Common use of Disclosure of Ownership and Control Clause in Contracts

Disclosure of Ownership and Control. PROVIDER will comply with all Federal regulations by disclosing to the PAYOR’s CEO information about individuals with ownership or control interests in PROVIDER, if any, by completing and executing Attachment E: Disclosure of Ownership and Control, attached and incorporated hereto, and returning same with an executed copy of this Agreement. The Federal regulations also require PROVIDER to identify and report any additional ownership or control interests for those individuals in other entities, significant and material to PROVIDER’s obligations under this Agreement with the PAYOR, as well as identifying when any of the individuals with ownership or control interests have spousal, parent-child, or sibling relationships with each other. PROVIDER must disclose changes in ownership and control information at the time of enrollment, re-enrollment, or whenever a change in entity ownership or control takes place.

Appears in 4 contracts

Samples: Agreement for Provider Services, Agreement for Provider Services, Psychiatric Inpatient Agreement

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Disclosure of Ownership and Control. a. PROVIDER will comply with all Federal regulations by disclosing to the PAYOR’s CEO information about individuals with ownership or control interests in PROVIDER, if any, by completing and executing Attachment EI: Disclosure of Ownership and Control, attached and incorporated hereto, and returning same with an executed copy of this Agreement. The Federal regulations also require PROVIDER to identify and report any additional ownership or control interests for those individuals in other entities, significant and material to PROVIDER’s obligations under this Agreement with the PAYOR, as well as identifying when any of the individuals with ownership or control interests have spousal, parent-child, or sibling relationships with each other. PROVIDER must disclose changes in ownership and control information at the time of enrollment, re-enrollment, or whenever a change in entity ownership or control takes place.

Appears in 2 contracts

Samples: Fy20xx Agreement for Applied Behavioral Analysis, Agreement for Provider Services

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Disclosure of Ownership and Control. PROVIDER will comply with all Federal regulations by disclosing to the PAYOR’s CEO information about individuals with ownership or control interests in PROVIDER, if any, by completing and executing Attachment E: Disclosure of Ownership and Control, attached and incorporated hereto, and returning same with an executed copy of this Agreement. The Federal regulations also require PROVIDER to identify and report any additional ownership or control interests for those individuals in other entities, significant and material to PROVIDER’s obligations under this Agreement with the PAYOR, as well as identifying when any of the individuals with ownership or control interests have spousal, parent-child, or sibling relationships with each other. PROVIDER must disclose changes in ownership and control information at the time of enrollment, re-re- enrollment, or whenever a change in entity ownership or control takes place.

Appears in 1 contract

Samples: Community Psychiatric Inpatient Agreement

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