5 focused guides in this cluster. Use the individual articles for the exact transaction rather than treating the entire payer/onboarding workflow as one status.
CAQH rebranded in June 2026 as DataSpring, powered by CAQH, and CAQH ProView is now called the CAQH Provider Data Portal. The login, URL, provider data, and reattestation workflow remain in place.
READ GUIDE ↗CMS has described a planned fall 2026 CMS-855I revision with a new filing reason for practitioners enrolling solely in Medicare to participate in Medicaid or another health care program. Build version control into the workflow until the revised form is actually released.
READ GUIDE ↗A practitioner enrolled only through CMS-855O can be deactivated when no Medicare Part A or Part B claim received during the previous 12 consecutive months lists that practitioner in an ordering, certifying, or referring capacity. Track the 855O rule separately from ordinary billing-provider inactivity.
READ GUIDE ↗CMS may deactivate Medicare billing privileges when a provider or supplier does not submit any Medicare claims for six consecutive calendar months. Use the regulatory calendar-month test instead of an informal last-visit estimate.
READ GUIDE ↗Some Medicare revocations can take effect on a date earlier than the notice date, creating exposure for claims paid after the applicable revocation date. Enrollment teams should identify the regulatory trigger, effective date, claim window, and appeal path before estimating repayment exposure.
READ GUIDE ↗