Additional Requirements 277 Sample Clauses
Additional Requirements 277. 2.1.6.10.1. In accordance with Section 1902(a)(68) of the Social Security Act, STAR+PLUS MMPs and their First Tier, Downstream, and Related Entities that receive or make annual Medicaid payments of at least $ 5 million must: 277
2.1.6.10.1.1. Establish written polices for all employees, managers, officers, contractors, First Tier, Downstream, and Related Entities, and agents of the STAR+PLUS MMP or First Tier, Downstream, and Related Entities which provide detailed information about the False Claims Act, administrative remedies for false Claims and statements, and State laws pertaining to civil or criminal penalties for false Claims, and whistleblower protections under such laws, as described in Section 1902(a)(68)(A) of the Act. 277
2.1.6.10.1.2. Include as part of such written policies, detailed provisions regarding the STAR+PLUS MMP or First Tier’s, Downstream’s and Related Entities’ policies and procedures for detecting and preventing Fraud, Waste, and Abuse. 277
2.1.6.10.1.3. Include in any employee handbook a specific discussion of the laws described in Section 1902(a)(68)(A) of the Act, the rights of employees to be protected as whistleblowers, and the STAR+PLUS MMP’s or First Tier’s, Downstream’s and Related Entities’ policies and procedures for detecting and preventing Fraud, Waste, and Abuse. 277
