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CENTERS FOR MEDICARE & MEDICAID SERVICES. INSTRUCTIONS FOR THE MEDICARE PARTICIPATING PHYSICIAN. AND SUPPLIER AGREEMENT (CMS-460) To sign a participation agreement is to agree to accept assignment for all covered services that you provide to Medicare patients.
What is the 855A? \u2756 The Medicare Enrollment Application for Institutional Providers. \u2756 This form is also used to submit changes to your enrollment data.
How to Enroll. Go to the Enrolling in the CSHCN Services Program page of the Texas Medicaid & Healthcare Partnership website. You can enroll online or print out the paper application form to complete and return to TMHP. If you have questions, call your local area TMHP provider relations representative.
The Telephone Service Center (TSC) 1-800-541-5555 Providers may call the Telephone Service Center (TSC) from 8 a.m. to 5 p.m., Monday through Friday, except holidays.
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