Palmetto GBA
Skip
permaLink
National Supplier Clearinghouse
Extended Use of the 2006 Version of the CMS-855S Application Form

CMS recently announced that DMEPOS suppliers/providers may continue to use the 2006 version of the CMS 855S application form through December 31, 2008. Earlier this year, a revised CMS-855S application form, version (02/08) was introduced in JSM/TDL- 08250 to include four additional supplier standards to the list of which suppliers must comply in order to receive and maintain Medicare billing privileges. The additional measures, standards 22-25, pertain to supplier accreditation requirements. While not required until January 1, 2009, suppliers are encouraged to use the revised version of the application form for initial enrollment, re-enrollment, and reactivation of Medicare billing privileges.

The Centers for Medicare & Medicaid Services (CMS) has placed the revised enrollment application on the CMS Provider Enrollment Web site. The application version appears bottom left in the footer of the application form.

 

last updated on 09/29/2008
CMS