Medicare Fiscal Intermediaries
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.
The three Medicare Fiscal Intermediaries are Palmetto GBA, National Government Services, and CGS.
Each Fiscal Intermediary is responsible for applications from specific states.
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A list of the Fiscal Intermediaries and the states they service is provided below.
Palmetto GBA
Palmetto GBA Part A
Provider Enrollment (AG-331)
P.O. Box 100144
Columbia, SC 29202-3144
States
Florida, Texas, Ohio, Illinois, Indiana, Oklahoma, Alabama, Arkansas, Georgia, Kentucky, Mississippi, North Carolina, South Carolina
National Government Services, Inc.
Provider Enrollment
P.O. Box 7138
Indianapolis, IN 46207-7138
States
California, Arizona, Michigan, Wisconsin, Minnesota, Nevada, Oregon,Idaho, Washington, Idaho, Alaska, Hawaii, New Jersey, New York, Puerto Rico, Massachusetts, Connecticut, Maine, Rhode Island, New Hampshire, Vermont
CGS Administrators, LLC
PO Box 20016
Nashville, TN 37202
States
Pennsylvania, Missouri, Colorado, Kansas, Iowa, Delaware, Nebraska, Maryland, North Dakota, South Dakota, West Virginia, Montana, Wyoming
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