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PDF Change of Ownership (PDF, PDF - 122 KB)
A DMEPOS supplier participating in the competitive bidding program that is negotiating a change of ownership (CHOW) must notify CMS 60 days before the anticipated date of the change.
Change of Ownership - Contract Supplier Notification Form
Per Article V of the DMEPOS competitive bidding contract and 414.422(d)(1), a contract supplier is obligated to notify CMS at least 60 calendar days before the anticipated date of a change of ownership (CHOW). Contract suppliers should provide the information contained on this form. Failure to notify CMS may result in a breach of contract. Please refer to the CHOW fact sheet for more detailed information and instructions.
Change of Ownership - Purchaser Form
Purchasers of contract suppliers may request the transfer of a contract as part of a change of ownership transaction. A Purchaser should provide all information on this form and the required documentation outlined in the Change of Ownership (CHOW) fact sheet at least 30 calendar days before the effective date of the CHOW.

last updated on 12/15/2016


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