- Title
- Discontinuance of Forms HCFA-1513 and HCFA-2572
- Memo #
- 03-29
- Posting Date
- 08/14/2003
- Fiscal Year
- 2003
- Summary
- The purpose of this memorandum is to notify states and Regional Offices (ROs) of the discontinuation of the use and reproduction of forms HCFA-1513, “Ownership and Control Interest Disclosure Statement” and HCFA-2572, “Statement of Financial Solvency.” As of June 15, 2003 these forms are no longer reproduced or required by the Centers for Medicare & Medicaid Services (CMS) for use when processing Medicare certification actions.
