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Provider & Subcontractor Disclosure of Ownership & Controlling Interest Worksheet To comply with Federal law (42 CFR 455,100 106), health plans with Medicaid business must obtain certain information
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42 CFR 455.100-106 is a set of regulations under Title 42 of the Code of Federal Regulations. It pertains to requirements for reporting and disclosing certain information by health care providers and suppliers participating in Medicaid or Medicare programs.
Health care providers and suppliers participating in Medicaid or Medicare programs are required to file 42 CFR 455.100-106.
To fill out 42 CFR 455.100-106, health care providers and suppliers need to provide the requested information regarding their participation in Medicaid or Medicare programs according to the guidelines and instructions provided by the governing body.
The purpose of 42 CFR 455.100-106 is to ensure transparency and accountability in the Medicaid and Medicare programs. It aims to collect essential information from health care providers and suppliers to prevent fraud, abuse, and improper billing practices.
The specific information that must be reported on 42 CFR 455.100-106 may vary depending on the particular requirements outlined in the regulations. It typically includes details such as provider or supplier identification, ownership information, financial transactions, and other relevant data.
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