Disclosure of ownership

Are there any persons with an Ownership or a Managing Employee who are or have ever been excluded from participation in Medicare, Medicaid, or other federally funded government health care programs in accordance with Sections 1128 and/or 1128A of the Social Security Act?

Are there any persons with an Ownership or a Managing Employee who are or have ever been convicted of a criminal offense related to that person’s involvement in Medicare, Medicaid, or other federally funded government health care programs in accordance with Sections 1128 and/or 1128A of the Social Security Act?

Do you as a provider have any agreements for the provisions of items or services with an individual or entity who has been convicted of a criminal offense or excluded from Medicare, Medicaid, or other federally funded government health care programs in accordance with Sections 1128 and/or 1128A of the Social Security Act?