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Electronic Funds Transfer (EFT) Agreement CMS-588

Important Information

The Centers for Medicare & Medicaid Services (CMS) mandated that as of April 2006, all new Medicare enrollees must receive payments electronically through Electronic Funds Transfer (EFT). All existing providers are required to begin EFT when submitting changes to their existing enrollment information. Once providers are enrolled in EFT, the EFT agreement cannot be terminated and providers cannot request to receive paper checks. Providers can update or change bank information as necessary.

CMS 588 Form - EFT Authorization Agreement

Please select the Forms tab in the top navigation to access the CMS-588 form and WPS Medicare's "Helpful Hints to Complete the CMS-588 form."

To avoid delays in processing your application, please consider the following:

  • Ensure that all information is legible and accurate.
  • If you have not revalidated with an 855B application within the last five years you will be required to do so at this time.
  • Submit the most current CMS-588 Form. The version number is located in the lower left corner of the agreement and should read: Form CMS-588 (05/10).
  • Mail your application with the original signature (no facsimile or photocopied signatures can be accepted) to WPS Medicare at the address listed below:

Regular Mail

WPS Medicare Part B
Medicare Financial Reporting
P.O Box 8680
Madison, WI 53708-8680

Overnight Mail

WPS Medicare Part B
Medicare Financial Reporting
1751 W. Broadway
Madison, WI 53713

Page Last Updated: Tuesday, 15-Jul-2014 09:20:44 CDT