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CMS Pub. 100-08, ch. 10, § 10.4.1.2

Receipt of Application

activein force · 2026-08-25 – presentas-observed

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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