CMS has announced several upcoming changes to Medicare enrollment processes that will impact provider organizations throughout 2026. Below is a summary of key updates to help you prepare.
UPCOMING CMS-855 FORM REVISIONS
CMS‑855B – Tentative Release: April 2026
Notable updates include:
- Integration of the CMS‑855R within the group CMS-855B application.
- New submittal reason: Solely enrolling to participate in Medicaid.
- Addition of a Telehealth practice location type.
CMS‑855I – Tentative Release: Fall 2026
Anticipated changes include:
- New submittal reason: Solely enrolling to participate in Medicaid.
- Inclusion of additional physician types.
CMS‑855S – Tentative Release: Spring 2026
Key updates expected:
- New submittal reason: Solely enrolling to participate in Medicaid.
- Collection of ownership percentages for individuals and organizations.
- Additional supporting documentation required with enrollment submissions, including:
- Liability insurance
- Warranty information
- Complaint and maintenance documentation
NOTABLE DEACTIVATION ACTIVITY
Certified Providers
For certified providers, Medicare certification and the provider agreement remain intact following a deactivation. Reactivation does not require:
- A new state survey
- A new provider agreement
Reactivated providers retain their original CCN and effective date.
Ordering/Referring Only Providers (CMS‑855O)
Beginning January 2026, individual providers enrolled using the CMS‑855O will be deactivated after 13 consecutive months without being identified on Medicare claims. Specifically, the practitioner’s National Provider Identifier (NPI) must appear on a claim submitted by a pharmacy, lab, or other provider.
SNF UPDATES
CMS suspended the official SNF revalidation submission deadline in December 2025.
Important: This suspension does NOT pause information collection requirements.
- SNFs are no longer mandated to submit revalidation applications at this time, including ADP reporting.
- CMS and the MACs continue to accept and process submissions and strongly encourage proactive compliance.
- A new revalidation due date will be announced, and Advis recommends SNFs continue to submit Changes of Information (with the ADP related information) to avoid downstream processing delays when revalidations are required.
Additionally, Hospice and SNF medical directors and administrators are now categorically designated as “managing employees.” MACs will cross‑reference Secretary of State (SOS) records with CMS‑855 enrollment data to ensure all managing roles and titles are accurately disclosed.
Advis is ready to support your organization with any questions or Medicare/Medicaid enrollment needs. Our team can assist with navigating these updates and ensuring your submissions remain accurate and compliant. Please contact us for guidance or enrollment assistance.
Published March 26, 2026
