Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 30.7
Reporting Change of Ownership (CHOW)
30.7 - Reporting Change of Ownership (CHOW)
(Rev. 1502; Issued: 05-09-08; Effective/Implementation Date: 06-09-08)
Pursuant to 42 CFR §414.422(d)(2), CMS may award a contract to an entity that merges with, or
acquires, the contract supplier if (1) the successor entity meets all requirements applicable to
contract suppliers for the competitive bidding program(s) to which the contract supplier’s
contract applies; and (2) the successor entity submits to CMS the documentation described in 42
CFR §§414.414(b)-(d) if that documentation has not previously been submitted by the successor
entity or the contract supplier that is being acquired, or is no longer current. The documentation
required by 42 CFR §§414.414(b)-(d) is necessary to substantiate compliance with basic
eligibility requirements, quality standards, accreditation requirements and financial standards.
The successor entity that is acquiring the assets of the contract supplier must also submit to
CMS, at least 30 calendar days before the anticipated effective date of the change of ownership,
an executed novation agreement acceptable to CMS. The novation agreement must state that the
successor entity will assume all obligations under the contract.
If a new entity will be formed as a result of the merger or acquisition, the existing contract
supplier must submit to CMS for review, at least 30 calendar days before the anticipated
effective date of the change of ownership, its final draft of a novation agreement stating that the
new entity will assume all obligations under the contract. With the final draft novation
agreement, the existing contract supplier must submit the documentation described in 42 CFR
414.414(b)-(d) if the information previously submitted by the contract supplier is no longer
current. The new entity must also submit to CMS, within 30 calendar days after the effective
date of the change of ownership, an executed novation agreement acceptable to CMS stating that
it will assume all obligations under the contract. The new entity must meet all requirements
applicable to contract suppliers for the applicable competitive bidding program.
The following chart illustrates the CHOW requirements needed to remain a contract supplier
described above.
Entity
Requirement
Number of Days to
Meet Requirement
Contract
Supplier
Only
The existing contract supplier must notify CMS
if it is negotiating a CHOW.
60 calendar days
before the anticipated
date of the change.
If a new entity will be formed as a result of the
merger or acquisition, the existing contract
supplier must submit to CMS, its final draft of a
novation agreement as described in
414.422(d)(2)(iii).
At least 30 calendar
days before the
anticipated date of the
CHOW.
Successor
Entity or
New Entity
The successor entity or new entity must submit to
CMS the documentation in 414.414(b)-(d), if not
submitted previously by the successor or the
contract supplier or if no longer current.
Duplicates of previously submitted information
need not be submitted if that information is still
current.
Within 30 calendar
days prior to the
anticipated effective
date of the CHOW.
Entity
Requirement
Number of Days to
Meet Requirement
Successor
Entity Only
The successor entity that is acquiring the assets
of the existing contract supplier must submit to
CMS, a signed novation agreement acceptable
to CMS, stating that it will assume all obligations
under the contract.
At least 30 calendar
days before the
anticipated effective
date of the change of
ownership.
New Entity
Only
The new entity must submit to CMS an executed
novation agreement acceptable to CMS.
Within 30 calendar
days after the
effective date of the
CHOW.
NOTE: Successor and new entities must meet all requirements applicable to
contract suppliers for the applicable competitive bidding program.
Any communication with CMS regarding the change of ownership must be in writing and mailed
to the appropriate address designated in the contract.