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Enrollment Applications CMS - Centers for Medicare & Medicaid Services
WebEach company has a unique link to their own enrollment website. To log into your company’s enrollment website, please contact a representative from your company’s human resources department. They can share the link and log-in directions with you. If you need more help, please call. 1.877.9.bswift (1.877.927.9438). WebDMEPOS suppliers should send their 855S applications and related forms to their region's new enrollment contractor. Find your enrollment contractor (PDF). CMS-20134 (PDF) for MDPP Suppliers. The following forms are routinely submitted with an enrollment application: Electronic Funds Transfer (EFT) Authorization Agreement (Form CMS-588) dhhs f\u0026a rate agreements
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