Change of Ownership Process for an Ambulatory Surgical Center

Change of Ownership Process for an Ambulatory Surgical Center

A Medicare-certified ambulatory surgical center that has a change of ownership will provide the following:

MDH will not proceed with the change of ownership until after we have received a copy of the CMS-855B and approval letter from the fiscal intermediary.

Email or mail completed documents to:

Minnesota Department of Health
Division of Compliance Monitoring
Licensing and Certification Program
P.O. Box 64900
St. Paul, Minnesota 55164-0900
Attn: Certification Specialist
Email address: health.CM-Cert@state.mn.us

MDH will review the documents and make a recommendation to the Region V Office of CMS. If approved, the Region V Office of CMS will send a letter to the facility.

Updated Friday, October 17, 2014 at 10:54AM