Access to and Maintenance of Records. Participating Providers hereby agree to the following: the Department of Health and Human Services (“DHHS”), the Comptroller General, or their designee may evaluate, through inspection or other means: (a) the quality, appropriateness, and timeliness of services furnished to Members; and (b) the facility where services are provided. Participating Providers further agree that DHHS, the Comptroller General, or their designees may audit, evaluate, or inspect any books, contracts, medical records, patient care documentation, and other records of Participating Providers (or its assignee) that pertain to any aspect of services performed, reconciliation of benefit liabilities, and determination of amounts payable under CMS Contract, or as the Secretary of the DHHS may deem necessary to enforce the CMS Contract. Participating Providers agree to make available, for the purposes specified in this Section, their premises, physical facilities and equipment, records relating to Members, and any additional relevant information that CMS may require. Participating Providers further agree that DHHS, the Comptroller General, or their designee’s right to inspect, evaluate, and audit extends through ten (10) years from the final date of the contract period of CMS Contract or completion of any audit, whichever is later. [42 C.F.R. § 422.504(i).] Participating Providers agree to maintain records to the extent necessary to comply with the foregoing.
Appears in 4 contracts
Samples: In Agreement, Provider Participation Agreement, Provider Participation Agreement
