Extract to table

4 of the Meridian Shield agreement contains an express change-of-control consent requirement, providing that the agreement may not be assigned, and that any direct or indirect change of control of the provider entity shall require Meridian Shield's prior written consent

4(a) of the Meridian Agreement provides: "This Agreement may not be assigned by Provider, and no change of control of Provider shall be effective for purposes of this Agreement, without the prior written consent of Plan

4(b) provides a standalone anti-assignment clause: "Provider shall not assign, transfer, delegate, or subcontract any of its rights or obligations under this Agreement without the prior written consent of Plan

Any purported assignment in violation of this Section shall be null and void

The agreement contains quality metrics tied to reimbursement: LRHP must maintain a minimum HEDIS quality score of 3

We note that CMS change-of-ownership processes can take 60 to 120 days and must be coordinated with the NY DOH and PA DOH regulatory approval process