Disclosure Information. Using the Department-specified disclosure form, and in accordance with 42 CFR § 455.104, the Contractor, if organized as a corporation, shall provide disclosures for each Person with an Ownership or Control Interest in the Contractor.
Appears in 10 contracts
Samples: Utah Medicaid Contract, Utah Medicaid Contract, Utah Medicaid Contract
Disclosure Information. (A) Using the Department-specified disclosure form, and in accordance with 42 CFR § 455.104, the Contractor, if organized as a corporation, shall provide disclosures for each Person with an Ownership or Control Interest in the Contractor.
Appears in 6 contracts
Samples: McNa Dental Contract, Premier Access Chip Contract, Premier Access Contract Prepaid Ambulatory Health Plan (Pahp)
Disclosure Information. (A) Using the Department-specified disclosure form, and in accordance with 42 CFR § 455.104, the Contractor, if organized as a corporation, shall provide disclosures for each Person with an Ownership or Control Interest in the Contractor.
(B) The disclosures for Persons with an Ownership or Control Interest shall include:
Appears in 1 contract
Samples: Home Program Contract
