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CMS announces provider enrollment fee for 2012

By Stephanie Bouchard

The application fee for providers to enroll in Medicare, Medicaid and the Children’s Health Insurance Program has been set for calendar year 2012. The fee has increased to $523 from $505.

The fee applies to those enrolling in Medicare, Medicaid and CHIP for the first time as well as those revalidating their enrollment or who are adding a new Medicare practice location. The new fee is in effect between Jan. 1, 2012 and Dec. 31, 2012. The $505 fee still applies to applications submitted on or before Dec. 31, 2011.

In the notice published in the Federal Register about the fee, the Centers for Medicare & Medicaid Services noted that the fee is not required for Medicare doctors or non-physician practitioners who submit at CMS-8551 or for first-time or re-enrolling applicants of Medicaid or CHIP who are individual physicians or non-physician practitioners or who have enrolled in Title XVIII or another state’s Title XIX or XXI plan and has paid the application fee to a Medicare contractor or to another state.

Follow HFN associate editor Stephanie Bouchard on Twitter @SBouchardHFN.