December 18, 2025

Effective January 1, the application fee is $750 for institutional providers who are:

  • Initially enrolling in the Medicare or Medicaid programs or the Children’s Health Insurance Program (CHIP)
  • Revalidating their Medicare, Medicaid, or CHIP enrollment
  • Adding a new Medicare practice location

CMS requires this fee for any of these enrollment application scenarios, with forms submitted from January 1 – December 31, 2026. See the Federal Register notice for more information.

https://www.federalregister.gov/documents/2025/12/03/2025-21877/medicare-medicaid-and-childrens-health-insurance-programs-provider-enrollment-application-fee-amount