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welcome to enrollment on demand in this video we will learn how to fill out the cms-855a for a critical access hospital completing an initial enrollment to enroll by following these step-by-step instructions it will help to avoid delays in the application processing the information given in this training is correct as of today the most current information contained in this presentation can be found on the nuridium medicare website and the cms website at the links listed on this slide when completing an initial application for a critical access hospital or call a cms-855a application will need to be completed a fee is required include the fee payment receipt fill out the cms 588 electronic funds transfer agreement and include either a voided check or a bank letter to verify the banking information there are other situational supporting documents that are required those will be referred to with the appropriate sections of the application the organization will also need to be enrolled as