Enrollment Tools

Select the scenario that best applies to you to access instructions, forms, and enrollment information, or choose from the Supplemental Enrollment Resources options below.

Enrollment Change Scenarios

• Change of Information
• Change of Ownership, Merger/Acquisition, Consolidation
• Change of Tax ID (Other than Change of Ownership)

Initial Enrollment Scenarios

• Federally Qualified Health Center Enrollment
• Organization Enrolling for the First Time

Revalidation Scenarios

• Revalidations--Required CMS-855 Form and Helpful Hints

Supplemental Enrollment Resources

• Application Fee
• Application Status Inquiry Tool
• Contact and Mailing Information
• Electronic Funds Transfer
• Enroll to Receive Remittance Advice Electronically
• Enroll to Submit Claims Electronically
• Forms
• Frequently Asked Questions
• Internet-Based PECOS         
• Suspension of Payment