Disclosure of Ownership. In accordance with 42 CFR §455.104-106, and pursuant to Sections 1128 and 1128a of the Social Security Act, disclosure of ownership, controlling interests, and management from Provider is a condition of participation under the Medicaid Managed Specialty Supports and Services Concurrent 1915(b)(c) Waiver Program. Provider hereby agrees to provide ownership, controlling interests, and management information as required pursuant to its obligations under State and Federal disclosure regulations, law, or rules. Failure to provide this information shall constitute a material breach of this Agreement, subject to termination as provided herein.
Appears in 3 contracts
Sources: Provider Service Agreement, Provider Service Agreement, Provider Service Agreement