Institutional Providers: Revised CMS-855A version (09/24) Medicare Enrollment Application
Available now is the revised CMS-855A (09/24) paper application that includes a section for SNF to comply with the 2023 Final rule in reporting ownership, management and related party data. Starting 10/1/2024, all SNF providers must only submit the revised form CMS-855A (09/24). For all other Part A provider types, you must use the revised form CMS-855A (09/24) starting 12/1/2024.
The CMS website has information to assist with the attachment section and will post updates for guidance:
Other Resources:
- 2024-09-19-MLN Connects Weekly Edition Newsletter: Skilled Nursing Facilities: Report Your Expanded Ownership, Management, & Related Party Data
- NGS website for Part A provider visit Enrollment for articles about submitting an application.
Posted 9/30/2024