Common use of Access to Records for Medicare/Medicaid Programs Clause in Contracts

Access to Records for Medicare/Medicaid Programs. If the value or cost of services provided under this Agreement will be $10,000 or more within a twelve (12) month period, to the extent that the cost of such service is reimbursable by the Medicare and/or Medicaid Programs, IPA agrees, and shall require IPA Physicians to agree, to comply with the Access to Books, Documents and Records of Subcontractor's provision of Section 952 of the Omnibus Reconciliation Action of 1980 (P.L. 96-499), and 42 C.F.R. Part 420, Sub-part D, Section 420.300 et seq. In accordance with these provisions, IPA will allow and shall require IPA Physicians to allow the Comptroller General of the United States, the Secretary of Health and Human Services, and their duly authorized representatives access and to IPA's or the applicable IPA Physician's, as the case may be, books, documents, and records necessary to certify the nature and extent of such costs of Medicare reimbursable services provided hereunder. Such access will be allowed, upon request, until the expiration of four (4) years after Medicare and/or Medicaid reimbursable services are furnished hereunder. If IPA carries out any of the duties of this Agreement through a subcontract with a related party with a value or cost of $10,000 or more over a twelve (12) month period, such subcontract shall contain a clause which requires the subcontractor to comply with the above statutes and regulations.

Appears in 3 contracts

Samples: Ipa Service Agreement (Wellcare Management Group Inc), Ipa Service Agreement (Wellcare Management Group Inc), Ipa Service Agreement (Wellcare Management Group Inc)

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Access to Records for Medicare/Medicaid Programs. If the value or cost of services provided under this Agreement will be $10,000 or more within a twelve (12) month period, to the extent that the cost of such service is reimbursable by the Medicare and/or Medicaid Programs, IPA agrees, and shall require IPA Physicians to agree, to comply with the Access to Books, Documents and Records of Subcontractor's provision of Section 952 of the Omnibus Reconciliation Action of 1980 (P.L. 96-499), and 42 C.F.R. Part 420, Sub-part D, Section 420.300 et seq. In accordance with these provisions, IPA will allow and shall require IPA Physicians to allow the Comptroller General of the United States, the Secretary of Health and Human Services, and their duly authorized representatives access and to IPA's or the applicable IPA Physician's, as the case may be, books, documents, and records necessary to certify the nature and extent of such costs of Medicare reimbursable services provided hereunder. Such access will be allowed, upon request, until the expiration of four (4) years after Medicare and/or Medicaid reimbursable services are furnished hereunder. If IPA carries out any of the duties of this Agreement through a subcontract with a related party with a value or cost of $10,000 or more over a twelve (12) month period, such subcontract shall contain a clause which requires the subcontractor to comply with the above statutes and regulations.. 3.34

Appears in 1 contract

Samples: Ipa Service Agreement (Wellcare Management Group Inc)

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