INTEGRITY DISCLOSURES. 14.10.1 Contractor shall provide information on ownership and controlling interests, disclosures related to business transactions, and disclosures related to persons convicted of crimes in the form and manner requested by the County, by the Effective Date, each time the Agreement is renewed and within 35 days of any change in ownership or controlling interest of Contractor. (42 C.F.R. §§ 455.104, 455.105, and 455.106) 14.10.2 Upon the execution of this Agreement, Contractor shall furnish County a Provider Disclosure Statement, which, upon receipt by County, shall be kept on file with County and may be disclosed to DHCS. If there are any changes to the information disclosed in the Provider Disclosure Statement, an updated statement should be completed and submitted to the County within 35 days of the change. (42 C.F.R. § 455.104). 14.10.3 Contractor must disclose the following information as requested in the Provider Disclosure Statement: 14.10.3.1 Disclosure of 5% or More Ownership Interest: 14.10.3.1.1 In the case of corporate entities with an ownership or control interest in the disclosing entity, the primary business address as well as every business location and
Appears in 8 contracts
Samples: Professional Services, Professional Services, Professional Services Contract
