Disclosure of Ownership 1986-2025 Form

What is the CMS 1513 Form

The CMS 1513 form, officially known as the Disclosure of Ownership form, is a critical document used in the healthcare sector. It is primarily utilized by healthcare providers to disclose ownership and control information to the Centers for Medicare & Medicaid Services (CMS). This form is essential for compliance with federal regulations, ensuring transparency in ownership structures, and maintaining the integrity of healthcare programs. By filling out this form, providers help CMS verify the legitimacy of ownership and control, which is crucial for the prevention of fraud and abuse in healthcare services.

How to Use the CMS 1513 Form

Using the CMS 1513 form involves several key steps that ensure accurate and complete submission. First, obtain the latest version of the form from a reliable source. Next, gather all necessary information regarding ownership and control, including details about individuals and organizations with significant ownership interests. Carefully fill out each section of the form, ensuring that all required fields are completed. After filling out the form, review it for accuracy before submission. Finally, submit the form to the appropriate CMS office, adhering to any specific instructions provided for your submission method.

Steps to Complete the CMS 1513 Form

Completing the CMS 1513 form requires attention to detail and adherence to specific guidelines. Follow these steps for successful completion:

• Download the CMS 1513 form from an official source.
• Read the instructions carefully to understand the requirements.
• Gather necessary documentation, including identification and ownership details.
• Fill in the form, ensuring all information is accurate and complete.
• Double-check for any errors or omissions.
• Sign and date the form as required.
• Submit the completed form according to CMS guidelines.

Legal Use of the CMS 1513 Form

The legal use of the CMS 1513 form is governed by federal regulations that mandate transparency in healthcare ownership. Providers must use this form to disclose any individuals or entities with significant ownership interests, ensuring compliance with the Affordable Care Act and other relevant laws. Accurate completion and timely submission of the form are essential to avoid penalties and maintain eligibility for Medicare and Medicaid programs. Understanding the legal implications of the information disclosed is crucial for all parties involved.

Required Documents

When completing the CMS 1513 form, certain documents may be required to support the information provided. These documents typically include:

• Identification documents for individuals listed on the form.
• Organizational documents, such as articles of incorporation for entities.
• Any previous disclosures or related forms that may be relevant.
• Proof of ownership interests, such as stock certificates or partnership agreements.

Having these documents ready can facilitate a smoother completion process and ensure compliance with CMS requirements.

Form Submission Methods

The CMS 1513 form can be submitted through various methods, depending on the specific requirements set by CMS. Common submission methods include:

• Online submission via the CMS portal, if available.
• Mailing the completed form to the designated CMS office.
• In-person submission at a local CMS office, if applicable.

It is important to verify the preferred submission method for your specific situation to ensure timely processing of the form.