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January 19, 2017

Provider Enrollment Application Fee Amount for CY 2017

This article was published in the January 19, 2017, issue of the MLN Connects® Provider eNewsExternal PDF

On November 7, CMS issued a notice: Provider Enrollment Application Fee Amount for Calendar Year 2017 [CMS–6071–NExternal Website]. Effective January 1, 2017, the CY 2017 application fee is $560 for institutional providers that are:

  • Initially enrolling in the Medicare or Medicaid program or the Children’s Health Insurance Program (CHIP);
  • Revalidating their Medicare, Medicaid, or CHIP enrollment; or
  • Adding a new Medicare practice location.

This fee is required with any enrollment application submitted from January 1, 2017 through December 31, 2017.

Note from CGS:  An institutional provider is defined as any provider or supplier that submit a paper Medicare enrollment application using the CMS-855A, CMS-855B (except physician and non-physician practitioner organizations), or CMS-855S or associated Internet-based PECOS enrollment application.  Refer to the CMS Medicare Application FeeExternal Website Web page for additional information.

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