CMS Updates Model Form Requesting Information to Confirm Medicare Status


On April 12, 2021, CMS announced that they have updated the model form requesting information to confirm a claimant’s Medicare status. The previous form asked the claimant to confirm if he/she has ever been enrolled in Medicare Part A or B. The new model form asks if the claimant has ever been enrolled in Medicare and does not specifically ask about enrollment in Medicare Part A or B. The new model form is available at https://www.cms.gov/files/document/mmsea-111-mbi-ssn-collection-nghp-model-language.pdf.


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