Prohibited Affiliations. A. The Contractor shall not knowingly have any prohibited type of relationship with the following:
Prohibited Affiliations. 1. The Contractor shall not:
Prohibited Affiliations. In accordance with 42 USC §1396 u-2(d)(1), the Contractor shall not knowingly have an employment, consulting, or other agreement for the provision of items and services that are significant and material to the Contractor’s obligations under this Contract with any person, or affiliate of such person, who is excluded, under federal law or regulation, from certain procurement and non-procurement activities. Further, no such person may have beneficial ownership of more than five percent of the Contractor’s equity or be permitted to serve as a director, officer, or partner of the Contractor.
Prohibited Affiliations. (a) The Contractor shall assure that any Affiliated Provider, including out-of-State Providers, is enrolled in the Medical Assistance Program, if such enrollment is required for such Provider by Department rules or policy in order to submit claims for reimbursement or otherwise participate in the Medical Assistance Program. The Contractor shall assure that any non-Affiliated Illinois provider billing for services is enrolled in the Medical Assistance Program prior to paying claims.
Prohibited Affiliations. 7.1.1. The Contractor may not knowingly have a relationship of the type described in Section 7.1.2 with the following:
Prohibited Affiliations. Pursuant to 42 CFR 438.610, MCPs must not knowingly have a relationship with individuals debarred by Federal Agencies, as specified in Article XII of the Agreement. APPENDIX J FINANCIAL PERFORMANCE ABD ELIGIBLE POPULATION
Prohibited Affiliations. (a) Such Borrower will not, directly or indirectly, own, control, or hold with power to vote, five percent or more of the outstanding voting securities of the Bank or any Affiliated Person of the Bank known to such Borrower to be such an Affiliated Person;
Prohibited Affiliations. The Primary Contractor and its BH-MCO may not knowingly have a relationship with the following:
Prohibited Affiliations. (a) The Contractor shall assure that all Affiliated Providers, including out-of-State Providers, are enrolled in the HFS Medical Program, if such enrollment is required for such Provider by Department rules or policy in order to submit claims for reimbursement or otherwise participate in the HFS Medical Program. The Contractor shall assure that any non-Affiliated Provider billing for services rendered in Illinois is enrolled in the HFS Medical Program prior to paying claims.
Prohibited Affiliations. The PCO may not knowingly have a relationship with the following: • An individual or entity who is barred, suspended, or otherwise excluded from participating in procurement activities under the Federal Acquisition Regulation, 48 CFR Parts 1-51, or from participating in non- procurement activities under regulations issued under Executive Order No. 12549 or under guidelines implementing Executive Order No. 12549. • An individual who is an Affiliate, as defined in the Federal Acquisition Regulation, of a person described above. The PCO may not employ or enter into any type of contractual or provider relationship with an individual or entity who is precluded from participation in a federally funded health care program. The PCO must immediately notify the Department, in writing, if a Provider or subcontractor with whom the PCO has entered into an agreement is subsequently suspended, terminated or voluntarily withdraws from participation in the PCO as a result of suspected or confirmed Fraud or Abuse. The PCO must also immediately notify the Department, in writing, if it terminates or suspends an employee as a result of suspected or confirmed Fraud or Abuse. The PCO must inform the Department, in writing, of the specific underlying conduct that led to the suspension, termination, or voluntary withdrawal. Provider Agreements must carry notification of the prohibition and sanctions for submission of false Claims and statements.
