Crosswalk of Changes

	CMS-588 Revisions Spreadsheet
Contractor	Section of CMS-588	Revision Suggestion	Revision to Form
CGS	General Form	The pages numbers are 1, 1, 2. Should it be 1, 2, 3?	Form pages changed to 1,2,3
CGS	Instructions	Change timeframe of 15-day pre-note period as PECOS is setup for 10 days PECOS was set up for a 10-day pre-note period when part A transitioned to auto-update FISS.	Removed time frame.
WPS	Instructions Part II: Account Holder Information, 1st bullet	Change instructions to state the difference between Individual and group PTAN information. Possibly, in the Part II section for account holder information before the bullets a statement regarding entering GROUP information could be added.	Added: Physicians and individual practitioners who have granted a Medicare-enrolled provider or supplier the right to receive payments for all of their services, is not required to complete this form. The account holder information should be of the person or entity receiving the reassigned benefits (e.g., Medicare Identification Number, Authorized/Delegated Official signature)
WPS	Instructions Part II: Account Holder Information, 2nd bullet.	Request to have verbiage related to chain home office fields simplified to reduce incorrect information entered by providers.	Removed: "Enter the chain organization’s name or the home office legal business name if different from the chain organization name." Added: "Enter the Chain Home Office (CHO) legal business name. A CHO is an entity that provides centralized management and administrative services to the providers or suppliers under common ownership and common control, such as centralized accounting, purchasing, personnel services, management direction and control, and other similar services. "
Noridian	Instructions Part II: Account Holder Information, 3rd bullet	For the Account Holder’s Street Address and Financial Institutions Street Address, we would like to request addition of guidance that “no PO Boxes are allowed” for these sections.	Added: NOTE: Do Not Include PO Boxes.
Alisha	Instructions Part II: Account Holder Information, 2nd to last bullet	Add new bullet before last bullet: A provider/supplier may only have one EFT account per enrollment in order to keep this consistent with PECOS 2.0 policy.	Add bullet: A provider/supplier may only have one EFT account per enrollment.
CGS	Instructions Part III: Financial Institution Information, 1st bullet	We recommend bolding the above paragraph and moving it to the top of Part III. Also, copy the following note from Part III instructions and add it the above paragraph. NOTE: Supporting bank documents must be in the provider’s/supplier’s/entity’s legal business name only.	Moved verbiage from Section III(under the form fields) to instructions for Section III, 1st bullet and bolded: Please include a confirmation of account information on bank letterhead or a voided check. When submitting the documentation, it should contain the name on the account, electronic routing transit number, account number and type. If submitting bank letterhead, the bank officer’s name and signature is also required. This information will be used to verify your account number. NOTE: Supporting bank documents must be in the provider’s/supplier’s/entity’s legal business name only.
Novitas/FCSO	Instructions Part III:Financial Institution Information, 1st bullet	To reduce development for joint accounts and accounts that do not match the legal name, could clarification be added that the name on the account must be the legal business name, such as “When submitting the documentation, it should contain the Provider’s/Supplier’s Legal Business Name on the account, electronic routing transit number, account number and type.”	Added: NOTE: The Financial Institution's name must be the Legal Business Name on the account, electronic routing transit number and type.
Noridian	Instructions Part III:Financial Institution Information, 2nd bullet	For the Account Holder’s Street Address and Financial Institutions Street Address, we would like to request addition of guidance that “no PO Boxes are allowed” for these sections.	Added: NOTE: Do Not Include PO Boxes.
CGS	Instructions Part III:Financial Institution Information, last bullet	Last bullet may need to be removed because CGS states that they develop for missing items.	Removed last bullet in Instructions under Part III.
WPS	Instructions Part V:Authorization, 3rd paragraph	"Changes that were due to Fraud prevention fax/email new CMS 588 forms, that is how past fraud EFT changes were received. We think they should go revert to mailing. OR we think CMS should start strongly recommending providers to only use PECOS for EFT changes. This will reduce the possibility of paper fraud CMS 588 forms being received."	Removed: "Mail, Upload" Remove: ", or email." Added: "Upload this form to PECOS only or mail"
WPS	Part I: Reason for Submission	Request to have verbiage related to chain home office fields simplified to reduce incorrect information entered by providers.	Remove: the Home Office of the Chain Organization Add: the Chain Home Office
Novitas/FCSO	Part I: Reason for Submission	We would like to recommend the Revalidation option be removed since the EFT is not required for revalidation if the provider already has an EFT on file and is not making a change to their EFT information.	Removed: "Revalidation" Option
Joe	Part II: Account Holder Information	A CHO number is needed as confirmation that they are actually associated with an approved CHO	Split the 2nd field line into two so that there is a field to add "Chain Home Office number"
Noridian	Part II: Account Holder Information	For the Account Holder’s Street Address and Financial Institutions Street Address, we would like to request addition of guidance that “no PO Boxes are allowed” for these sections.	Added after "Account Holder's Street Address" : (Do Not Include PO Boxes.)
Noridian	Section III:Financial Institution Information	For the Account Holder’s Street Address and Financial Institutions Street Address, we would like to request addition of guidance that “no PO Boxes are allowed” for these sections.	Added after "Financial Institution’s Street Address": (Do Not Include PO Boxes.)
Novitas/FCSO	Part III: Financial Institution Information	To align with PECOS, could verbiage be updated for Financial Institution Routing Number to Financial Institution Routing Transit Number	"Financial Institution Routing Number" changed to "Financial Institution Routing Transit Number"
Novitas/FCSO	Part III: Financial Institution Information	To align with PECOS, could verbiage be updated for Provider’s/Supplier’s Account Number with Financial Institution to Provider’s/Supplier’s Depositor Account Number with Financial Institution	"Provider’s/Supplier’s Account Number with Financial Institution" changed to "Provider’s/Supplier’s Depositor Account Number with Financial Institution"
CGS	Part III: Financial Institution Information	Removed "Please include a confirmation of account information on bank letterhead or a voided check. When submitting the documentation, it should contain the name on the account, electronic routing transit number, account number and type. If submitting bank letterhead, the bank officer’s name and signature is also required. This information will be used to verify your account number." and moved to Instructions section above to clarify information.	Removed: "Please include a confirmation of account information on bank letterhead or a voided check. When submitting the documentation, it should contain the name on the account, electronic routing transit number, account number and type. If submitting bank letterhead, the bank officer’s name and signature is also required. This information will be used to verify your account number."
WPS	Part V: Authorization	Can Authorized/Delegated official title form field be removed? Anyone filling this section out should be listed as an AO/DO in PECOS.	Remove: "Authorized/Delegated Official Title" form field.
WPS	Part V: Authorization	MAC should mail out a verification letter. MAC requested the email form field, under the signature line, be removed or made Optional.	After "email address" add: "(optional)"