Establishing New Practice Locations in a Different State
This change request updates specifically, when a practitioner submits a CMS-855I application to either: (1) add a practice location in a new State, or (2) relocate to a new State entirely, the contractor that received the application shall determine whether the practitioner still has an active Provider Enrollment, Chain and Ownership System (PECOS) record in another State(s). If PECOS shows that the individual has an active practice location in another State(s), the contractor shall remind the practitioner that if he/she no longer intends to practice in that State, he/she must submit a CMS-855I voluntary termination application to the contractor for that jurisdiction. The reminder should be given in the approval letter that the receiving contractor sends to the practitioner or, if more appropriate, in an e-mail or other form of written correspondence.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: October 23, 2009
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