US Medicare Provider and Supplier Enrollment (42 CFR Part 424 Subpart P)
Maintaining enrollment: reporting changes, revalidation, documentation, skilled nursing facility disclosures (424.515 to 424.516) – US Medicare Provider and Supplier Enrollment (42 CFR Part 424 Subpart P)

US Medicare Provider and Supplier Enrollment (42 CFR Part 424 Subpart P) 424.516(d)-(e): Report changes of ownership or control, adverse legal actions and practice location changes within 30 days, all other enrollment changes within 90 days, and FAA licence actions within 30 days for air ambulance suppliers

What does 424.516(d)-(e) require?

Physicians, nonphysician practitioners and their organisations must report to the Medicare contractor within 30 days a change of ownership, any adverse legal action, and a change, addition or deletion of a practice location, and all other enrollment changes within 90 days. All other providers and suppliers (other than IDTFs under 410.33(g)(2), DMEPOS suppliers under 424.57(c)(2) and MDPP suppliers under 424.205(d)) must report within 30 days a change of ownership or control including changes of authorized or delegated officials, an adverse legal action, and a change, addition or deletion of a practice location, and all other changes within 90 days; an air ambulance supplier must report within 30 days any revocation or suspension of a Federal or State licence or certification including FAA pilot, medical and airworthiness certifications. Failure to report is a revocation ground and, for physicians and practitioners, an overpayment is assessed back to the date of the adverse action or location change.

Maintained by Gerard Blokdyk

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