Types of Transactions Which Must Be Disclosed. Business transactions which must be disclosed include: Any sale, exchange or lease of any property between the HMO and a party in interest; Any lending of money or other extension of credit between the HMO and a party in interest; and Any furnishing for consideration of goods, services (including management services) or facilities between the HMO and the party in interest. This does not include salaries paid to employees for services provided in the normal course of their employment. The information which must be disclosed in the transactions between the Contractor and a party in interest listed above includes: The name of the party in interest for each transaction; A description of each transaction and the quantity or units involved; The accrued dollar value of each transaction during the fiscal year; and Justification of the reasonableness of each transaction. In addition to the above information on business transactions, the Contractor may be required, upon the request of FSSA, to submit a consolidated financial statement for the Contractor and the party in interest. If the Contract is an initial contract with FSSA, but the Contractor has operated previously in commercial or Medicare markets, information on business transactions for the entire year proceeding the initial contract period must be disclosed. If the Contract is being renewed or extended, the Contractor must disclose information on business transactions which occurred during the prior contract period. The business transactions which must be reported are not limited to transactions related to serving the Hoosier Care Connect enrollment; that is, all of the Contractor's business transactions must be reported.
Appears in 3 contracts
Samples: Contract #0000000000000000000018225, Contract #0000000000000000000018227, Contract Amendment
Types of Transactions Which Must Be Disclosed. Business transactions which must be disclosed include: ▪ Any sale, exchange or lease of any property between the HMO and a party in interest; ▪ Any lending of money or other extension of credit between the HMO and a party in interest; and ▪ Any furnishing for consideration of goods, services (including management services) or facilities between the HMO and the party in interest. This does not include salaries paid to employees for services provided in the normal course of their employment. The information which must be disclosed in the transactions between the Contractor and a party in interest listed above includes: ▪ The name of the party in interest for each transaction; ▪ A description of each transaction and the quantity or units involved; ▪ The accrued dollar value of each transaction during the fiscal year; and ▪ Justification of the reasonableness of each transaction. In addition to the above information on business transactions, the Contractor may be required, upon the request of FSSA, to submit a consolidated financial statement for the Contractor and the party in interest. Per Section 1903(m)(4)(B) of the Social Security Act, any reports of transactions between the Contractor and parties in interest that are provided to the State, or other agencies shall be made available to the Contractor’s members upon reasonable request. If the Contract is an initial contract with FSSA, but the Contractor has operated previously in commercial or Medicare markets, information on business transactions for the entire year proceeding the initial contract period must be disclosed. If the Contract is being renewed or extended, the Contractor must disclose information on business transactions which occurred during the prior contract period. The business transactions which must be reported are not limited to transactions related to serving the Hoosier Care Connect enrollment; that is, all of the Contractor's business transactions must be reported.
Appears in 3 contracts
Samples: Contract, Contract Amendment, Contract
Types of Transactions Which Must Be Disclosed. Business transactions which must be disclosed include: • Any sale, exchange or lease of any property between the HMO and a party in interest; • Any lending of money or other extension of credit between the HMO and a party in interest; and • Any furnishing for consideration of goods, services (including management services) or facilities between the HMO and the party in interest. This does not include salaries paid to employees for services provided in the normal course of their employment. The information which must be disclosed in the transactions between the Contractor and a party in interest listed above includes: The name of the party in interest for each transaction; A description of each transaction and the quantity or units involved; The accrued dollar value of each transaction during the fiscal year; and Justification of the reasonableness of each transaction. In addition to the above information on business transactions, the Contractor may be required, upon the request of FSSA, to submit a consolidated financial statement for the Contractor and the party in interest. If the Contract is an initial contract with FSSA, but the Contractor has operated previously in commercial or Medicare markets, information on business transactions for the entire year proceeding the initial contract period must be disclosed. If the Contract is being renewed or extended, the Contractor must disclose information on business transactions which occurred during the prior contract period. The business transactions which must be reported are not limited to transactions related to serving the Hoosier Care Connect enrollment; that is, all of the Contractor's business transactions must be reported.
Appears in 2 contracts