Common use of EFFECTIVE AND BINDING AGREEMENT Clause in Contracts

EFFECTIVE AND BINDING AGREEMENT. USPh, Old Towne, and OIG agree as follows: A. This CIA shall become final and binding on the date the final signature is obtained on the CIA. B. This CIA constitutes the complete agreement between the parties and may not be amended except by written consent of the parties to this CIA. C. OIG may agree to a suspension of USPh’s or Old Towne’s obligations under this CIA based on a certification by USPh or Old Towne that it is no longer providing health care items or services that will be billed to any Federal health care program and that it does not have any ownership or control interest, as defined in 42 U.S.C. § 1320a-3, in any entity that bills any Federal health care program. If USPh or Old Towne is relieved of its CIA obligations, USPh or Old Towne will be required to notify OIG in writing at least 30 days in advance if USPh or Old Towne plans to resume providing health care items or services that are billed to any Federal health care program or to obtain an ownership or control interest in any entity that bills any Federal health care program. At such time, OIG shall evaluate whether the CIA will be reactivated or modified. D. The undersigned USPh and Old Towne signatories represent and warrant that they are authorized to execute this CIA. The undersigned OIG signatories represent that they are signing this CIA in their official capacities and that they are authorized to execute this CIA. E. This CIA may be executed in counterparts, each of which constitutes an original and all of which constitute one and the same CIA. Facsimiles of signatures shall constitute acceptable, binding signatures for purposes of this CIA. This Appendix contains the requirements relating to the Independent Review Organization (IRO) required by Section III.D of the CIA.

EFFECTIVE AND BINDING AGREEMENT. USPh, Old Towne, Extendicare and OIG agree as follows: A. This CIA shall be binding on the successors, assigns, and transferees of Extendicare. B. This CIA shall become final and binding on the date the final signature is obtained on the CIA. B. C. This CIA constitutes the complete agreement between the parties and may not be amended except by written consent of the parties to this CIA. C. D. OIG may agree to a suspension of USPh’s or Old TowneExtendicare’s obligations under this CIA based on a certification by USPh or Old Towne Extendicare that it is no longer providing health care items or services that will be billed to any Federal health care program and that it does not have any ownership or control interest, as defined in 42 U.S.C. § 1320a-3, in any entity that bills any Federal health care program. If USPh or Old Towne Extendicare is relieved of its CIA obligations, USPh or Old Towne Extendicare will be required to notify OIG in writing at least 30 thirty (30) days in advance if USPh or Old Towne Extendicare plans to resume providing health care items or services that are billed to any Federal health care program or to obtain an ownership or control interest in any entity that bills any Federal health care program. At such time, OIG shall evaluate whether the CIA will be reactivated or modified. D. E. The undersigned USPh and Old Towne Extendicare signatories represent and warrant that they are authorized to execute this CIA. The undersigned OIG signatories represent signatory represents that they are he is signing this CIA in their his official capacities capacity and that they are he is authorized to execute this CIA. E. F. This CIA may be executed in counterparts, each of which constitutes an original and all of which constitute one and the same CIA. Facsimiles of signatures shall constitute acceptable, binding signatures for purposes of this CIA. G. This CIA is by and between the parties hereto. The CIA is not intended to establish any legal rights for or confer any legal rights upon any non- governmental entities or persons not a party to the CIA. The parties agree, however, that this CIA is a public document and it may be admissible in a judicial or administrative proceeding. /Xxx Xxxxxxx/ 10/2/14 Xxx Xxxxxxx DATE President and Chief Executive Officer Extendicare Health Service, Inc. /Xxxxx X. Xxxxxxx/ 10/2/14 Xxxxx X. Xxxxxxx DATE Xxxxxx Xxxxxx Xxxxxxx LLP /J. Xxxxxxx Xxxxxx/ 10/3/14 J. Xxxxxxx Xxxxxx DATE Xxxxxxx Xxxxxxxxxx Xxxx LLP /Xxx Xxxxxxx/ 10/2/14 Xxx Xxxxxxx DATE President and Chief Executive Officer Extendicare Health Service, Inc. /Xxxxx X. Xxxxxxx/ 10/2/14 Xxxxx X. Xxxxxxx DATE Xxxxxx Xxxxxx Xxxxxxx LLP /J. Xxxxxxx Xxxxxx/ 10/3/14 J. Xxxxxxx Xxxxxx DATE Xxxxxxx Xxxxxxxxxx Xxxx LLP /Xxxxxx X. XxXxxxx/ 10/3/14 Xxxxxx X. XxXxxxx DATE Assistant Inspector General for Legal Affairs Office of Inspector General U. S. Department of Health and Human Services /Xxxxx Xxxxxxxxx/ 9/30/14 Xxxxx Xxxxxxxxx DATE Senior Counsel Office of Inspector General U. S. Department of Health and Human Services This Appendix contains the requirements relating to the Independent Review Organization (IRO) required by Section III.D of the CIA.

