Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 3 - PROVIDER ENROLLMENT AND PARTICIPATION, PRE-AUTHORIZATION, PAYMENT AND SUBMISSION OF CLAIMS BY PROVIDERS
Section 3-6 - Provider Change in Ownership

(a) A provider's Medicaid enrollment and any associated billing privileges are not transferrable and cannot be transferred at the time an individual provider's practice or a provider entity is sold or transferred.

(b) No party to a provider agreement shall assign or otherwise transfer any of its rights pursuant to that agreement.

(c) A provider shall not use its Medicaid enrollment or a provider agreement as collateral for any financial obligations.

(d) A provider which proposes a change in ownership, control, operation, management contract, or leasehold interest shall notify the Department in writing of the proposed change no later than sixty (60) days before the effective date of the proposed change.

(e) The prospective owner shall be required to enroll as a Medicaid provider in order to seek reimbursement for Medicaid covered services.

(f) A new owner shall not bill for claims until both the effective date of the sale or transfer has passed and the owner has been enrolled as a Medicaid provider.

(g) A provider entity that has changed ownership shall not be reimbursed for claims under the old provider agreement with dates of service on or after the effective date of the change in ownership.

(h) Wyoming Medicaid is not responsible for reimbursement of services provided during gaps in provider eligibility which arise as a result of a change in ownership.

(i) A change in the ownership of a provider entity as specified in this section shall not relieve the original provider of its obligations pursuant to the provider agreement or this Chapter.