General Summary of Process to Enroll in Medicare

10.1.3 - General Summary of Process to Enroll in Medicare (Rev. 10672; Issued: 03-18-21; Effective: 03-12-21; Implementation: 03-22-21) Providers and suppliers, including physicians, may enroll or update their Medicare enrollment record using the: • Internet-based Provider Enrollment, Chain and Ownership System (PECOS), or • Paper enrollment application process (e.g., Form CMS-855). The Medicare enrollment applications are issued by CMS and approved by the Office of Management and Budget. Paper applications can be accessed at the Web site https://www.cms.gov/Medicare/Provider- Enrollment-and-Certification/MedicareProviderSupEnroll/EnrollmentApplications.html. PECOS can be accessed at https://pecos.cms.hhs.gov/pecos/login.do. Web Sites The contractor must link to CMS’ provider/supplier enrollment Web site located at https://www.cms.gov/Medicare/Provider-Enrollment-and- Certification/MedicareProviderSupEnroll/index.html?redirect=/MedicareProviderSupEnroll/. The link shall: (1) be available on the contractor’s existing provider outreach Web site (which should be an established sub-domain of the contractor’s current commercial Web site); and (2) comply with the guidelines stated in the Provider/Supplier Information and Education Web site section (Activity Code 14101) under the Provider Communications Budget and Performance Requirements. Bulletins, newsletters, seminars/workshops and other information concerning provider enrollment issues shall also be made available on the existing provider outreach Web site. All contractor Web sites must comply with section 508 of the Rehabilitation Act of 1973 in accordance with, 36 CFR §1194, and must comply with CMS’ Contractor Web site Standards and Guidelines posted on CMS’s Web site. The CMS Provider/Supplier Enrollment Web site, https://www.cms.gov/Medicare/Provider- Enrollment-and- Certification/MedicareProviderSupEnroll/index?redirect=/MedicareProviderSupEnroll/, furnishes the user with access to provider/supplier enrollment forms, specific requirements for provider/supplier types, manual instructions, frequently asked questions (FAQs), contact information, hot topics, and other pertinent provider/supplier information. The contractor shall not duplicate content already provided at the CMS provider/supplier enrollment Web site and shall not reproduce the forms or establish the contractor’s own links to forms. It shall, however, have a link on its Web site that goes directly to the forms section of the CMS provider/supplier enrollment site. On a quarterly basis (specifically, no later than the 15th day of January, April, July, and October), each contractor shall review and provide updates regarding its contact information shown at URL: https://www.cms.gov/Medicare/Provider-Enrollment-and- Certification/MedicareProviderSupEnroll/Downloads/contact_list.pdf If the contractor services several states with a universal address and telephone number, the contractor shall report that information. In situations where no actions are required, a response from the contractor is still required (i.e., the contact information is accurate). In addition, only such information that pertains to provider enrollment activity for the contractor’s jurisdiction is to be reported. All updates shall be sent directly via e-mail to the contractor’s CMS Provider Enrollment & Oversight Group Business Function Lead.