DISCLOSURES AND ENROLLMENT Sample Clauses

DISCLOSURES AND ENROLLMENT a. The CONTRACTOR must disclose any affiliation, by contract or otherwise, with any other provider agency, or independent contractor to perform any of the duties, responsibilities or obligations of this Contract. The CONTRACTOR must disclose whether it is doing business using a DBA (doing business as). b. The CONTRACTOR must report to the LME/PIHP any sanctions under the Medicare or Medicaid programs, including but not limited to overpayments, recoupments, fines, paybacks, suspensions, terminations, lawsuits, insurance claims, or payouts, as well as any adverse actions by federal or state regulatory agencies within the previous five (5) years. c. The CONTRACTOR’S Licensed Independent Practitioners (LIPs) and Licensed Practitioner Associates (LPA’s) can be reimbursed for services to Enrollee(s) upon approval by the LME/PIHP of the LIP’s and LPA’s completed “LME/PIHP Uniform Application to Participate as a Health Care Practitioner” retroactive to the date of receipt of the completed application by the LME/PIHP.
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Related to DISCLOSURES AND ENROLLMENT

  • Agreements with Employees and Subcontractors Grantee shall have written, binding agreements with its employees and subcontractors that include provisions sufficient to give effect to and enable Grantee’s compliance with Grantee’s obligations under this Article VI, Intellectual Property.

  • Disclosures Vendor and TIPS affirms that he/she or any authorized employees or agents has not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor or service to a public servant in connection with this Agreement. • Vendor shall attach, in writing, a complete description of any and all relationships that might be considered a conflict of interest in doing business with the TIPS program. • The Vendor affirms that, to the best of his/her knowledge, the offer has been arrived at independently, and is submitted without collusion with anyone to obtain information or gain any favoritism that would in any way limit competition or give an unfair advantage over other vendors in the award of this Agreement.

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