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The Center for Medicare & Medicaid Services (CMS) contracts with privately held companies to review and approve applications prepared by home health care agencies to become Medicare providers.

Each Fiscal Intermediary is responsible for applications from specific states A list of the Fiscal Intermediaries and the states they service is provided below.

download (3) Florida, Texas, Ohio, Illinois, Indiana, Oklahoma,Alabama, Arkansas, Georgia, Kentucky, Mississippi, North Carolina,South Carolina
Palmetto GBA Part A
Provider Enrollment (AG-331)
P.O. Box 100144
Columbia, SCĀ  29202-3144
www.palmettogba.com/medicare
download (4) California, Arizona, Michigan, Wisconsin, Minnesota, Nevada, Oregon,Idaho, Washington, Idaho, Alaska, Hawaii, New Jersey, New York, Puerto RicoMassachusetts, Connecticut, Maine, Rhode Island, New Hampshire, Vermont
National Government Services, Inc.
Provider Enrollment
P.O. Box 7138
Indianapolis, IN 46207-7138
http://www.ngsmedicare.com
download (5) Pennsylvania, Missouri, Colorado, Kansas, Iowa, Delaware, NebraskaMaryland, North Dakota, South Dakota, West Virginia, Montana, Wyoming
CGS Administrators, LLC
PO Box 20016
Nashville, TN 37202
http://www.cgsmedicare.com/medicare.html