EFFECTIVE AND BINDING AGREEMENT. USPh, Old Towne, GGNSC and OIG agree as follows: A. This CIA shall be binding on the successors, assigns, and transferees of GGNSC. B. This CIA shall become final and binding on the date the final signature is obtained on the CIA. B. C. This CIA constitutes the complete agreement between the parties and may not be amended except by written consent of the parties to this CIA. C. D. OIG may agree to a suspension of USPh’s or Old TowneGGNSC’s obligations under this CIA based on a certification by USPh or Old Towne GGNSC that it is no longer providing health care items or services that will be billed to any Federal health care program and that it does not have any ownership or control interest, as defined in 42 U.S.C. § 1320a-3, in any entity that bills any Federal health care program. If USPh or Old Towne GGNSC is relieved of its CIA obligations, USPh or Old Towne GGNSC will be required to notify OIG in writing at least 30 thirty (30) days in advance if USPh or Old Towne GGNSC plans to resume providing health care items or services that are billed to any Federal health care program or to obtain an ownership or control interest in any entity that bills any Federal health care program. At such time, OIG shall evaluate whether the CIA will be reactivated or modified. D. E. The undersigned USPh and Old Towne GGNSC signatories represent and warrant that they are authorized to execute this CIA. The undersigned OIG signatories represent that they are signing this CIA in their official capacities and that they are authorized to execute this CIA. E. F. This CIA may be executed in counterparts, each of which constitutes an original and all of which constitute one and the same CIA. Facsimiles of signatures shall constitute acceptable, binding signatures for purposes of this CIA. G. This CIA is by and between the parties hereto. This Appendix contains the requirements relating The CIA is not intended to establish any legal rights for or confer any legal rights upon any non-governmental entities or persons not a party to the Independent Review Organization (IRO) required by Section III.D of the CIA. The parties agree, however, that this CIA is a public document and it may be admissible in a judicial or administrative proceeding.

EFFECTIVE AND BINDING AGREEMENT. USPh, Old Towne, eTEL-Rx and OIG agree as follows: A. This CIA shall be binding on the successors, assigns, and transferees of eTEL- Rx. B. This CIA shall become final and binding on the date the final signature is obtained on the CIA. B. C. This CIA constitutes the complete agreement between the parties and may not be amended except by written consent of the parties to this CIA. C. D. OIG may agree to a suspension of USPh’s or Old TowneeTEL-Rx’s obligations under this CIA based on a certification by USPh or Old Towne eTEL-Rx that it is no longer providing health care items or services that will be billed to any Federal health care program and that it does not have any ownership or control interest, as defined in 42 U.S.C. § §1320a-3, in any entity that bills any Federal health care program. If USPh or Old Towne eTEL-Rx is relieved of its CIA obligations, USPh or Old Towne eTEL-Rx will be required to notify OIG in writing at least 30 days in advance if USPh or Old Towne eTEL-Rx plans to resume providing health care items or services that are billed to any Federal health care program or to obtain an ownership or control interest in any entity that bills any Federal health care program. At such time, OIG shall evaluate whether the CIA will be reactivated or modified. D. E. The undersigned USPh and Old Towne eTEL-Rx signatories represent and warrant that they are authorized to execute this CIA. The undersigned OIG signatories represent signatory represents that they are he is signing this CIA in their his official capacities capacity and that they are he is authorized to execute this CIA.. eTEL-Rx Corporate Integrity Agreement E. F. This CIA may be executed in counterparts, each of which constitutes an original and all of which constitute one and the same CIA. Facsimiles of signatures shall constitute acceptable, binding signatures for purposes of this CIA. This Appendix contains the requirements relating to the Independent Review Organization (IRO) required by Section III.D of the CIA.

