Enrollment

Medicare Part B covers OTP services at freestanding OTP facilities and hospital outpatient departments. As an OTP, you can enroll as a Part A or a Part B provider for this Part B benefit. 

OTPs fully-certified by the SAMHSA and accredited by a SAMHSA-approved accrediting body can enroll in the Medicare Program to bill for covered services.

Institutional Providers

You enroll in the Medicare Program using either:

You’ll submit claims electronically using the 837 Institutional (837I) or the paper claim Form CMS-1450.

Professional Providers

You enroll in the Medicare Program using either:

  • PECOS
  • Medicare Enrollment Application for Clinics, Group Practices, and Certain Other Suppliers: CMS-855B (PDF)

You’ll submit claims electronically using the 837  Professional (837P) or the paper claim Form CMS-1500 (PDF).

Visit the Medicare Provider Enrollment educational tool to guide you through the process. 

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Page Last Modified:
09/10/2024 06:21 PM