Reassignment of Medicare Benefits: Revised CMS-855R Required May 1

Published 05/01/2020

Physicians and nonphysician practitioners were tasked to use the revised CMS-855R (Reassignment of Benefits) application once it was posted on the CMS Forms List in early February, 2020. Medicare Administrative Contractors stopped accepting previous versions of the form on April 30, 2020.

Form Updates Effective May 1, 2020

  • Can select Change of Reassignment Information as submission reason
  • Option to identify a secondary practice address

Visit the Medicare Provider-Supplier Enrollment web page for more information about Medicare enrollment.


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