Please Note: There is no Medicare information on our corporate website. Please select a specific contract in the 'Search Within' box for Medicare related information.
© 2019 Palmetto GBA, LLC
We frequently update our articles to reflect the latest changes and updates to Medicare, and strongly recommend you visit this article at link below to confirm you have the latest version.
Printed Date: 9/22/2015
With the enactment of Section 3109 of the Patient Protection and Affordable Care Act (PPACA) on March 23, 2010, all pharmacies, unless they qualify for an exemption, must be accredited for the products and services listed on their Medicare enrollment application (CMS-855S) no later than January 1, 2011.
Pharmacies subject to accreditation should begin the accreditation process as soon as possible, as it could take up to nine months to complete the accreditation process.
A pharmacy that submitted a 'step down' application in response to the February 12, 2010, National Supplier Clearinghouse (NSC) letter to only provide non-accredited products as shown in section 2C of their amended CMS-855S may continue to bill all supplies and services shown on their previously accepted CMS-855S.
A pharmacy that submitted a request to 'step down' and provide only non-accredited products as shown in section 2C of their amended CMS-855S prior to the February 12, 2010, NSC letter must submit CMS-855S listing all products and services they will supply.
Note: The authorized or delegated official must sign and date the CMS-855S.
Any pharmacy that voluntarily terminated its enrollment in the Medicare program must complete and submit a new Medicare enrollment application (i.e., CMS-855S) to reenroll in the Medicare program. These applicants are considered new enrollees. In addition, pharmacies must meet the supplier standards found at 42 CFR 424.57, except for the accreditation requirements found in 42 CFR 424.57(c)(22) through 42 CFR 424.57(c)(26).
We value your opinion and want to provide the highest-quality and most relevant Medicare knowledge possible. Please let us know if this article was helpful.
It didn't answer my question
This article was helpful
We’re glad we could help you today and appreciate your feedback. When you rate our articles as most helpful, we know that we are on the right track for providing you with important news and information.
We're sorry this article didn't help you today. We'll use your feedback to review this article to try to revise or expand it. Contact us with more feedback or a question on this topic.
Last Updated: 04/05/2010