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Provider Enrollment

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General Information

Announcing the Release of the Revised CMS-855 Medicare Enrollment Applications external link to pdf

external link to pdf

Last Modified: 4/4/2008

Providers should begin to use the new CMS-855 (02/08) Medicare enrollment applications immediately. With the exception of providers enrolling as a specialty hospital on the CMS-855A, the 2006 CMS-855 version will be accepted through June 2008. [SE0810]