New Guidelines Issued for Unlicensed Resident Provider Enrollment

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In a recent MLN Matters®communication, the Centers for Medicare & Medicaid Services (CMS) announced updated guidelines for processing enrollment applications for unlicensed residents.

The notice applies to unlicensed resident physicians who need to enroll in the Medicare program through Medicare Administrative Contractors (MACs) and to the providers for whom these residents plan to practice.

How Enrollment Works for Unlicensed Residents

Effective no later than June 17, 2018, Medicare Administrative Contractors (MACs) will process CMS Form 8550 provider enrollment applications that are submitted for unlicensed residents if the application submission includes either:

  • A residency contract signed and dated by an official of the institution and the resident physician, or
  • A letter presented on institution letter and confirming the applicant’s status as a resident physician. This letter must contain, at a minimum, the name of the applicant and must be signed and dated by an official of the institution.

The enrollment will be approved by MACs if the applicant provides the abovementioned proof of residency and passes all screening requirements.

Your MAC may have more information concerning this requirement should you have any questions. Check this CMS website to find your MAC by your state.

Let Us Manage All Your Payer Enrollment Services

If you require medical credentialing and payer enrollment needs for your practice or medical facility, please contact 1st Assistant. Our experienced and dedicated specialists will provide all credentialing and enrollment services quickly and will monitor your account for ongoing updates and re-attestations. Heidi Henderson, our company owner and President, is eager to meet you and discuss your payer enrollment needs. Please call us at 512.201.2668 or contact us via the website.