What is the definition of a managing employee?


Answer:
Suppliers are required to report all current managing employees on the application. Managing employees are general managers, business managers, administrators, directors, or other individuals who exercise operational or managerial control, or directly or indirectly conduct day-to-day operations, either under contract or through some other arrangement, whether or not the individual is a W–2 employee of the provider or supplier. 

These roles qualify as managing employees; this is not an exhaustive list, contact the NPWest if unsure if an individual meets the definition:

  • Chief Executive Officer, Chief Operating Officer, Chief Financial Officer, Compliance Officer
  • Regional Manager, Clinical Manager, Operations Manager, Care Coordination Manager, Location Manager, Administration Manager
  • Compliance Director, Clinical Director

To learn more, see the Medicare Program Integrity Manual, Chapter 10.

 

Supplier may update the enrollment by:

  • Submitting an 855 enrollment application via PECOS
  • Mailing a paper application to the NPWest

 


Last Updated: 04/01/2025