What action may be taken by a provider who disagrees with a determination on a provider enrollment application?
Providers who disagree with a determination on a provider enrollment application may submit a Corrective Action Plan (CAP) or a request for reconsideration. Corrective Action Plan: If a provider believes that the deficiencies cited can be corrected to establish eligibility to participate in the Medicare program, a CAP can be submitted within 30 calendar days of the postmark date of our notification letter. The CAP must be submitted by letter, which must be signed and dated by the provider, or by the authorized or delegated official. It may not be signed by a contact person or other staff member. The CAP must provide evidence that the provider is in compliance with Medicare requirements. CAPs for providers in Illinois, Michigan, and Wisconsin should be mailed to: Wisconsin Physicians Service Medicare Part B Attention: Provider Enrollment PO Box 8248 Madison, WI 53708-8248. They may also be faxed to 608-301-2740. CAPs for providers in Minnesota should be mailed to: Wisconsin Physicians S
