All suppliers who are furnishing oxygen equipment and/or supplies must ensure their enrollment record reflects, or is updated to also reflect, the supplier type of oxygen & equipment to be reimbursed for these products/services. If the additional supplier type needs to be added to your enrollment record, please submit a CMS-855S application to add this secondary supplier type. All appropriate accreditation and licensure must also be in place upon submission of your application.
Effective January 1, the application fee is $709 for institutional providers (as defined in 42 CFR § 424.502) who are:
Initially enrolling in the Medicare or Medicaid program, or the Children's Health Insurance Program (CHIP).
Revalidating their Medicare, Medicaid, or CHIP enrollment.
Adding a new Medicare practice location.
CMS requires this fee with any of these enrollment applications submitted from January 1 - December 31, 2024. See the notice for more information.
If for any reason a supplier voluntarily terminates their enrollment record/PTAN, and subsequently submits an application to reactivate the terminated enrollment, that application will be treated as an initial enrollment and subject to the initial enrollment effective date assignment rules (i.e., the date the enrollment is approved in PECOS).
The 2024 annual participation open enrollment period is approaching and runs mid-November through December 31, 2023. The open enrollment period allows Medicare suppliers to revisit their choice to accept Medicare assignment for claims payment. The participation status only affects how you are reimbursed from Medicare. Changing your status to non-participating does not terminate your Medicare billing privileges. For more information, please refer to our article.
CMS has awarded the Appeals and Rebuttals Contract (ARC) to Chags Health Information Technology LLC (C-HIT). C-HIT will begin accepting work on October 9, 2023.
DME suppliers should send ALL appeals (corrective action plans and reconsideration requests) and rebuttals to C-HIT. For more information, please refer to our article.
Effective August 21, 2023, the Electronic Funds Transfer (EFT) Authorization Agreement Form (CMS-588) must be sent to the applicable National Provider Enrollment (NPE) contractor for the supplier’s physical location. For more information, please refer to our article for specific information on when and where to send the EFT Authorization Agreement Form (CMS-588) at the time of enrollment, revalidation, reactivation or change of information.