DUTY TO DISCLOSE. Under 42 CFR §455.104, the Administration must obtain certain disclosures and complete required screenings to ensure the County and State does not pay federal funds to excluded person or entities. The Contractor is required to provide disclosures from managing employees, specifically the persons in the position of Director and Fiscal/Budget Director, i.e. the person who authorizes expenditures. A completed Medicaid Provider Disclosure Statement, DSHS Form 27-094, should be submitted to the County to complete the required screenings. Disclosures must be provided at contract renewal and within twenty (20) days whenever there is a change in the staff holding these management positions [42 CFR 455.104 (c)(1)].
Appears in 6 contracts
Samples: Professional Services, Professional Services, Professional Services
DUTY TO DISCLOSE. Under Pursuant to 42 CFR §455.104, the Administration must obtain certain disclosures and complete required screenings to ensure the County and State does not pay federal funds to excluded person or entities. The Contractor County is required to provide disclosures from managing employees, specifically the persons in the position positions of Developmental Disabilities Director and Fiscal/Budget Director, i.e. the person who authorizes expenditures. A completed Medicaid Provider Disclosure Statement, DSHS Form 27-094, should be submitted to the County Administration to complete the required screenings. Disclosures must be provided at contract renewal and within twenty thirty-five (2035) days whenever there is a change in the staff holding these management positions [42 CFR 455.104 (c)(1)].
Appears in 1 contract
Samples: County Program Agreement