23 MAC Pt. 200, R. 4.3
Change of Ownership
Cite as 23 Miss. Admin. Code Pt. 200, R. 4.3
Change of Ownership
A. A change of ownership of a provider/facility as defined by the Division of Medicaid
includes, but is not limited to: inter vivos gifts, purchases, transfers, lease arrangements, cash
and/or stock transactions or other comparable arrangements whenever the person or entity
acquires or controls a majority interest of the facility or service. The new owner, upon
consummation of the transaction effecting the change of ownership, shall, as a condition of
participation, assume liability, jointly and severally, with the prior owner for any and all
amounts that may be due to the Medicaid program.
B. The new ownership agreement shall be subject to any restrictions, conditions, penalties,
sanctions or other remedial actions taken by the Division of Medicaid, the state agency or the
federal agency against the prior owner of the facility.
C. The agreement will also remain subject to all applicable statutes and regulations, including,
but not limited to:
1. Any statement of deficiencies cited by the State Agency that are not in substantial
compliance, including any existing plan of correction,
2. Any expiration date,
3. Compliance with applicable health and safety standards,
4. Compliance with ownership and financial disclosure requirements, and
5. Compliance with civil rights and the rights of individuals with developmental disability
requirements.
D. A provider/facility that undergoes a change of ownership must:
1. Notify the Division of Medicaid within thirty-five (35) days after any change in
ownership through the submission of:
a) A complete Mississippi Medicaid Provider Application Packet, and
b) Proof of change of ownership such as a bill-of-sale or Medicare Tie-In Notice.
2. Receive a new taxpayer identification segment for the new owner with the provider
number remaining unchanged.
3. Comply with all applicable Mississippi Department of Health requirements for changes
of ownership [Refer to 15 Miss. Admin. Code. Pt 16, Subpart 1, Rule 49.2.6 and 15 Miss.
Admin. Code Pt. 9, Subpart 91, Appendices.]
E. When there is a change of ownership or retirement/closure, a provider must continue to
maintain all Medicaid beneficiary records for at least six (6) years, unless an alternative
method for maintaining the records has been established in writing, and approved by the
Division of Medicaid as required by Health Insurance Portability and Accountability Act of
1996 (HIPAA). [Refer to Part 200, Chapter 1, Rule 1.3, Maintenance of Records.]
F. The following are examples of changes of ownership. This list is not exhaustive. Providers
who are unsure of whether a transaction constitutes a change of ownership should contact the
Division of Medicaid’s Office of Provider Enrollment. Examples include:
1. Changes in type of organization (ex. Partnership to limited liability company, or single
proprietorship to organization),
2. Mergers, when a new organization is formed and the merging companies are non-
surviving,
3. Consolidation of two or more corporations resulting in a new corporate entity,
4. Changes in partnership, including the removal, addition, or substitution of one or more
individuals as partners (under Mississippi law, these actions result in dissolution of an
older partnership and creation of a new one),
5. Transfers between different levels of government, such as city to county, state to county,
etc., and
6. Transfer (sale, gift, exchange of stock) that results in a fifty (50) percent or more change.