(a) The information specified in section 502.4 of this Part must be provided upon application for enrollment and annually thereafter to the department. Except where the provider is certified on an other than annual basis, the disclosure requirement may coincide with the certification/recertification period. Where the provider discloses the ownership and control information for the purposes of Medicare certification/recertification, such disclosures will be deemed to satisfy these disclosure requirements.

(b) Any change in the ownership or control or change of a managing employee excepting only changes in the operator of a hospital subject to the provisions of section 2801-a of the Public Health Law, of the provider occurring within the annual disclosure period must be reported within 15 days of the change of ownership or control or change of a managing employee, by filing an amended, signed ownership and disclosure form with the department. Failure to report any change in ownership or control or change of a managing employee, may result in the termination of the disclosing entity's provider agreement and require the newly constituted entity to enroll as a new provider.