Processing A Change From Branch to Subunit

2182.3 - Processing A Change From Branch to Subunit (Rev. 125, Issued: 10-31-14, Effective: 10-31-14, Implementation: 10-31-14) When a determination is made that a previously approved branch should become a subunit, either through a request from an existing provider or through a determination by CMS, an initial survey and certification is required, as with any new provider. In such a situation, follow the existing survey and certification rules for conducting an initial survey and issuing a provider agreement and CCN to the subunit. Similarly, if a location is discovered that has never been identified to the SA or CMS that is subsequently determined to be a subunit, an onsite survey in accordance with the usual survey and certification rules will apply. The subunit, as a new provider, must also meet all requirements for initial certification, including completing the CMS-855A and having this form verified by the assigned MAC. Note that a subunit may have branches. (See Medicare Program Integrity Manual, Chapter 15, Medicare Enrollment, Section 15.19.)