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6.1.C. - Page 60 <br />(i) Upon the provider or disclosing entity submitting the provider application. <br />(ii) Upon the provider or disclosing entity executing the provider agreement. <br />(iii) Upon request of the Medicaid agency during the re -validation of enrollment process under <br />§455.414. <br />(iv) Within 35 days after any change in ownership of the disclosing entity. <br />(2) Disclosures from fiscal agents. Disclosures from fiscal agents are due at any of the following <br />times: <br />(i) Upon the fiscal agent submitting the proposal in accordance with the State's procurement <br />process. <br />(ii) Upon the fiscal agent executing the contract with the State. <br />(iii) Upon renewal or extension of the contract. <br />(iv) Within 35 days after any change in ownership of the fiscal agent. <br />(3) Disclosures from managed care entities. Disclosures from managed care entities (MCOs, PIHPs, <br />PAHPs, and HIOs), except PCCMs are due at any of the following times: <br />(i) Upon the managed care entity submitting the proposal in accordance with the State's <br />procurement process. <br />(ii) Upon the managed care entity executing the contract with the State. <br />(iii) Upon renewal or extension of the contract. <br />(iv) Within 35 days after any change in ownership of the managed care entity. <br />(4) Disclosures from PCCMs. PCCMs will comply with disclosure requirements under paragraph <br />(c)(1) of this section. <br />(d) To whom must the disclosures be provided. All disclosures must be provided to the Medicaid <br />agency. <br />(e) Consequences for failure to provide required disclosures. Federal financial participation (FFP) is <br />not available in payments made to a disclosing entity that fails to disclose ownership or control <br />information as required by this section. <br />[76 FR 5967, Feb. 2, 2011] <br />Back to Top <br />§455.105 Disclosure by providers: Information related to business transactions. <br />REV: 01-17-18 RL <br />ATTY/AGR/2018.012/COUNTY OF SAN MATEO <br />