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Learn more about the transition 

Auxilary Aids & Services

For information about the availability of auxiliary aids and services, please visit:

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Jurisdiction 11 Home Health and Hospice
Provider Enrollment

Provider Enrollment Resources:

  • Enroll, change your Medicare information, and add or delete group members or locations online at Then print, sign and date the two-page Certification Statement and mail the Certification Statement and all supporting paper documentation to Palmetto GBA within seven days of electronic submission.
  • Download the CMS-855A form. Then print, sign and mail it to Palmetto GBA.
  • Access the status of your CMS-855 application
  • CMS file: providers eligible to order/refer and with current enrollment records
  • Enrollment Application Status Lookup
  • Palmetto GBA address for mailing enrollment forms:

    Palmetto GBA
    Part A Provider Enrollment (AG-331)
    2300 Springdale Drive, BLDG One
    Camden, SC 29020


> Please Select a Topic:

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Extension of Provider Enrollment Moratoria for Home Health Agencies and Part B Ambulance SuppliersOpen in New Window07/28/2015
Comply with MAC Request for Fingerprints within 30 Days07/27/2015
Provider Enrollment Application: Frequently Asked Questions06/26/2015
Revalidation Initiative: Frequently Asked Questions (FAQs)06/16/2015
Incorporation of Certain Provider Enrollment Policies in CMS-6045-F into Pub. 100-08, Program Integrity Manual (PIM), Chapter 15Open in New Window03/09/2015
Incorporation of Revalidation Policies into Pub. 100-08, 'Program Integrity Manual (PIM),' Chapter 15Open in New Window03/03/2015
List of Providers sent a Revalidation Request02/23/2015
Incorporation of Certain Provider Enrollment Policies in CMS-4159-F into Pub. 100-08, Program Integrity Manual (PIM), Chapter 15Open in New Window12/23/2014
Provider Enrollment Application Status Is Now Available on the Interactive Voice Response (IVR) Unit10/01/2014
Do You Need to Change Your Address on Your Provider File?09/26/2014
Fingerprint-based Background Check Begins August 6, 2014Open in New Window08/20/2014
Change of Information01/22/2014
Important Information on the Revalidation of Medicare Provider Enrollment08/01/2013
Revalidation Checklist10/07/2012
How to Check the Status of Your Provider Enrollment Application01/23/2012
Guidance on Completing the CMS-855A Enrollment Form11/22/2011
Internet-Based Medicare Enrollment Application01/14/2011
Medicare Enrollment: Fact Sheets01/14/2011
Capitalization Requirement for Home Health Agencies (HHAs)01/21/2010


last updated on 9/01/2015
ver 1.0.51