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US · guidance

CMS Pub. 100-16, ch. 12, § 10

Introduction

activein force · 2026-08-25 – presentas-observed

42 CFR422.550

This chapter describes the regulatory guidance in Subpart L of 42 CFR 422.550, “Effect

of Change of Ownership or Leasing of Facilities During Term of Contract.”

Please note, although this chapter formulates its guidance as applying to MA

organizations, all guidance also applies to Medicare 1876 Cost plans.

This chapter:

• Defines change of ownership (§10.1, §10.2);

• Describes the notification requirements associated with a change of ownership

(§20.1, §20.2);

• Outlines the requirements for novation agreements (§30.1-§30.4); and

• Describes the process for submitting documentation necessary for CMS review

(§20.4, §30.4).

If a legal entity that contracts with CMS has a change of ownership, the new entity may

not necessarily qualify to continue the same Medicare contract with CMS. Organizations

should contact their Regional Office Account Manager (AM) for more information about

change of ownership requirements.

History

(Rev. 113, Issued: 05-17-13, Effective: 05-17-13, Implementation: 05-17-13)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
5d9f5cbf88d560f6faaa855b0b85b64f1b8f42fc6d503923a8f91d7ce85cb613
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