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Medicare Part [Change]
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Providers in AR, CO, LA, MS, NM, OK, TX, Indian Health & Veteran Affairs

CMS-855 Enrollment Application Processing Timeframes

CMS (Centers for Medicare and Medicaid Services) provides mandated timeframes for processing enrollment applications.

Some processing timeframes are contingent upon whether or not we have to request additional or clarifying information from the applicant (“development”).

Processing timeframes begin calculating the day we receive your application in our mailroom:

Paper Applications

Initial Enrollments, Revalidations and Reactivations: 60 – 210 calendar days from receipt
80% of applications will be processed within 60 - 80 calendar days
Reassignments/Change Requests: 60 - 120 calendar days from receipt
80% of applications will be processed within 60 calendar days

Internet-based PECOS (Electronic) Applications

Initial Enrollments, Revalidations, Reactivations: 45 - 120 calendar days from receipt
80% of applications will be processed within 45 - 80 calendar days
Reassignments / Change Requests: 45 - 90 calendar days from receipt
90% of applications will be processed within 45 calendar days

Processing times will vary contingent upon the number of development requests and whether or not a site visit is required.

To avoid delays make sure all sections of the enrollment applications are completed and any supporting documentation is provided

Please be patient. It takes time to process a CMS-855 enrollment application.

Need additional assistance? Call the Enrollment Help Lines.

JL Customers: 1-877-235-8073
JH Customers: 1-855-252-8782

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Last modified:  09/12/2017