EFFECTIVE AND BINDING AGREEMENT. USPhOdyssey, Old TowneOdyssey Hospice, and OIG agree as follows: A. This CIA shall be binding on the successors, assigns, and transferees of Odyssey Hospice. B. This CIA shall become final and binding on the date the final signature is obtained on the CIA. B. C. This CIA constitutes the complete agreement between the parties and may not be amended except by written consent of the parties to this CIA. C. D. OIG may agree to a suspension of USPh’s or Old TowneOdyssey Hospice’s obligations under this CIA based on a certification by USPh or Old Towne Odyssey Hospice that it is no longer providing health care items or services that will be billed to any Federal health care program and that it does not have any ownership or control interest, as defined in 42 U.S.C. § §1320a-3, in any entity that bills any Federal health care program. If USPh or Old Towne Odyssey Hospice is relieved of its CIA obligations, USPh or Old Towne Odyssey Hospice will be required to notify OIG in writing at least 30 days in advance if USPh or Old Towne Odyssey Hospice plans to resume providing health care items or services that are billed to any Federal health care program or to obtain an ownership or control interest in any entity that bills any Federal health care program. At such time, OIG shall evaluate whether the CIA will be reactivated or modified. D. E. The undersigned USPh Odyssey and Old Towne Odyssey Hospice signatories represent and warrant that they are authorized to execute this CIA. The undersigned OIG signatories represent signatory represents that they are he is signing this CIA in their his official capacities capacity and that they are he is authorized to execute this CIA. E. This CIA may be executed in counterparts, each of which constitutes an original and all of which constitute one and the same CIA. Facsimiles of signatures shall constitute acceptable, binding signatures for purposes of this CIA. This Appendix contains the requirements relating to the Independent Review Organization (IRO) required by Section III.D of the CIA.

EFFECTIVE AND BINDING AGREEMENT. USPh, Old Towne, Ensign Group and OIG agree as follows: A. This CIA shall be binding on the successors, assigns, and transferees of Ensign Group. B. This CIA shall become final and binding on the date the final signature is obtained on the CIA. B. C. This CIA constitutes the complete agreement between the parties and may not be amended except by written consent of the parties to this CIA. C. D. OIG may agree to a suspension of USPh’s or Old TowneEnsign Group’s obligations in whole or in part under this CIA based on a certification by USPh or Old Towne Ensign Group that it is no longer providing health care items or services that will be billed directly or indirectly to any Federal health care program and that it does not have any ownership or control interest, as defined in 42 U.S.C. § §1320a-3, in any entity that bills any Federal health care program. If USPh or Old Towne Ensign Group is relieved of its CIA obligations, USPh or Old Towne Ensign Group will be required to notify OIG in writing at least 30 days in advance if USPh or Old Towne Ensign Group plans to resume providing health care items or services that are billed to any Federal health care program or to obtain an ownership or control interest in any entity that bills any Federal health care program. At such time, OIG shall evaluate whether the CIA will be reactivated or modified. D. E. The undersigned USPh and Old Towne Ensign Group signatories represent and warrant that they are authorized to execute this CIA. The undersigned OIG signatories represent that they are signing this CIA in their official capacities and that they are authorized to execute this CIA. E. F. This CIA may be executed in counterparts, each of which constitutes an original and all of which constitute one and the same CIA. Facsimiles of signatures shall constitute acceptable, binding signatures for purposes of this CIA. This Appendix contains the requirements relating to the Independent Review Organization (IRO) required by Section III.D of the CIA.