Get Cms Mln 6325432 2019

This guide aims to provide comprehensive instructions for filling out the CMS MLN 6325432, the Medicare Enrollment Application for Opioid Treatment Programs (OTPs). Following these steps will ensure that your application process is smooth and efficient.

Follow the steps to complete your enrollment application

1. Click 'Get Form' button to obtain the form and open it in the editor for completion.
2. Gather necessary information/documentation, including your SAMHSA certification letter, organizational chart, relevant Tax Identification Numbers, and legal records.
3. Obtain a National Provider Identifier (NPI) through the National Plan & Provider Enumeration System (NPPES) if not already done.
4. Identify your Medicare Administrative Contractors (MACs) and make sure to apply based on their jurisdiction.
5. Select a billing agency/agent if applicable and ensure to include this information in Section 8 of the form.
6. Decide whether to submit your application electronically via the Internet-based Provider Enrollment, Chain, and Ownership System (PECOS) or using a paper application.
7. Pay the enrollment fee required for OTP providers during the application process.
8. Complete the Form CMS-855B by filling out Sections 1 to 6, 8, 13, 15, 16 (if applicable), and 17 with all relevant information.
9. Submit the completed application along with any necessary supporting documentation, ensuring all fields are accurately filled out.
10. Finally, once your application is submitted, monitor for any requests from your MAC for additional information, and stay responsive to facilitate smooth enrollment.

Complete your documents online today to ensure your OTP is officially enrolled in Medicare.