US · guidance
CMS Pub. 100-06, ch. 3, § 140.5.1
Chain Providers
A chain provider is one that is owned by the same entity that owns another provider or provider. Chain
affiliates may include facilities that are public, private, charitable, or proprietary. They may also include
subsidiary organizations and holding corporations. Provider-based facilities, such as hospital-based
clinics, are not chain affiliates (MFMM § 2760.1).
When a chain files bankruptcy, there may be multiple Contractors involved in processing payments for
the chain. The CMS Bankruptcy Analyst, in coordination with CMS Counsel, will oversee the initial
bankruptcy case and work directly with the Contractors, informing them of the proper actions to take
with respect to recovering Medicare overpayments. The servicing CMS Office and CMS Counsel are
responsible for making all decisions and will communicate with Contractors regarding all aspects of the
bankruptcy.
History
(Rev. 13825; Issued: 06-11-26; Effective: 07-13-26; Implementation: 07-13-26)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
d56553b394e7b38756e3eab83983d131157dfca8720f2dca9b08bff2d31cdf36
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