Not Using PECOS? Revised Medicare Enrollment Application Required as of November 1st

What You Need to Know

Physicians can enroll and update their information using either:

• The Provider Enrollment, Chain and Ownership System (PECOS), or
• The revised paper CMS-855I Application

Nothing has changed for those using PECOS to enroll or update information. For those using a paper application, as of November 1, 2023, the revised Paper CMS-855I form must be used going forward.

The new form combines the CMS-855I and CMS-855R paper applications and discontinues the CMS-855R.

The current and revised versions of the form will be accepted through October 31, 2023. Beginning November 1, 2023, only the revised form will be accepted by Medicare Administrative Contractors.

Additional Information

• Medicare Enrollment for Providers & Suppliers
• CMS-855I Instructional Guide

Source: MLN Connects® Newsletter, September 7, 2023