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Medicare change of ownership application Form: What You Should Know

Form CMS-855A and CMS 855A: Change of Ownership Form and Form CMS-855A Changes in Ownership Request. 3. Medicare will ask the parties to provide the following information: 路 In the case of a CHOW, the new owner will send the Medicare administrator the original and all necessary documents and copies of the prior owner's records. 路 If the CHOW is acquisition/merger, the new owner will send the Medicare administrator a copy of the transaction document(s) and any necessary copies of the prior owner's records and copies of any previous owner's materials. 路 The Medicare administrator can contact the prior owner to inquire about the following: 路 Whether it was a change in the Medicare program's participation or a reorganization or acquisition. 路 The amount of Medicare fee schedules that were changed. 路 Information about prior owner fees and what services were provided. What Do You Think? What are the potential legal considerations for each change? What advice or input can you provide? Please email me your questions or comments. In response to feedback of 鈥渨hy no changes to the health plans after a CHOW and how can that be legal?鈥 , I suggest following the guidelines given above to ensure the legal protection for a CHOW from outside influences or influence of the prior owner in the sale. The next question: Why are there different options for how to do a CHOW? There are a few options provided in the Medicare Rules, which are not covered elsewhere. Each can be discussed with your lawyer. A CHOW is described in the Medicare Rules as follows: 1. A change in ownership which does not result in a change in the prior owner, but which results in a sale or transfer of the Medicare contracts of prior owner 1A and 1B for the benefit of the owner of the new ownership. 1. A transfer of ownership that does not involve a transfer of the prior owner's Medicare contracts or other Medicare or related items of benefits. 2. A sale in which the prior owner is replaced during the acquisition or consolidation of the assets to comply with the requirements of Medicare law. 3. In a CHOW of a Medicare contract of the prior owner, the new owner will send the Medicare administrator the original and all necessary documents and copies of the prior owner's records. 4. The Medicare administrator will request additional information and information necessary for the Medicare administrator to determine what is to be covered under the Medicare contracts of previously paid-up providers. 5.

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