Cms-588 Electronic Funds Transfer Authorization Agreement

The Centers for Medicare – Medicaid Services (CMS) requires all providers to submit a CMS-588 (EFT) electronic money transfer form to receive payments electronically. Once suppliers are registered with EFT, the EFT agreement cannot be terminated and suppliers cannot request paper checks. Suppliers can register with EFT and, if necessary, update or change banking information via form CMS-588. Suppliers can also submit the form electronically via a web application via PECOS. For more information on electronic filing through PECOS, visit our website for electronic supplier registration. You can access the CMS-588 form on the CMS website: Form CMS 588 If you submit your CMS-588 form with a CMS-855 application Email your application to: If you submit your CMS-588 form without applying for REGISTRATION CMS-855, Send your application to WPS GHA at the address below: In addition to the cmS-588 form instructions below, you will find useful instructions for completing the CMS-588 Electronic Funds Transfer (EFT) Authorization Agreement form. Support documentation to be submitted with the form CMS-588: To avoid any delay in the processing of your application, please note: