SLIDE 5 5/6/2020 5
Testing – Preparing to Test
- Fill out your CLIA Waiver Application CMS‐116:
https://www.cms.gov/Medicare/CMS‐Forms/CMS‐ Forms/Downloads/CMS116.pdf
- Verify or enroll in Medicare Part B, if appropriate:
https://pecos.cms.hhs.gov/pecos/login.do#headingLv1
- Become familiar with the COVID‐19 Uninsured Program Portal
through HRSA: https://www.hrsa.gov/coviduninsuredclaim
- Enroll with and become familiar with the KS COVID‐19 Online
Reporting Portal: https://www.communitycareks.org/wp‐ content/uploads/2020/05/COVID‐Reporting‐Portal‐User‐Guide.pdf
Graphic from Rep. Jeff Pittman, altered
Testing – Preparing to Test
- Fill out your CLIA Waiver Application CMS‐116
- Make sure to identify specific COVID‐19 tests you will be performing a
- Include estimated number of tests to administer
- Medicare Part B
- 855A for sole proprietorships
- 855B for anyone else
- Right now fees are being waived under the 1135 waiver and days to process
are at under 7 days, as compared to average of 3 months before
Graphic from Rep. Jeff Pittman, altered
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