Palmetto GBA - Regional Home Health & Hospice Intermediary (RHHI)

Provider Enrollment

CMS Provider Enrollment Application: CMS 855A

Please send your completed applications to:
Palmetto GBA
Part A Provider Enrollment (AG-331)
2300 Springdale Drive, BLDG One
Camden, SC 29020

Provider Enrollment

Medicare Enrollment: Reporting Changes to Information

08/10/2009

Internet-Based Medicare Enrollment Now Available to Provider and Supplier Organizations in All States and in the District of Columbia

04/08/2009

Instructions for the Implementation of the Internet-Based Provider Enrollment, Chain and Ownership System (PECOS)

03/10/2009

A New Process for Checking the Status of Your Provider Enrollment Application

02/19/2009

SC Part A & RHHI Electronic Funds Transfer (EFT) Enrollment Packet

10/23/2006

Palmetto GBA Part A Provider Enrollment Contacts (Updated September 2006)

09/22/2006

Facilitating Your Medicare Enrollment

05/12/2006

Intermediary Selection

03/20/2006

Provider Enrollment in the Medicare Program for RHHI

03/06/2006

Provider Enrollment Application (CMS 855A)

01/23/2006

Palmetto GBA Temporary Change of Information Form

09/08/2005

Information and Education Resources for Medicare Providers, Suppliers and Physicians for RHHI

07/22/2005

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Change of Information

10/01/2003

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Adding/Deleting an Additional Location

10/01/2003

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Address Changes

10/01/2003

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Authorized Representative

10/01/2003

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Billing Agent

10/01/2003

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Change in Management Personnel & Board Members Section 6

10/01/2003

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Change of Management Company

10/01/2003

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Change of Name

10/01/2003

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Changes that do NOT require an 855A

10/01/2003

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Contacting Palmetto GBA about Changes of Information

10/01/2003

10/01/2003

10/01/2003

10/01/2003

Other Helpful Hints/Reminders

10/01/2003

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Stock Transfers

10/01/2003

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Telephone & Fax Numbers

10/01/2003

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Voluntary Termination

10/01/2003

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Where to Send Changes of Information

10/01/2003

Preventing Fraud and Abuse

01/23/2002

Capitalization Calculator for Home Health Agency (HHA) Provider Enrollment

09/24/2001

Capitalization Requirement for HHAs

11/03/1998

last updated on 08/10/2009