Clarification of Certain Policies in Pub. 100-08, Chapter 15 Regarding the Processing of Form CMS-855R Applications
Change Request (CR) 9552 clarifies policies in Chapter 15 (Medicare Enrollment) of the “Medicare Program Integrity Manual” concerning the processing of Form CMS-855R (Reassignment of Medicare Benefits) applications and adds a supplementary guide to this chapter that educates providers and suppliers on the preparation and submission of reassignment applications. A Form CMS-855R application must be completed for any individual who will: (1) reassign his/her benefits to an eligible entity, (2) terminate an existing reassignment, or (3) update the primary practice location listed on the Form CMS-855R. Separate Form CMS-855Rs must be completed for each transaction.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: September 19, 2016
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.