How does a hospital get a CCN?
A hospital that seeks to participate in the Medicare program must first submit Form CMS 855A, Medicare Enrollment Application for Institutional Providers, to its regional Medicare Administrative Contractor or legacy Fiscal Intermediary. Once the application is reviewed by the MAC/FI and recommended for approval to the CMS Regional Office, the hospital must then demonstrate its compliance with the Hospital Conditions of Participation through a survey, and, in the case of specialized hospitals, with other Federal requirements as well. Once it has demonstrated this, the CMS Regional Office will assign an effective date for the Medicare provider agreement and issue the CCN. Even if the hospital changes ownership, it will retain the same CCN, so long as the new owners assume the Medicare provider agreement. However, there are circumstances when an existing hospital that has participated in Medicare must be treated as a new provider, undergoing a new enrollment process and assignment of a ne
