Annual Attestation and Disclosure Statement

Contracted providers and Subcontractors, with Banner Health Plans (BHP) are required to complete the Annual Attestation and Disclosure Statement. 

Instructions:

1. Review each section:

• Section 1: Medicare and Medicaid Participation Compliance Program Requirements
• Section 2: Attestations
• Section 3: Organization Information and Signature

2. Complete the 2025 Annual Compliance Attestation here: 2025 Annual Compliance Attestation Form