Announcing the Release of Revised and New CMS-855 Medicare Provider-Supplier 
Enrollment Applications

The US Office of Management and Budget recently approved changes to the 
Medicare Provider-Supplier Enrollment Applications (CMS-855) in order to update 
them from the 2008 versions, as well as the new CMS-855O application form used 
for the sole purpose of enrolling to order and refer items and/or services to 
Medicare beneficiaries.  The revised and new forms are now available on the CMS 
Provider-Supplier website at 
http://www.CMS.gov/CMSForms/CMSForms/list.asp?filtertype=dual&filtertype=keyword&keyword=855<http://www.cms.gov/CMSForms/CMSForms/list.asp?filtertype=dual&filtertype=keyword&keyword=855>.

Providers and suppliers enrolling for the sole purpose to order and refer are 
required to begin using the new CMS-855O form immediately.  Providers and 
suppliers using the other CMS-855 forms to enroll in Medicare are encouraged to 
begin using the revised forms, though may continue to use the old forms through 
October 2011.





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