Section 5164.305
(A) As a condition of entering into a provider agreement with the department of medicaid or revalidating an existing provider agreement, each person or government entity seeking to enroll in the medicaid program as a provider or to revalidate an existing provider agreement shall disclose to the department the identity of each person with at least a five per cent direct or indirect ownership interest in the person or entity.
(B) The department shall verify all ownership disclosures under division (A) of this section against the exclusion list maintained by the United States department of health and human services office of inspector general, prior medicaid sanctions imposed by another state, and any prior convictions for fraud that a person may have.
(C) The department shall enter into all agreements necessary to share information and data obtained under this section with medicaid managed care organizations to enable parallel verification by medicaid managed care organizations. An agreement entered into between the department and a medicaid managed care organization under this section shall ensure confidentiality and privacy of the information and data in accordance with state and federal law.
(D) In implementing this section, the department may implement best practices from other states' medicaid programs.
Last updated August 12, 2026 at 4:26 PM
Available Versions of this Section
- October 6, 2026 – Enacted by Senate Bill 315 - 136th General Assembly [ View October 6, 2026 Version ]