Medicare

How to Get Credentialed with CGS Administrators (DME B/C) in Texas

Network: Open
60-120 Days

Quick Overview

Timeline

60 - 120 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

Texas-Specific Requirements

CGS Administrators (DME MAC Jurisdiction C) processes all Medicare DMEPOS claims for Texas. Texas is the largest DMEPOS market in the CGS Jurisdiction C territory. Suppliers enroll through PECOS using CMS-855S. A $50,000 surety bond and CMS-approved accreditation are required. CMS has designated several Texas metro areas (Houston, Dallas, McAllen, San Antonio) as high-risk for DMEPOS fraud, triggering enhanced screening with fingerprint-based criminal background checks, unannounced site visits, application fees, and potential temporary enrollment moratoria in specific areas. A valid NPI is required, and revalidation occurs every 5 years. Initial enrollment takes 60–120 days.

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Texas.

2

Prepare Your Application

Complete CGS Administrators (DME B/C)'s provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to CGS Administrators (DME B/C).

4

Track & Follow Up

Credentialing typically takes 60-120 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

CV/Resume

DEA License

Conditional

Required if applicable

Malpractice Insurance

Medical License

NPI Certificate

Contact Information

Medicare Enrollment

National

Medicare Appeals

National

Quick Links

Provider Portal

Need Help?

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CGS Administrators (DME B/C) in Other States

Alabama Arkansas Colorado Florida Georgia Iowa Illinois Indiana Kansas Kentucky

Other Payers in Texas

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Blue Cross and Blue Shield of Texas Texas Medicaid UnitedHealthcare Community Plan
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