(1) Notification: The provider's current
owner(s) shall notify ODA in writing of a change of ownership interest or
change of organizational structure (change) no later than forty-five days
before the change, unless this chapter requires notifying ODA sooner. The
current owner(s) shall email their written notice to ODA at
"provider_enrollment@age.ohio.gov." In the notice, the current owner(s) shall
include a notarized statement including all of the following information, as
applicable and to the extent it is available to the current owner(s) at the
time the notice is
provided to ODA. In the event information is not
available at the time written notice is required, the current owner(s) shall
supplement the written notice until all the following information is provided:
(a) Name of the provider undergoing the
change.
(b) Name of each current
owner, and, if any, the name of each current owner's authorized
agent.
(c) Medicaid provider number
and NPI of the provider after the change, if known. ODA considers the notice to
be complete if the notice is complete except for indicating the provider's
number if ODM has not yet granted the provider a number, so long as the
provider
provides the number to ODA as soon as it is
available.
(d) The following
information about each new owner(s):
(i)
Name.
(ii) Date of birth.
(iii) Social security number.
(iv) Percentage of ownership or control in
the provider.
(v) Whether each new
owner has been a resident of Ohio for the five-year period immediately
preceding the date of the change of ownership interest.
(e) Date the change takes effect, as evidence
by a bill of sale or purchase contract executed by both parties.
(f) Statement indicating whether the provider
intends to seek payment from ODA for services it provides after the
change.
(g) Names and addresses of
the persons to whom ODA and its designee should send correspondence regarding
the change.
(h) Any information
required to show the ongoing compliance required by paragraph (B) of this
rule.
(i) Signatures of the current
and new owner(s).
(2)
Current certification ends: If IRS rules require a provider to obtain a new
TIN, the provider's certification ends on the date the change is finalized. The
relinquishment of the provider's certification means a provider shall not bill
ODA after the date the change is finalized.
(3) New certification required: If a provider
with a new TIN intends to seek payment from ODA for services it provides after
a change, the provider shall apply to become an ODA-certified provider
according to the application process in rule
173-39-03
of the Administrative Code.
(4)
Payment for authorized services: If ODA approves an application to become an
ODA-certified provider, ODA may pay for authorized services provided during a
change back to the first date on which both of the following have occurred:
(a) The provider
provided
evidence the change was finalized to ODA, such as a bill of sale or an executed
purchase.
(b) The new owner(s)
provided a complete application, as defined in rule
173-39-01
of the Administrative Code, to become an ODA-certified
provider.
(5) Discharging
residents: After an assisted-living provider has applied for new certification
from ODA during a change, neither the current nor the new owner(s) shall
discharge residents from the RCF for non-payment until ODA makes a final
determination regarding certification of the provider.