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Reminder: Dual Participating Providers Must Disclose Ownership Information to Both Programs

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This is a reminder that providers that dually participate in Medicare and Medicaid must consistently disclose accurate ownership and managing staff information to each program per federal regulations § 420.202 through 
§ 420.206.

On April 1, 2025, the Texas Medicaid Provider Procedures Manual (TMPPM), “Section 1: Provider Enrollment and Responsibilities,” subsection 1.1.9.4, “Disclosure of Ownership and Control Interest Statement,” will be updated to include information clarifying disclosure regulations.

For more information about these requirements, providers can refer to the article “Avoid Enrollment Delays by Disclosing Accurate Principals and Managerial Employees,” which was published on the TMHP website on April 15, 2024. Additional information about using PEMS can be found on the PEMS Instructional website.

For more information, call the TMHP Contact Center at 800-925-9126.