Implementation to Exchange the List of eMDRs for Registered Providers via the esMD System - Revised

MLN Matters Number: MM11003 Revised
Related CR Release Date: April 16, 2019
Related CR Transmittal Number: R2281OTN
Related Change Request (CR) Number: 11003
Effective Date: July 1, 2019
Implementation Date: July 1, 2019

Note: CMS revised this article on August 26, 2019, to reflect changes made to the eMDR registration screens within NPPES. The article includes illustrations of the new screens that providers will have to complete in order to register to receive the eMDRs. In particular, the steps and screens relating to "Create new Endpoint Information in NPPES" and "Delete an existing Endpoint Information in NPPES" have been revised or added. A section discussing "Who should Register the endpoint information in NPPES" was also added. The NPPES updates result in no changes to the CR. All other information is unchanged.

CR 11003 introduced the enrollment process for the providers who intend to get their Additional Documentation Request (ADR) letters electronically (as eMDR) through their registered Health Information Handler ( Make sure your billing staffs are aware of these changes.

In response to a number of requests from Medicare providers, the Centers for Medicare & Medicaid Services (CMS) is adding the functionality to send ADR letters electronically. CMS conducted a pilot supporting the electronic version of the ADR letter known as Electronic Medical Documentation Request (eMDR) via the Electronic Submission of Medical Documentation (esMD) system.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)11003.

Last Updated Aug 28, 2019