Access to Provider Records. The PH-MCO’s Fraud, Waste and Abuse policies and procedures must provide and certify that the PH-MCO’s Fraud, Waste and Abuse unit as well as the entire Department, and the Pennsylvania Office of Attorney General Medicaid Fraud Control Section has timely access to records of Network Providers and the PH-MCOs, as outlined in this Agreement.
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Access to Provider Records. The PH-MCO’s Fraud, Waste Xxxxx and Abuse policies and procedures must provide and certify that the PH-MCO’s Fraud, Waste and Abuse unit as well as the entire Department, and the Pennsylvania Office of Attorney General Medicaid Fraud Control Section has timely access to records of Network Providers and the PH-MCOs, as outlined in this Agreement.General
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Access to Provider Records. The PH-MCO’s Fraud, Waste and Abuse policies and procedures must provide and certify that the PH-MCO’s Fraud, Waste and Abuse unit as well as the entire Department, and the Pennsylvania Office of Attorney General Medicaid Fraud Control Section has timely access to records of Network Providers and the PH-MCOs, as outlined in this Agreement.General
Appears in 1 contract
Samples: Healthchoices Agreement
Access to Provider Records. The PH-MCO’s Fraud, Waste and Abuse policies and procedures must provide and certify that the PH-MCO’s Fraud, Waste and Abuse unit as well as the entire Department, and the Pennsylvania Office of Attorney General Medicaid Fraud Control Section has and their third-party designees, including CMS Contractors have timely access to records of Network Providers Providers, Subcontractors, and the PH-PH- MCOs, as outlined in this Agreement.
Appears in 1 contract
Samples: Healthchoices Agreement