# 42 CFR § 489.18: Change of ownership or leasing: Effect on provider agreement

> Federal · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/ecfr-42-489.18

## Section

- **Citation:** 42 CFR § 489.18
- **Heading:** Change of ownership or leasing: Effect on provider agreement
- **Jurisdiction:** Federal
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** September 22, 2026
- **Source:** Publisher's official text
- **Location:** Title 42—Public Health > CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES > SUBCHAPTER G—STANDARDS AND CERTIFICATION > PART 489—PROVIDER AGREEMENTS AND SUPPLIER APPROVAL > Subpart A—General Provisions

## Text

(a) What constitutes change of ownership—(1) Partnership. In the case of a partnership, the removal, addition, or substitution of a partner, unless the partners expressly agree otherwise, as permitted by applicable State law, constitutes change of ownership.
(2) Unincorporated sole proprietorship. Transfer of title and property to another party constitutes change of ownership.
(3) Corporation. The merger of the provider corporation into another corporation, or the consolidation of two or more corporations, resulting in the creation of a new corporation constitutes change of ownership. Transfer of corporate stock or the merger of another corporation into the provider corporation does not constitute change of ownership.
(4) Leasing. The lease of all or part of a provider facility constitutes change of ownership of the leased portion.
(b) Notice to CMS. A provider who is contemplating or negotiating a change of ownership must notify CMS.
(c) Assignment of agreement. When there is a change of ownership as specified in paragraph (a) of this section, the existing provider agreement will automatically be assigned to the new owner.
(d) Conditions that apply to assigned agreements. An assigned agreement is subject to all applicable statutes and regulations and to the terms and conditions under which it was originally issued including, but not limited to, the following:
(1) Any existing plan of correction.
(2) Compliance with applicable health and safety standards.
(3) Compliance with the ownership and financial interest disclosure requirements of part 420, subpart C, of this chapter.
(4) Compliance with civil rights requirements set forth in 45 CFR parts 80, 84, and 90.
(e) Effect of leasing. The provider agreement will be assigned to the lessee only to the extent of the leased portion of the facility.
[45 FR 22937, Apr. 4, 1980, as amended at 59 FR 56251, Nov. 10, 1994]

## Nearby sections

- [42 CFR § 489.1 § 489.1 Statutory basis.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.1.md)
- [42 CFR § 489.2 § 489.2 Scope of part.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.2.md)
- [42 CFR § 489.3 § 489.3 Definitions.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.3.md)
- [42 CFR § 489.10 § 489.10 Basic requirements.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.10.md)
- [42 CFR § 489.11 § 489.11 Acceptance of a provider as a participant.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.11.md)
- [42 CFR § 489.12 § 489.12 Decision to deny an agreement.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.12.md)
- [42 CFR § 489.13 § 489.13 Effective date of agreement or approval.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.13.md)
- [42 CFR § 489.18 § 489.18 Change of ownership or leasing: Effect on provider agreement.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.18.md)
- [42 CFR § 489.20 § 489.20 Basic commitments.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.20.md)
- [42 CFR § 489.21 § 489.21 Specific limitations on charges.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.21.md)
- [42 CFR § 489.22 § 489.22 Special provisions applicable to prepayment requirements.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.22.md)
- [42 CFR § 489.23 § 489.23 Specific limitation on charges for services provided to certain enrollees of fee-for-service FEHB plans.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.23.md)
- [42 CFR § 489.24 § 489.24 Special responsibilities of Medicare hospitals in emergency cases.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.24.md)
- [42 CFR § 489.25 § 489.25 Special requirements concerning CHAMPUS and CHAMPVA programs.](https://www.frixlaw.com/law-library/statutes/ecfr-42-489.25.md)

---

Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/ecfr-42-489.18. Check the current official text before relying on it. Not legal advice.