FREQUENTLY OVERLOOKED MEDICARE PROCESS: Maintain the Same Owners in All Enrollment Records

Make sure that provider and supplier ownership information is consistent across all enrollment records under your Tax Identification Number (TIN).

If an individual or organization has 5% or more partnership interest or ownership (direct or indirect), you must list them on all enrollment records under your TIN.

If there’s different ownership information under your TIN, CMS will mail you a letter explaining that we’ll apply the ownership information from the most recent application with an ownership change to all enrollment records under your TIN.

If the information in the letter is correct, you don’t need to do anything.

If the information in the letter isn’t correct, submit an updated 855 enrollment application to your Medicare Administrative Contractor or National Provider Enrollment contractor. You’ll need to update the enrollment record of each individual enrollment.

• Complete an online application
• Download and mail a paper application based on your provider type

Going forward, we’ll apply change of ownership updates from the application to all enrollment records under the TIN.

Send questions to ProviderOwnership@cms.hhs.gov.

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At 1st Credentialing, we strive to make the Payor Enrollment process as simple and easy as possible for our clients. To learn more about 1st Credentialing, please visit our website or join our Facebook group, Credentialing Talk, where we discuss all the latest credentialing trends and news.