PECOS 2.0 is Coming Soon

Are you ready for the new and improved PECOS experience? PECOS 2.0 will make the Medicare enrollment and revalidation processes faster and easier. In addition to greater overall efficiency, users will be able to track their application status in real time.

Learn more about PECOS 2.0.

Skilled Nursing Facilities: Report Expanded Ownership, Management, & Related Party Data

CMS will revalidate enrolled skilled nursing facilities (SNFs) from October - December 2024 to collect data on ownership, managerial, and related party information. Your Medicare Administrative Contractor will send you a revalidation notice:

• One-third of SNFs will get notices in October
• Two-thirds will get notices in November or December

You must report this data on the revised Medicare Provider Enrollment Application Form (CMS-855A).  Click here (PDF) for detailed information on the parties to be reported.  Please note that CMS will not be updating the online Medicare Revalidation List to include the SNF off-cycle revalidation schedule.

PrEP for HIV

CMS is encouraging pharmacies and other interested parties to prepare now for the expected transition of coverage from Medicare Part D to Medicare Part B for Preexposure Prophylaxis (PrEP) using antiretroviral drugs to prevent HIV.  We expect to release the final National Coverage Determination (NDC) in late September 2024. Coverage under Part B will begin at that time.  For more information on:

• PrEP: Visit PrEP for HIV & Related Preventive Services
• How to enroll:
  • Visit Become a Medicare Provider or Supplier
  • View a PrEP for HIV video tutorial

Hospice Certifying Enrollment

Effective June 3, 2024, CMS will require physicians who certify the need for hospice services to be enrolled in or opted-out of Medicare.  Refer to Hospice Certifying Enrollment Q&A (PDF) and Hospice Claims Edits for Certifying Physicians (PDF) for more information. 

Physicians & Non-Physician Practitioners: New Medicare Enrollment Application Required November 1 

Medicare has merged the CMS-855R into the CMS-855I paper enrollment application. Read how this will affect provider enrollment in the Consolidated CMS-855I/CMS-855R Enrollment Applications Bulletin (PDF).

New Provider Type: Marriage and Family Therapists (MFTs) and Mental Health Counselors (MHCs)

CMS will implement new MFT and MHC provider types on Jan. 1, 2024. Refer to MFT/MHC FAQs (PDF) for additional information.

New Provider Type: Rural Emergency Hospitals (REHs)

CMS will implement a new REH provider type on Jan. 1, 2023. If you're converting a rural hospital or critical access hospital to an REH, you can go ahead and submit your application. Please refer to the REH Medicare Provider Instructions (PDF).

Important Information Regarding Changes to the DMEPOS Enrollment Contractor

Effective Nov. 7, 2022, the National Supplier Clearinghouse (NSC) no longer processes Medicare enrollment applications for DMEPOS suppliers. The National Provider Enrollment DMEPOS East and West contractors now process all DMEPOS enrollment applications.

Find your enrollment contractor (PDF).