Medicare Eligibility (MCRUS) CMS Attestation
Action Required – Medicare Eligibility (MCRUS) CMS Attestation Update
Deadline: May 1, 2026
April 9th, 2026: Important Update – Additional Action Required
If your organization has already completed attestation, additional steps are now required to ensure continued eligibility access under the updated process.
Overview
Summary: You must re-enroll with Medicare (MCRUS) Eligibility using the Enrollments module.Etactics has established a direct connection for Medicare Eligibility transactions using Payer ID MCRUS (All States) with the Centers for Medicare & Medicaid Services.
To maintain uninterrupted access, CMS requires all providers to:
- Complete attestation with their Medicare Administrative Contractor (MAC)
- Validate each NPI used for eligibility transactions under the new workflow
What Etactics Has Completed
- Secured a direct connection with CMS for Medicare Eligibility (270/271)
- Obtained Etactics Unique ID: 6WCW
- Established MCRUS as the payer ID for all states
- Preparing to transition from our previous vendor partner in May 2026
Action Required by Your Organization
To avoid any disruption in Medicare eligibility verification services, complete all steps below:
1. Enroll in HETS EDI
All providers and suppliers must be enrolled in the HIPAA Eligibility Transaction System (HETS).
2. Complete CMS Attestation with Your MAC
- Submit attestation through your Medicare Administrative Contractor (MAC)
- Use Etactics Unique ID: 6WCW
3. NEW: Validate Each NPI (Required Even If You Already Attested)
You must now actively validate each NPI used for eligibility requests:
- From your Enrollment Dashboard, generate an Eligibility 270 Enrollment request
- Use Payer ID MCRUS
- Complete this step for each NPI currently used for eligibility inquiries
4. Submit Proof of Attestation and Validation
Each MAC provides different confirmation formats. You must:
- Attach your completed enrollment form (including final page details)
- Include any confirmation emails or screenshots
- Upload all documentation to your Enrollment ticket
- Ensure the submission reflects use of Etactics Unique ID: 6WCW
5. Complete All Steps by May 1, 2026
CMS will transition to a new HETS trading partner management system on May 11, 2026.
Failure to complete all steps before this date may result in eligibility service interruptions.
Additional Guidance
- If you are unsure of your Medicare MAC, refer to the “Medicare MAC” resource.
- DME submitters: Select CEDI as your MAC during enrollment
Need Help?
If you have any questions or need assistance with the enrollment or attestation process, please don’t hesitate to reach out to Etactics EDI Support (330) 342-0568 option 1.
New Mexico Medicaid Claim Payer ID Changes
TOPIC: Payer ID Updates for New Mexico Medicaid
DATE: April 15, 2026
OVERVIEW:
Updates have been made to certain New Mexico Medicaid payer IDs. These changes may impact how claims are submitted moving forward.
ACTION TAKEN BY ETACTICS:
Etactics has coordinated with approved clearinghouses to support the updated payer IDs, effective March 2026.
PAYER ID UPDATES:
BCBS Community Centennial: No changes (MC721 → MC721)
Molina New Mexico Medicaid: 09827 → MLNNM
UnitedHealthcare New Mexico Medicaid: 87726 → 87748
Presbyterian New Mexico Medicaid: PRESA → NMPHP
ACTION REQUIRED:
Please review your Payer Library and update the payer IDs as needed to ensure claims are routed correctly. No claim enrollment is required for these changes.
For questions related to Presbyterian claims, you may contact their dedicated Turquoise Claims Provider Line at (505) 923-7062 or 1-855-275-7737.
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