Business Transaction Disclosures Sample Clauses

Business Transaction Disclosures. 2.10.2.1. The Contractor shall submit, within thirty-five (35) days of the date on a request by the Department or by the Secretary of the Department of Health and Human Services, full and complete information about: 2.10.2.1.1. The ownership of any subcontractor with whom the Contractor has had business transactions totaling more than twenty-five thousand dollars ($25,000.00) during the 12-month period ending on the date of the request; and 2.10.2.1.2. Any significant business transactions between the Contractor and any wholly owned supplier, or between the Contractor and any subcontractor, during the 5- year period ending on the date of the request. 2.10.2.2. Significant business transaction means any business transaction or series of transactions that, during any one (1) fiscal year, exceed the lesser of twenty-five thousand dollars ($25,000.00) and five (5) percent of the Contractor’s total operating expenses. 2.10.2.3. Wholly owned supplier means a supplier whose total ownership interest is held by the Contractor or by a person, persons, or other entity with an ownership or control interest in the Contractor. 2.10.2.3.1. DELIVERABLE: Business transaction disclosures. 2.10.2.3.2. DUE: Within thirty-five (35) calendar days of the date of a request by the Department or by the Secretary of the Department of Health and Human Services.

Business Transaction Disclosures. Within 30 days of contract signing, all HMOs that are not federally qualified must disclose to the Department information on certain types of transactions they have with a “party in interest” as defined in the Public Health Service Act. (See Sections 1903(m)(2)(A)(viii) and 1903(m)(4) of the Act.).

Business Transaction Disclosures. The HMO must report to the Department information related to business transactions in accordance with 42 CFR § 455.105. The HMO must be able to submit this information within 35 days of the date of written request from the Department. a. The ownership of any subcontractors with whom the provider has had business transactions totaling more than $25,000 during the 12-month period ending on the date of the request; and b. Any significant business transactions between the provider and any wholly owned supplier, or between the provider and any subcontractor, during the 5-year period ending on the date of the request. If the BadgerCare Plus and Medicaid SSI HMO Contract is being renewed or extended, the HMO must disclose information on those business transactions that occurred during the prior contract period. If the Contract is an initial contract with BadgerCare Plus and/or Medicaid SSI, but the HMO has operated previously in the commercial or Medicare markets, information on business transactions for the entire year proceeding the initial contract period must be disclosed. The business transactions which must be reported are not limited to transactions related to serving BadgerCare Plus and/or Medicaid SSI enrollment. All of these HMO business transactions must be reported.

Business Transaction Disclosures. Contracted Provider shall provide full disclosure of significant business transactions as set forth in 42 C.F.R. § 455.105. Contracted Provider shall submit, within thirty (30) calendar days of a request made by MLTC, federal DHHS or Health Plan, full and complete information about: (i) the ownership of any subcontractor with whom the Contracted Provider has had business transactions totaling more than $25,000 during the twelve (12) month period ending on the date of the request; and (ii) any significant business transactions between the Contracted Provider and any wholly owned supplier, or between the Contracted Provider and any subcontractor, during the five (5) year period ending on the date of the request. In addition, Contracted Provider agrees to provide these disclosures to Health Plan at any time, upon Health Plan’s request and within the time frame requested by Health Plan in order for Health Plan to meet its requirements under the Nebraska Contract.