Change of Ownership (CHOW) Process

Outcomes

· No‑drama CHOWs with clear sequencing
· Continuity of operations and payor flows

Typical deliverables

· Agency notifications matrix
· Payor & vendor updates
· Licensing updates
· Go‑live checklist

FAQs

Which agencies must be notified?

State board, DEA (if CS), Medicaid/Medicare/DMEPOS as applicable, PBMs/PSAO, wholesalers, vendors/IT.

Is a DEA registration transferable?

DEA registrations are generally not transferable; new owners must obtain their own registration. However, new owners are allowed to operate under a power of attorney and use the former owner’s DEA # until the new DEA registration is filed and issued.

How do we avoid payment interruptions?

Align payer notifications, banking/EFT updates, and NCPDP profile changes with license/contract effective dates.

What documents will buyers request?

Licenses, controlled‑substance records, payer contracts, financials, staff roster, lease terms, equipment, IT/vendor agreements.

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