US · guidance
CMS Pub. 100-08, ch. 10, § 10.4.1.2
Receipt of Application
A. Acknowledgment of Receipt of Application
The contractor may, but is not required to, send out acknowledgment letters or e-mails in cases
where PECOS did not automatically do so.
B. Pre-Screening of Application
The contractor is no longer required to pre-screen provider enrollment applications.
C. Reassignment Packages
(For PECOS applications, note that some of the following instructions regarding development
may not apply and the contractor can thus disregard them. This is because PECOS will require
the applicable missing forms at the time the provider is completing the application.)
In situations where an entity wants to simultaneously (i) enroll a group practice, (ii) enroll the
individual practitioners therein, and (iii) reassign benefits accordingly, the instructions below
apply. (With the elimination of the Form CMS-855R, the prior instructions in this section
4.1.2(C) may differ from those below.) As early in the process as possible, the contractor shall
examine the incoming forms to see if a reassignment may be involved; also, the contractor is
encouraged (though not required) to have the same analyst handle all applications in the package.
For instance, suppose a brand-new group wants to enroll but submits only the Form CMS-855B
without including the Form CMS-855Is (and the reassignment information thereon) for its group
members (i.e., the Form CMS-855B arrives alone without the other forms). The contractor shall
develop for the other forms if they are not submitted upon receipt and processing of the Form
CMS-855B.
History
(Rev. 12639; Issued: 05-16-24; Effective: 06-17-24; Implementation: 06-17-24)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
a4991294de1c433d5fef7069f672231fb53108a4da4e4af6af534c9f78c6d669
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