Common use of Certification Regarding Clause in Contracts

Certification Regarding. Lobbying The Contractor certifies, to the best of his or her knowledge and belief, that: 1. No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. 2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federally funded contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form SF-LLL, "Disclosure of Lobbying Activities," in accordance with its instructions. 3. The undersigned shall require that the language of this certification be included in the award document for subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) who receive federal funds of $100,000.00 or more and that all subrecipients shall certify and disclose accordingly. 4. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000.00 and not more than $100,000.00 for each such failure.

Certification Regarding. Lobbying The Contractor certifies, to the best of his or her knowledge and belief, that: 1. No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. 2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federally funded contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form SF-LLL, "“Disclosure of Lobbying Activities," ” in accordance with its instructions. 3. The undersigned shall require that the language of this certification be included in the award document for subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) who receive federal funds of $100,000.00 or more and that all subrecipients shall certify and disclose accordingly. 4. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000.00 and not more than $100,000.00 for each such failure.

Certification Regarding. Lobbying The Contractor certifies, to the best of his or her knowledge and belief, that:(7 CFR 3018) (Applicable if agreement exceeds $100,000) (1. ) No Federal appropriated funds have been paid or will be paid paid, by or on behalf of the undersignedAgency, to any person for influencing or attempting to influence an officer or employee of any an agency, a Member of Congress, an and officer or employee employer of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2. ) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress Congress, in connection with this Federally funded Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form SF-- LLL, "“Disclosure of Lobbying ActivitiesForm to Report Lobbying," ” in accordance with its instructions. (3. ) The undersigned Agency shall require that the language of this certification be included in the award document documents for subawards all sub-awards at all tiers (including subcontracts, subgrantssub-grants, and contracts under grants, loans, and cooperative agreements) who receive federal funds of $100,000.00 or more and that all subrecipients sub-recipients shall certify and disclose accordingly. 4. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section section 1352, Title 31, U.S. U. S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000.00 10,000 and not more than $100,000.00 100,000 for each such failure.

Certification Regarding. Lobbying The Contractor certifies, to the best of his or her knowledge and belief, that: 1. No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. 2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federally funded contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form SF-LLL, "“Disclosure of Lobbying Activities," ” in accordance with its instructions. 3. The undersigned shall require that the language of this certification be included in the award document for subawards sub-awards at all tiers (including subcontracts, subgrantssub-grants, and contracts under grants, loans, and cooperative agreements) who receive federal funds of $100,000.00 or more and that all subrecipients sub-recipients shall certify and disclose accordingly. 4. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000.00 and not more than $100,000.00 for each such failure.

Certification Regarding. Lobbying The Contractor Subrecipient certifies, to the best of his or her knowledge and belief, that: 1. No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. 2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federally funded contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form SF-LLL, "“Disclosure of Lobbying Activities," ” in accordance with its instructions. 3. The undersigned shall require that the language of this certification be included in the award document for subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) who receive federal funds of $100,000.00 or more and that all subrecipients Subrecipients shall certify and disclose accordingly. 4. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000.00 and not more than $100,000.00 for each such failure.

