Laserfiche WebLink
General Provisions, Assurances and Certifications Article, Section 11.01, is revised to <br />include: <br />If appropriate, Contractor certifies that neither the Contractor, nor any individual who <br />has a direct or indirect ownership or controlling interest of 5% or more of the <br />Contracting Agency, nor any officer, director, agent or managing employee (e.g. <br />general manager, business manager, administrator, director, or like individual who <br />exercises operational or managerial control over the Contractor or who directly or <br />indirectly conducts the day-to-day business of the Contractor is an entity or individual <br />who: <br />• Has been convicted of any offense under 42 U.S.C. § 1320a-7(b)(1)-(3); <br />• Has had a civil monetary penalty assessed under 42 U.S.C. § 1320a and/or 42 <br />U.S.C. § 1320a-8; or, <br />• Has been excluded from participation in a program under 42 U.S.C. § 1395 et <br />seq.; or under a State health care program. <br />If the foregoing statement is not true, Contractor shall submit adisclosure/ownership <br />form to DSHS. Contractor shall immediately notify the DSHS in writing, in the event <br />that the foregoing statement changes during the term of this contract Attachment. A <br />false statement regarding Contractor's status will be treated as a material <br />misrepresentation. <br />General Provisions, Operations of Contractor Article, Section 12.19, is revised to <br />include: <br />Contractor shall notify the Performance Management Unit, Contract Management <br />Branch, of any clinic site information changes, e.g., changes in contact person, <br />hours of operation, address, Texas Provider Identification (TPI) number, and the <br />closure, relocation, andlor opening of clinic site(s). <br />PROGRAM ATTACHMENT -Page 6 <br />