Medicare General Information, Eligibility and Entitlement Manual (Pub. 100-01), Ch. 5 § 10.6.5
Change of Provider Ownership
10.6.5 - Change of Provider Ownership
(Rev. 1, 09-11-02)
When an organization having a provider agreement undergoes a change of ownership, the
agreement is automatically assigned to the new owner. A participating provider which
plans to change ownership should give advance notice of its intention so that necessary
action can be taken in the event the newly-owned institution does not wish to participate
in the Medicare program.
A participating provider which plans to enter into a lease arrangement (in whole, or in
part) should also give advance notice of its intention. A change of ownership would
occur for example:
•
Where a sole proprietor transfers title to an enterprise to another party;
•
Where, in the case of a partnership, the addition, removal, or substitution of a
partner effects a termination of such partnership and creates a successor
partnership or other entity;
•
Where an incorporated provider merges with an incorporated institution which is
not participating in the program and the nonparticipating institution is the
surviving corporation or where two or more corporate providers consolidate and
such consolidation results in the creation of a new corporate entity; or
•
Where an unincorporated provider (a sole proprietorship or partnership) becomes
incorporated.
Whenever A/B MACs (A) learn of an impending change of ownership, or possible
change of ownership, they inform the regional office immediately. They refer any
questions they may have concerning change of ownership situations to the regional
office.