Ordering/Referring Providers for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Claims--Action

Providers not enrolled in the Medicare program, or who enrolled prior to November 2003 and have not submitted any updates or changes to their enrollment information since then, do not have an enrollment record in the Provider Enrollment, Chain and Ownership System (PECOS) for purposes of being the ordering/referring provider on DMEPOS claims. They will have to complete an application to establish their enrollment in PECOS.

This may be done by (1) using Internet-based PECOS, which transmits enrollment applications to WPS Medicare via the Internet. The signed and dated Certification Statement, along with any required documents, should be sent to our office immediately after submitting the application; or, (2) by completing a paper CMS-855I Medicare provider enrollment application(s) and mailing it, along with any required additional documents, to WPS Medicare; the "Reason for Application" should be indicated as "new enrollee," with "Not in PECOS" indicated below the check box. We will then process the enrollment application and enter the provider's information into PECOS. Information about enrolling in Medicare can be found on the CMS Website at http://www.cms.hhs.gov/MedicareProviderSupEnroll .

Page Last Updated: Thursday, 18-Mar-2010 05:55:43 CDT