US · guidance
CMS Pub. 100-06, ch. 6, § 430.5
Completing Lines Twelve Through Seventeen - Reason for Denial
B3-13430.5
Line 12 - Sanctioned From Medicare - The number of applications denied because the applicant
is currently excluded/sanctioned from Medicare.
Line 13 - Debarred/Excluded by Other Federal Agency - The number of applications denied
because the applicant had been debarred, suspended, or excluded by any other Federal agency.
Line 14 - Not Professionally Licensed - The number of applications denied because the applicant
was not professionally licensed.
Line 15 - Business Address Invalid - The number of applications denied because the applicant
had an invalid business address.
Line 16 - Business Location Not Licensed - The number of applications denied because the
applicant’s business location was not properly licensed.
Line 17 - CMS Requirements Not Met - The number of applications denied because the
applicant did not meet all CMS requirements.
History
(Rev. 6, 08-30-02)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
0fd5237f0af1afd0acfaf3e6e8a70bfe7d40c006f30a037893aa7f8698a60eea
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