Administrative Review Activities. Healthcare Authority, the Department of Social and Health Services, Office of the State Auditor, the Department of Health and Human Services, Centers for Medicare and Medicaid Services, the Comptroller General, Great Rivers or any of their duly-authorized representatives, may conduct announced and unannounced: Surveys, audits and reviews of compliance with licensing and certification requirements and the terms of this Agreement; Reviews regarding the quality, appropriateness, and timeliness of behavioral health services provided under this Agreement; Audits and inspections of financial records of the Contractor or subcontractor; Audits and inspection of any books, records, computers, or electronic systems of the Contractor and of any subcontractor, that pertain to the ability of the entity to bear the risk of potential financial losses, or to services performed or determinations of amounts payable under the contract per Section 1903(m)(A)(iv) of the Social Security Act; and On-site inspections of any contractor and subcontractor locations.
Appears in 2 contracts
Samples: Great Rivers Bho Provider Contract, lf.greatriversbho.org
Administrative Review Activities. Healthcare Authority, the The Department of Social and Health Services, Office of the State Auditor, the Department of Health and Human Services, Centers for Medicare and Medicaid Services, the Comptroller General, Great Rivers or any of their duly-authorized representatives, may conduct announced and unannounced: Surveys, audits and reviews of compliance with licensing and certification requirements and the terms of this Agreement; Reviews regarding the quality, appropriateness, and timeliness of behavioral health services provided under this Agreement; Audits and inspections of financial records of the Contractor or subcontractor; Audits and inspection of any books, records, computers, or electronic systems of the Contractor and of any subcontractor, that pertain to the ability of the entity to bear the risk of potential financial losses, or to services performed or determinations of amounts payable under the contract per Section 1903(m)(A)(iv1903(m)(2)(A)(iv) of the Social Security Act; and On-site inspections of any contractor and subcontractor locations.
Appears in 1 contract
Samples: lf.greatriversbho.org
Administrative Review Activities. Healthcare Authority, the Department of Social and Health Services, Office of the State Auditor, the Department of Health and Human Services, Centers for Medicare and Medicaid Services, the Comptroller General, Great Rivers or any of their duly-authorized representatives, may conduct announced and unannounced: • Surveys, audits and reviews of compliance with licensing and certification requirements and the terms of this Agreement; • Reviews regarding the quality, appropriateness, and timeliness of behavioral health services provided under this Agreement; • Audits and inspections of financial records of the Contractor or subcontractor; • Audits and inspection of any books, records, computers, or electronic systems of the Contractor and of any subcontractor, that pertain to the ability of the entity to bear the risk of potential financial losses, or to services performed or determinations of amounts payable under the contract per Section 1903(m)(A)(iv) of the Social Security Act; and • On-site inspections of any contractor and subcontractor locations.
Appears in 1 contract
Samples: lf.greatriversbho.org
Administrative Review Activities. Healthcare Authority, the The Department of Social and Health Services, Office of the State Auditor, the Department of Health and Human Services, Centers for Medicare and Medicaid Services, the Comptroller General, Great Rivers or any of their duly-authorized representatives, may conduct announced and unannounced: • Surveys, audits and reviews of compliance with licensing and certification requirements and the terms of this Agreement; • Reviews regarding the quality, appropriateness, and timeliness of behavioral health services provided under this Agreement; • Audits and inspections of financial records of the Contractor or subcontractor; • Audits and inspection of any books, records, computers, or electronic systems of the Contractor and of any subcontractor, that pertain to the ability of the entity to bear the risk of potential financial losses, or to services performed or determinations of amounts payable under the contract per Section 1903(m)(A)(iv) of the Social Security Act; and • On-site inspections of any contractor and subcontractor locations.
Appears in 1 contract
Samples: Great Rivers Bho Provider Contract