Know which enrollment record needs an owner.

Before you choose

Questions worth settling before you book.

Can a new home-health agency enroll in Medicare right now?

CMS says its temporary nationwide home-health agency and hospice enrollment moratorium began May 13, 2026. It covers initial applications and certain non-exempt changes in majority ownership. Check the linked CMS page for the current status and exceptions; this page does not offer a way around the moratorium.

Is revalidation the same as a new enrollment?

No. Revalidation renews an existing Medicare enrollment record. CMS publishes provider-specific due dates and accepts revalidation through PECOS. The agency should verify the actual due date and any notice rather than assume a generic cycle applies to its record.

Does a PECOS submission mean we can bill?

No. A submission receipt establishes what was sent, not an approval or effective date. Confirm the contractor's determination and payer status before changing a billing workflow.

Do Medicare, Medicaid, and commercial plans use the same credentialing process?

No. Medicare institutional enrollment uses its own CMS and MAC process. State Medicaid programs and commercial plans have separate participation and contracting requirements. A scope review should identify each payer path rather than copy one checklist across all of them.

What should we bring to the first conversation?

Bring the agency's state, provider type, approximate number of locations and payers, and whether the concern is a revalidation, change, or participation gap. Do not send portal credentials, application documents, patient identifiers, or payer screenshots through this website.

Can administrative help replace our authorized official?

No. Preparation, tracking, and follow-up are different from authority to certify or sign. CMS distinguishes authorized officials, access managers, staff end users, and surrogates; a person who can prepare information may not have signing authority. Agree the permitted role and responsible human before access is arranged. Keep account passwords and authentication codes out of the inquiry, and use the platform's approved authorization process rather than a shared login.

Is payer enrollment the same as setting up electronic claims and remittances?

No. Agency enrollment or network participation, a payer contract, electronic claim submission, remittance delivery, and payment arrangements answer different questions. Ask the payer and your billing-system owner which setup is required for each transaction. Track each status separately so an electronic transaction connection is not mistaken for approval to participate or bill. Changes to bank information, binding agreements, and signatures stay with your authorized people; they are not actions taken through this public website.

What should an enrollment status tracker actually show?

Ask for a record organized by agency entity, location, and payer—not one green label for the entire organization. Each open item should show its source notice or determination, current status, missing information, next action, responsible person, and source-backed due date. Keep the submitted packet and receipt separate from the final response. The billing handoff should identify the verified effective date and any remaining exceptions; a tracker cannot manufacture an approval that the payer has not issued.

Can we scope a cleanup separately from ongoing maintenance?

Yes, describe whether you need an initial inventory of existing records or continuing coordination. The proposed scope should distinguish records and payers included, reconciliation work, follow-up cadence, status reporting, and the handoff to your internal team. Define who supplies source documents and answers official requests, and who monitors changes after the cleanup. Ask what is excluded and how new locations or additional payers change the work. No fixed approval date, network acceptance, or reimbursement outcome is implied.