Form CMS-460 Medicare Participating Physician or Supplier Agreement

What Is Form CMS-460?

This is a legal form that was released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form CMS-460?
A: Form CMS-460 is the Medicare Participating Physician or Supplier Agreement.

Q: Who needs to complete Form CMS-460?
A: Physicians or suppliers who want to participate in the Medicare program and agree to accept assignment for all Medicare-covered services.

Q: What does it mean to accept assignment?
A: Accepting assignment means that the physician or supplier agrees to accept the Medicare-approved amount as full payment for services.

Q: Can I submit Form CMS-460 electronically?
A: No, Form CMS-460 must be completed on paper and signed manually.

Q: What information is required on Form CMS-460?
A: The form requires basic identification information for the physician or supplier, as well as information about the Medicare supplier number and the type of services provided.

Q: What are the benefits of participating in Medicare as a physician or supplier?
A: Participating physicians and suppliers receive a higher reimbursement rate from Medicare and are listed in the Medicare Provider Directory.

Q: Is participating in Medicare mandatory for physicians and suppliers?
A: Participation in Medicare is voluntary, but it allows physicians and suppliers to serve Medicare beneficiaries and receive Medicare reimbursement.

Q: Are there any costs associated with participating in Medicare?
A: There are no additional costs associated with participating in Medicare, but physicians and suppliers must meet certain enrollment requirements.

Q: Can I change my participation status in Medicare?
A: Yes, physicians and suppliers can change their participation status every 90 days by submitting an updated Form CMS-460.