View the Centers for Medicare & Medicaid Services (CMS) Announcement about Medicare Participation for Calendar Year 2019
Participants have "one stop" billing for beneficiaries who also have Medigap coverage and who assign their Medigap payments to the participant. When a participating provider bills us, we also automatically advise the Medigap insurer to pay the participant for the beneficiary's co-insurance and/or deductible.
Direct and timely reimbursement
The annual participation enrollment program for calendar year (CY) 2019 will commence on November 14, 2018, and will run through December 31, 2018. Participation agreements cover the period January 1, 2019 through December 31, 2019, and may not be changed after December 31, 2018.
To be a participating physician:
If you are currently participating, do nothing.
To be a non-participating physician:
If you are currently not participating, do nothing.
If you are currently a participant, submit a written, dated notice that includes:
Provider’s name and NPI
A statement indicating that you are rescinding your participation agreement.
The written notice must be postmarked prior to January 1, 2019.
Provider Enrollment Services
P.O. Box 3095
Mechanicsburg, PA 17055-1813
CMS-460 - Medicare Participating Physician or Supplier Agreement Form
To view the calendar year 2019 Medicare Physician Fee Schedule and Anesthesia Conversion Factors as they become available, please visit your Novitas Solutions Part B Fee Schedule web page.
We encourage you to visit the Medicare Learning Network® (MLN) the place for official CMS Medicare Fee-For-Service provider educational information. There you can find one of our most popular products, MLN Matters national provider education articles. These articles help you understand new or changed Medicare policy and how those changes affect you. A full array of other educational products (including Web-based training courses, hard copy and downloadable publications, and CD-ROMs) are also available. You can also find other important Web sites by visiting the Physician Center Web page and the All Fee-For-Service Providers Web page.
In addition to educational products, the MLN also offers providers and suppliers opportunities to learn more about the Medicare program through MLN National Provider Calls. These national conference calls, held by CMS for the Medicare Fee-For-Service provider and supplier community, educate and inform participants about new policies and/or changes to the Medicare program. Offered free of charge, continuing education credits may be awarded for participation in certain National Provider Calls. To learn more about MLN National Provider Calls including upcoming calls, registration information, and links to previous call materials, visit the MLN National Provider Calls Web page.
You may receive this postcard in the mail informing you about the annual participation process: