Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 200 - General Provider Information
Chapter 4 - Provider Enrollment
Rule 23-200-4.7 - Change of Tax ID
Universal Citation: MS Code of Rules 23-200-4.7
Current through September 24, 2024
A. Providers who change tax identification numbers under circumstances other than those described in Rule 4.3, Change of Ownership and Rule 4.8, Requirements for All Providers must:
1. Request the change and the effective date
of change in writing,
2. Submit a
signed original W-9 form,
3. Submit
verification of the tax identification number on a preprinted document from the
Internal_Revenue Service (IRS), and
4. Submit verification of the National
Provider Identifier (NPPES confirmation).
B. The provider does not need to submit a Provider Enrollment Change of Ownership application. The provider number is not changed; however, a new taxpayer identification segment will be established.
Miss. Code Ann. § 43-13-121
Disclaimer: These regulations may not be the most recent version. Mississippi may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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