OMB control number
Application for Enrollment in Part B Immunosuppressive Drug Coverage (Part B-ID) (CMS-10798)
OMB 0938-1428 · HHS/CMS.
OMB 0938-1428
The CMS-10798 provides the necessary information to determine eligibility and to process the beneficiary’s request for enrollment for in Part B-ID coverage. This form is only used for enrollment by beneficiaries whose Medicare entitlement based on ESRD would otherwise end after a successful kidney transplant to continue enrollment under Medicare Part B only for the coverage of immunosuppressive drugs who already have Part A, but not Part B.
The latest form for Application for Enrollment in Part B Immunosuppressive Drug Coverage (Part B-ID) (CMS-10798) expires 2028-12-31 and is listed under ICR 202505-0938-011.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10798 Application for Enrollment in Part B Immunosuppressive Drug Coverage | Form and Instruction |
| Form CMS-10798 Application for Enrollment in Part B Immunosuppressive Drug Coverage (Part B-ID) | Form and Instruction |
| CMS 10798 Supporting Statement A Clean.docx | Supporting Statement A |
| CMS 10798 Supporting Statement A Clean.docx | Supporting Statement A |
 Aging and Long-Term Support Administration.pdf | Public Comments |
| CMS Response to Public Comments.docx | Supplementary Document |
| CMS Response to Public Comments.docx | Supplementary Document |
| Crosswalk of Changes CMS 10798 508.pdf | Supplementary Document |
| Crosswalk of Changes CMS 10798 508.pdf | Supplementary Document |
 Application for Enrollment in Part B Immunosuppressive Drug Coverage (Part B-ID) |
Form and Instruction |
| Application for Enrollment in Part B Immunosuppressive Drug Coverage (Part B-ID) |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202505-0938-011 | Reinstatement with change of a previously approved collection | 2025-06-18 | ||
| 202302-0938-012 | No material or nonsubstantive change to a currently approved collection | 2023-02-16 | Approved without change | |
| 202302-0938-010 | Revision of a currently approved collection | 2023-02-14 | Approved without change | |
| 202210-0938-008 | New collection (Request for a new OMB Control Number) | 2022-10-28 | Preapproved | |
| 202207-0938-003 | New collection (Request for a new OMB Control Number) | 2022-07-05 | Comment filed on proposed rule |