Certification Regarding. Lobbying The Contractor Provider certifies, to the best of his or her knowledge and belief, that: 1. No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. 2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federally funded contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form SF-LLL, "Disclosure of Lobbying Activities," in accordance with its instructions. 3. The undersigned shall require that the language of this certification be included in the award document for subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) who receive federal funds of $100,000.00 or more and that all subrecipients shall certify and disclose accordingly. 4. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000.00 and not more than $100,000.00 for each such failure.. SAMPLE SAMPLE (Applicable ONLY to Services received by Members enrolled in Medicaid Direct) SAMPLE *Eligible ICD-10 Codes referenced in this Appendix C are found on the Alliance website: Services Claim Processing And/Or Financial Inpatient Charges for Psychiatric and Substance Abuse Diagnostic Related Groupings (DRGs) LME/MCO in acute hospital or psychiatric unit of a hospital when DRG is psychiatric Outpatient X-ray and Lab Work DHB fee-for-service Medicaid except when provided during emergency room visits where the Revenue Code is one of the following (450-459, 900-919), and the primary ICD-10 code is an Eligible ICD- Prescribed by LME/MCO network provider on an Inpatient basis such as VDRL, SMA, CBC, UA (urinalysis), cortisol, x-rays for admission physicals, therapeutic drug levels DHB fee-for-service Medicaid fee-for- service Medicaid except when provided during emergency room visits where the Revenue Code is one of the following (450-459, 900-919), and the primary ICD- 10 code is an Eligible ICD-10 Code* Prescribed by LME/MCO network provider on an outpatient basis such as therapeutic drug levels DHB fee-for-service Medicaid except for emergency room visits where the Revenue Code is one of the following (450-459, 900-919), and the primary ICD- 10 code is an Eligible ICD-10 Code* Ordered for evaluation of medical problems or to establish organic pathology, cat scans thyroid studies, EKG etc. or any tests ordered prior to having a patient medically cleared DHB fee-for-service Medicaid except for emergency room visits where the primary ICD-10 code is an Eligible ICD- 10 Code* Other tests ordered by non- LME/MCO physician DHB fee-for-service Medicaid except for emergency room visits where the primary ICD-10 diagnosis code is an Eligible ICD-10 Code* Outpatient prescription drugs and take home drugs DHB fee-for-service Medicaid Transport to the hospital when the primary diagnosis is behavioral care DHB fee-for-service Medicaid Transport to a hospital prior to a medical emergency when the primary diagnosis is medical DHB fee-for-service Medicaid Transfers authorized by LME/MCO from non-network facility to a network facility LME/MCO Mental Health or Alcohol/Substance Abuse on Medical Surgical Unit LME/MCO Mental Health or Alcohol/Substance Abuse in a Nursing Home or Assisted Living Facility LME/MCO Medical/Surgical on Mental Health/Substance Abuse Unit DHB fee-for-service Medicaid Emergency Mental Health, Alcohol/Substance Abuse services provided by MH/SA practitioners LME/MCO Emergency room services where the primary diagnosis on the claim is in the following range: Revenue Codes 450-459, 900-919 and the primary ICD-10 code is an Eligible ICD-10 Code* LME/MCO Emergency room services where the primary diagnosis on the claim is NOT in the following range: 290-319 DHB fee-for-service Medicaid SAMPLE Emergency room services where the primary diagnosis on the claim is in the following range: Revenue Codes 450-459, and the primary ICD-10 code is an Eligible ICD-10 Code* LME/MCO Emergency room services where the primary diagnosis on the claim is NOT in the following range: 290-319 DHB fee-for-service Medicaid Stabilization of self-induced trauma poisoning DHB fee-for-service Medicaid except for emergency room visits where the primary ICD-10 diagnosis code is an Eligible ICD-10 Code* Treatment of disorders which are primarily neurologically/organically based, including delirium, dementia, amnesic and other cognitive disorders DHB fee-for-service Medicaid except for emergency room visits where the primary ICD-10 diagnosis code is an Eligible ICD-10 Code* Pre-Authorized, Mental Health, Alcohol/Substance Abuse admission, History and Physical LME/MCO Adjunctive alcohol/substance abuse therapies when specifically ordered by a network or LME/ MCO authorized physician LME/ MCO Alcohol withdrawal syndrome, Ordinary Pharmacologic syndrome characterized by elevated vital signs, agitation, perspiration, Anxiety and tremor that is associated with the abrupt cessation of alcohol or other Addictive substances. Detoxification services authorized by MCO/LME/PIHP. Not included: fetal alcohol Syndrome or other symptoms exhibited by newborns whose mothers abused drugs except when services are provided in the emergency room and the primary diagnosis an Eligible ICD-10 Code* LME/ MCO Delirium tremens (DTs), which is a complication of chronic alcoholism associated with poor nutritional status. This is characterized by a major physiologic and metabolic disruption and is accompanied by delirium (after persecutory hallucination), agitation, tremors (frequently seizures) high temperatures and may be life-threatening. DHB fee-for-service Medicaid except for emergency room visits where the primary diagnosis is an Eligible ICD-10 Code* SAMPLE