Get the free Form CMS-1938 (U2) (1-88). NPI: 1326316332 MWMD PHARMACY HOLDINGS LLC
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DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES SSO Request For Carrier or Intermediary Assistance 2. BENEFICIARY NAME a. SEX 1. DATE CARRIER OR INTERMEDIARY USE 2.b.
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What is form cms-1938 u2 1-88?
Form CMS-1938 U2 1-88 is a document used by healthcare providers to report ownership and control changes. It is submitted to the Centers for Medicare & Medicaid Services (CMS).
Who is required to file form cms-1938 u2 1-88?
Healthcare providers who experience ownership or control changes are required to file Form CMS-1938 U2 1-88. This includes mergers, acquisitions, changes in legal structure, and changes in ownership percentages.
How to fill out form cms-1938 u2 1-88?
To fill out Form CMS-1938 U2 1-88, you will need to provide information about the healthcare provider experiencing the ownership or control change, details about the new owners or controlling parties, and any supporting documentation. The form can be downloaded from the CMS website and should be completed according to the instructions provided.
What is the purpose of form cms-1938 u2 1-88?
The purpose of Form CMS-1938 U2 1-88 is to ensure that ownership and control changes in healthcare providers are reported to CMS. This allows CMS to maintain accurate records and assess the impact of these changes on provider eligibility and compliance.
What information must be reported on form cms-1938 u2 1-88?
Form CMS-1938 U2 1-88 requires the reporting of information such as the provider's name, identification number, type of ownership change, details about the new owners or controlling parties, and any supporting documentation. The specific information needed can vary based on the nature of the change.
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