufficient to meet anticipated needs within the agency and for any necessary
redistribution by the agency. Also, as new forms are devised, he/she arranges for a
simultaneous advance shipment. Estimate the number of copies of new materials needed
before the next regular six-month supply period and request that number directly.
Shipments are by parcel post or bill of lading (never C.O.D.).
The SA should maintain an adequate supply of each required form and publication until it
becomes obsolete. The SA submits interim orders any time that a supplemental supply is
needed. However, since it takes approximately four weeks to fill and ship an order, the
SA should submit a reorder while an eight or ten-week supply is on hand.
Address any contacts regarding the ordering of public literature or forms to:
Centers for Medicare & Medicaid Services
7500 Security Boulevard - South Building
Elizabeth Ostrowski
Form Management Specialist
Baltimore, Maryland 21244-1850
Phone: (410) 786-7863
NOTE: If the SA receives any shipment or mailing of materials in error, do not return
them without first contacting the Forms Management Specialist for instructions.
Address any contacts regarding the ordering of the SOM to:
Centers for Medicare & Medicaid Services
7500 Security Boulevard - South Building
Linda Douglas
Baltimore, Maryland 21244-1850
Phone: (410) 786-7860
Office of Management and Budget (OMB) Approval
of Information Collected from the Public