Licensure and Enrollment

Overview

We manage the exacting regulatory process resulting from stock or assets acquisitions, mergers, joint ventures, internal reorganizations, as well as initial applications and relocations of healthcare facilities nationwide.

Clients rely on our national team for counsel regarding:

  • Individual practitioner professional licensure and certifications.
  • Federal and state facility licensure, accreditation and certifications.
  • Enrollments in government and private payor programs including multijurisdictional Medicare and Medicaid enrollments and DMEPOS competitive bidding.
  • Medicare Change of Ownership (CHOW) and Change of Information (CHOI).
  • Clinical operations licensure, including pharmacy permits, DEA and state controlled-substance registrations, CLIA waivers/certificates, state clinical laboratory licenses, state radiation registrations, licenses and certifications.
  • Physical plant licensure, including certificates of occupancy, biomedical waste permits, and food services licensure.
  • Mobile operations licensure, including ambulance licenses, FAA registrations and FCC call signs,

Our clients include nursing homes, ambulatory surgery centers, rehabilitation agencies, assisted living facilities, physician groups, continuing care retirement communities, hospitals, home health agencies, hospices, pharmacies, imaging centers, DME suppliers and ancillary service providers. Our team also is experienced in representing private equity fund investors, lenders, private businesses that own healthcare facilities, and real estate investment trusts.

Select Experience

  • Prepare and submit numerous pharmacy changes of ownership in 50 states, along with Medicare/Medicaid change of ownership applications on behalf of a specialty pharmacy.
  • Advise client in connection with multiple complex transactions involving mergers, acquisitions and arrangements with other healthcare providers and entities, including analysis of transactions, filing of licensure applications and notices, and preparing and filing more than 1000 Medicare and Medicaid provider enrollment applications.
  • Advise a healthcare portfolio company with respect to relocation of the portfolio company and assist with obtaining more than twenty state durable medical equipment (DME) licenses and advise client on various Medicaid enrollment issues.
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Experience

  • Prepare and submit numerous pharmacy changes of ownership in 50 states, along with Medicare/Medicaid change of ownership applications on behalf of a specialty pharmacy.
  • Advise client in connection with multiple complex transactions involving mergers, acquisitions and arrangements with other healthcare providers and entities, including analysis of transactions, filing of licensure applications and notices, and preparing and filing more than 1000 Medicare and Medicaid provider enrollment applications.
  • Advise a healthcare portfolio company with respect to relocation of the portfolio company and assist with obtaining more than twenty state durable medical equipment (DME) licenses and advise client on various Medicaid enrollment issues.
  • Advise retail pharmacy client on Medicaid and Medicare billing and claims reimbursement, Part D audits and appeals, and DME enrollment.
  • Advise national long-term care company with 120 facilities in 19 states on licensing and Medicare/Medicaid provider enrollment matters in multiple acquisitions, divestitures and other transactions.
  • Advise private equity client regarding Medicare enrollment in the acquisitions of physical therapy providers in multiple states.
  • Serve as healthcare regulatory counsel in connection with a high-value and multi-faceted sale of a large specialty pharmacy company; representation included regulatory filings for almost 300 pharmacy licenses, permits, and Medicare and Medicaid applications involving significant coordination among agencies. Prepare change of ownership submission to California Department of Managed Healthcare on behalf of Envision Healthcare related to Medicare Part D plan.
  • Advise client on state licensure and Medicaid issues in acquisitions of pediatric home health agencies in 10 states.
  • Advise clients on changes to State licensure, licensure surveys and EMTALA complaints and plans of correction.

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