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of the Commonwealth of Pennsylvania

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    Provider Applications and Public Review Information

    Change of Ownership (CHOW) – LTC Facility

    The Change of Ownership (CHOW) process for long-term care facilities in Pennsylvania involves several steps and considerations.  Here are the key points to understanding the CHOW process:

    • Notification process - A prospective licensee shall notify the department per Chapter 51.3 and 51.4 at least 30 days prior to change in ownership (CHOW). This shall be by letter to the Department, in which the Department responds with an application. Letter should be emailed to RA-DHNCFCHOW@pa.gov. 
    • Application Process – When the Department is notified of the CHOW, the prospective licensee will be issued a detailed letter outlining all the requirements.  Submission of the application, fee and appropriate attachments are all completed online.
    • Review/Notification – Upon review of the submitted documentation, including posting for public comment, the prospective licensee will receive written notification of the status of the application.

    Questions regarding the change of ownership process should be directed to  RA-DHNCFCHOW@pa.gov

    Additional Helpful Information

    For Medicare Participation, the CMS-855 form is also required which maybe be obtained at: Become a Medicare Provider or Supplier | CMS

    For information and application for providing Medicaid services, please contact the Department of Human Services at ra-partreview@pa.gov

    Additional Resources

    Please check back regularly to see any updated information and resources.

    Long Term Care Regulations Frequently Asked Questions

    For questions related to new building projects, renovations or compliance with federal, state guidelines and regulations, including FGI Guidelines, please see information posted at the Division of Safety Inspection website.