CMS-855I: Who needs to sign the CMS-855I for a reassignment?
Section 15: CERTIFICATION STATEMENT AND SIGNATURE
If adding a reassignment both the individual provider(15B) and the authorized/delegated official of the group (15C) need to sign and date.
- If a Physician Assistant is adding an employment arrangement no 15C is needed.
If terminating/changing a reassignment either the individual provider(15B) OR the authorized/delegated official of the group (15C) need to sign and date.