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Accounting Fact Sheet (includes EDI, EFT, and Paper Warrant information)
Eligibility Fact Sheet
Load Letter Fact Sheet
The following are specific resources to assist in better understanding questions around when a change of ownership has occurred and what steps providers need to take to prepare.
A change of ownership occurs when you answer yes to either of the following questions:
If there is no change in the tax identification number, a change of ownership notification is not necessary. Other changes, such as a change to the organization's legal name or a change in owners or board of directors can be handled with a simple update to the provider's existing information.
No. Appointing a new board of directors does not constitute a change of ownership.
Before the new owner starts billing, an application must be submitted for the new business. The seller must stop billing claims before the new owner begins billing.
Providers are strongly encouraged to apply for a new NPI whenever a new tax identification number is issued. If the decision is made to transfer the existing NPI to the new owner, the previous owner is advised to submit all claims before the transfer is made. A separate taxonomy will be required for the new owner if the NPI will be shared.
Providers with a change in tax ID number must re-apply, complete a new Medical Assistance Program Provider Participation Agreement, and be fully approved in order to participate in Health First Colorado. The previous Health First Colorado number must be disenrolled and a new Health First Colorado number will be assigned.
No. Providers must apply for a new Health First Colorado ID with the new Tax ID.
Fingerprint Criminal Background Check (FCBC)
Pharmacy Info and FAQs
These frequently asked questions focus on common issues providers ask when trying to better understand the rules and exemptions for timely filing. Additional information on timely filing is also available in the General Provider Information manual located on the Billing Manual web page.