42 U.S.C. § 1320a–3a — Disclosure requirements for other providers under part B of Medicare

(a) Disclosure required for payment. Part B of subchapter XVIII may not pay for items or services from a disclosing Part B provider unless the provider gives the Secretary full and complete information: (1) identifying every person with an ownership or control interest in the provider or in a subcontractor in which the provider directly or indirectly owns at least 5 percent; (2) for each identified person and each managing employee, identifying other entities providing items or services payable under subchapter XVIII in which that person had such an interest when the information was supplied or at any time in the previous three years, and stating whether penalties, assessments, or exclusions were imposed on that person under sections 1320a–7, 1320a–7a, or 1320a–7b; and (3) giving the employer identification number and Social Security account number of the provider and every person, managing employee, or other entity identified under paragraphs (1) or (2). (b) Updates. The provider must tell the Secretary about changes or updates to subsection (a) information within 180 days after they take effect. (c) Verification. (1) The Secretary must send Social Security account-number information to the Commissioner of Social Security and employer-identification-number information to the Treasury Secretary, to the extent needed for paragraph (2) verification, including information supplied under subsection (a)(3) or section 1320a–3(c). (2) Those officials must verify or correct the information and report the verification or correction to the Secretary. (3) The Secretary must reimburse each official at a negotiated rate for verification and correction costs. (d) Definitions. “Disclosing Part B provider” means an entity receiving assignment-related payment, or for subsection (a)(3) any payment, for Part B items or services, but not an entity described in section 1320a–3(a)(2). “Managing employee” means a provider person described in section 1320a–5(b). “Person with an ownership or control interest” means a person described in section 1320a–3(a)(3), or a person with one of the provider’s five largest direct or indirect ownership or control interests.