What are the enrollment requirements when a Successor Liability with Joint and Several Liability Agreement (DHCS 6217) has been completed?
Upon the sale or transfer of a Medi-Cal enrolled business, and when the parties elect to complete a Successor Liability with Joint and Several Liability Agreement, by letter postmarked no later than five days after the occurrence of any the five events listed below, the provider transferor (seller) and the transferee applicant (buyer) shall submit to DHCS the completed Successor Liability with Joint and Several Liability Agreement (DHCS 6217), signed and dated by both parties.
