US · guidance
CMS Pub. 100-08, ch. 10, § 10.4.1
General Processing Functions
This section 10.4.1 et seq. outlines the general methods that contractors shall follow when
processing enrollment applications. (More specific processing activities can be found elsewhere
in this chapter (e.g., sections 10.3.1 et seq., 10.6.6, etc.)). Should an inconsistency or gap exist
between the general procedures outlined in section 10.4.1 et seq. and those of greater specificity
in other sections of this chapter, the latter shall take precedence unless otherwise noted; this
includes the instructions in section 10.3 concerning PECOS applications.
The CMS stresses that nothing in this section 10.4.1 et seq. (except as stated to the contrary)
supplants more detailed instructions in this chapter (or another CMS directive) pertaining to, for
instance: (1) processing alternatives; (2) referrals to the state agency; (3) processing policies
specific to certain CMS applications (e.g., CMS-855, CMS-20134) and certain sections thereof.
All references to “provider” include “supplier” unless stated otherwise.
History
(Rev. 11891; Issued: 03-09-23; Effective: 04-21-23; Implementation: 06-19-23)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
132b68185ac4885feb04910545d14ebcbf6d6fb48e18da1b6dc40122f8e8998b
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