§1320a–3a Disclosure requirements for other providers under part B of Medicare

Summary

Before Medicare Part B will pay for items or services, the provider must give the Secretary complete information. The provider must name anyone who owns or controls the provider or any subcontractor in which the provider has a 5 percent or greater ownership. For each named owner and for any managing employee, the provider must list other Medicare Part B providers those people have had an ownership interest in now or at any time during the 3-year period before giving the information, and must say whether those people have had penalties, assessments, or exclusions under sections 1320a–7, 1320a–7a, or 1320a–7b. The provider must also give its employer identification number and social security account number and those numbers for the people and entities it lists. The provider must report any updates within 180 days after a change. The Secretary will send social security numbers to the Social Security Commissioner and employer ID numbers to the Treasury Secretary so those officials can check and correct the data and report back. The Secretary will pay those officials for this work at a negotiated rate. Definitions: disclosing part B provider — an entity paid for Part B items or services (with one exception listed in section 1320a–3(a)(2)); managing employee — the person described in section 1320a–5(b); person with an ownership or control interest — the people listed in section 1320a–3(a)(3) or any of the 5 largest owners.