How Institutional Providers Will Pay the Medicare Enrollment Application Fee Beginning Friday, March 25, 2011

Section 6401(a) of the Affordable Care Act (ACA) requires the Secretary to impose a fee on each “institutional provider of medical or other items or services and suppliers.” The fee is to be used by the Secretary to cover the cost of program integrity efforts including the cost of screening associated with provider enrollment processes. The application fee is $505 for CY2011; and will vary from year-to-year. The application fee is to be imposed on institutional providers that are newly-enrolling, reenrolling/revalidating, or adding a new practice location, for applications received on and after Friday, March 25, 2011. CMS has defined “institutional provider” to mean any provider or supplier that submits a paper Medicare enrollment application using the CMS-855A, CMS-855B (except physician and nonphysician practitioner organizations), or CMS-855S forms or associated Internet-based PECOS enrollment application. Electronically, using Internet-based PECOS ñ Once you have completed and submitted your enrollment application using Internet-based PECOS, you should then promptly pay the application fee through www.Pay.gov. Once you are on Pay.gov, type ëCMS’ in the search box under “Find Public Forms” and click the “GO” button. Click on the “CMS Medicare Application Fee” link. Complete the form and submit payment as directed. You will get a confirmation screen indicating that payment was successfully made. This confirmation screen is your receipt and should be printed for your records. CMS recommends that this receipt be mailed to the Medicare contractor along with the Certification Statement for the enrollment application. CMS will notify the Medicare contractor that the application fee has been paid. The Medicare contractor will process the provider enrollment application in the order in which it was received. Normal processing timeframes apply to your provider enrollment application. Source: CMS Learn Resource: 201103-48