C.F.R. » Title 42 » CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES › SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS › PART 433—STATE FISCAL ADMINISTRATION › Subpart A—Federal Matching and General Administration Provisions

42 C.F.R. § 433.37

Reporting provider payments to Internal Revenue Service

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(a) Basis and purpose. This section, based on section 1902(a)(4) of the Act, prescribes requirements concerning—

(1) Identification of providers; and

(2) Compliance with the information reporting requirements of the Internal Revenue Code.

(b) Identification of providers. A State plan must provide for the identification of providers by—

(1) Social security number if—

(i) The provider is in solo practice; or

(ii) The provider is not in solo practice but billing is by the individual practitioner; or

(2) Employer identification number for all other providers.

(c) Compliance with section 6041 of the Internal Revenue Code. The plan must provide that the Medicaid agency complies with the information reporting requirements of section 6041 of the Internal Revenue Code (26 U.S.C. 6041). Section 6041 requires the filing of annual information returns showing amounts paid to providers, who are identified by name, address, and social security number or employer identification number.

Notes of Decisions
Cited in 1 case, 1987–1987 · leading case: In Re Est. of Peck, 416 N.W.2d 158 (Minn. Ct. App. 1987).
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In Re Est. of Peck, 416 N.W.2d 158 (Minn. Ct. App. 1987). “42 C.F.R. § 433.37 (1986). Whether Robert is totally disabled is an issue of fact, reviewable under the clearly erroneous standard.”
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