Common use of Audit and Inspection Clause in Contracts

Audit and Inspection. 6.1 PROVIDER shall keep such records as are necessary to disclose fully the extent of service provided to SoonerCare member/service recipients and shall furnish records and information regarding any claim for providing such service to OKDHS, OHCA, the Oklahoma Attorney General’s Medicaid Fraud Control Unit (MFCU hereafter), and the U.S. Secretary of Health and Human Services (Secretary hereafter) for six years from the date of provision. PROVIDER shall not destroy nor dispose of records, which are under audit, review or investigation when the six-year limitation is met. PROVIDER shall maintain such records until informed in writing by the auditing, reviewing or investigating agency that the audit, review or investigation is complete. 6.2 Authorized representatives of OKDHS, OHCA, MFCU, and the Secretary shall have the right to make physical inspection of PROVIDER’s place of business and to examine records relating to financial statements or claims submitted by PROVIDER under this Agreement and to audit PROVIDER’s financial records as provided by 42 C.F.R. § 431.107. 6.3 Pursuant to 74 O.S. § 85.41, OKDHS, OHCA and the Oklahoma State Auditor and Inspector shall have the right to examine PROVIDER’s books, records, documents, accounting procedures, practices, or any other items relevant to this Agreement. 6.4 PROVIDER shall provide OHCA with information concerning PROVIDER’s ownership in accordance with 42 CFR § 455.100 et. seq. This Agreement shall not be effective until OHCA receives the ownership information. Ownership information shall be provided to OHCA at each Agreement renewal and within twenty days of any change in ownership. Ownership information is critical for determining whether a person with an ownership interest has been convicted of a program-related crime under Titles V, XVIII, XIX, XX and XXI of the federal Social Security Act, 42 USC § 301 et seq. PROVIDER shall also furnish ownership information to OKDHS and OHCA upon its request. 6.5 PROVIDER shall submit, within thirty-five days of a request by OKDHS, OHCA, MFCU, or the Secretary, all documents, as defined by 12 O. S. § 3234, in its possession, custody, or control concerning (i) the ownership of any subcontractor with whom PROVIDER has had business transactions totaling more than twenty-five thousand dollars during the twelve months preceding the date of the request or (ii) any significant business transactions between PROVIDER and any wholly owned supplier or between PROVIDER and any subcontractor during the five years preceding the date of the request.

Audit and Inspection. 6.1 As required under 42 CFR 431.107, PROVIDER shall keep such records as are necessary to disclose fully the extent of service services provided to SoonerCare member/service Medicaid recipients and shall furnish records and information regarding any claim for providing such service to OKDHS, OHCA, the Oklahoma Attorney General’s Medicaid Fraud Control Unit (MFCU hereafter), and the U.S. Secretary of Health and Human Services (Secretary hereafter) for six years from the date of provision. PROVIDER shall not destroy nor or dispose of records, which are under audit, review or investigation when the six-year limitation is met. PROVIDER shall maintain such records until informed in writing by the auditing, reviewing or investigating agency that the audit, review or investigation is complete. 6.2 Authorized representatives of OKDHS, OHCA, MFCU, and the Secretary shall have the right to make physical inspection of PROVIDER’s place of business and to examine records relating to financial statements or claims submitted by PROVIDER under this Agreement and to audit PROVIDER’s financial records as provided by 42 C.F.R. § 431.107. 6.3 Pursuant to 74 O.S. Okla. Stat. § 85.41, OKDHS, OHCA and the Oklahoma State Auditor and Inspector shall have the right to examine PROVIDER’s books, records, documents, accounting procedures, practices, or any other items relevant to this Agreement. 6.4 PROVIDER shall provide OHCA with information concerning PROVIDER’s ownership in accordance with 42 CFR C.F.R. § 455.100 et. seq. This Agreement shall not be effective until OHCA receives the ownership information. Ownership information shall be provided to OHCA at each Agreement renewal and within twenty days of any change in ownership. Ownership information is critical for determining whether a person with an ownership interest has been convicted of a program-related crime under Titles V, XVIII, XIX, XX and XXI of the federal Social Security Act, 42 USC U.S.C. § 301 et seq. PROVIDER shall also furnish ownership information to OKDHS and OHCA upon its request. 6.5 PROVIDER shall submit, within thirty-five days of a request by OKDHS, OHCA, MFCU, or the Secretary, all documents, as defined by 12 O. S. Okla. Stat. § 3234, in its possession, custody, or control concerning (i) the ownership of any subcontractor with whom PROVIDER has had business transactions totaling more than twenty-five thousand dollars during the twelve months preceding the date of the request request, or (ii) any significant business transactions between PROVIDER and any wholly owned supplier or between PROVIDER and any subcontractor during the five years preceding the date of the request.

Audit and Inspection. 6.1 PROVIDER As required under 42 CFR 431.107, GROUP shall keep such records as are necessary to disclose fully the extent of service services provided to SoonerCare member/service recipients members and shall furnish records and information regarding any claim for providing such service to OKDHS, OHCA, the Oklahoma Attorney General’s Medicaid Fraud Control Unit (MFCU hereafter), and the U.S. Secretary of Health and Human Services (Secretary hereafter) ). GROUP agrees to keep records to disclose the services it provides for six years from the date of provisionservice. PROVIDER GROUP shall not destroy nor or dispose of records, which are under audit, review or investigation when the six-year limitation is met. PROVIDER GROUP shall maintain such records until informed in writing by the auditing, reviewing or investigating agency that the audit, review or investigation is complete. 6.2 Authorized representatives of OKDHS, OHCA, MFCU, and the Secretary shall have the right to make physical inspection of PROVIDERGROUP’s place of business and to examine records relating to financial statements or claims submitted by PROVIDER GROUP under this Agreement and to audit PROVIDERGROUP’s financial records as provided by 42 C.F.R. CFR § 431.107. If GROUP fails to submit records to OHCA or its agent within reasonable specified timeframes, all SoonerCare payments to GROUP may be suspended until records are submitted. 6.3 Pursuant to 74 O.S. § 85.41, OKDHS, OHCA and the Oklahoma State Auditor and Inspector shall have the right to examine PROVIDER’s books, records, documents, accounting procedures, practices, or any other items relevant to this Agreement. 6.4 PROVIDER GROUP shall provide OHCA with information concerning PROVIDERGROUP’s ownership in accordance with 42 CFR C.F.R. § 455.100 et. seq. This Agreement shall not be effective until OHCA receives the ownership informationinformation requested in the Disclosure of Ownership and Controlling Interest Form which is attached to and made part of this Agreement. Ownership information shall be provided to OHCA at each Agreement renewal and within twenty days of any change in ownership. Ownership information is critical for determining whether a person with an ownership interest has been convicted of a program-related program- crime under Titles V, XVIII, XIX, XX and XXI of the federal Social Security Act, 42 USC U.S.C. § 301 et seq. PROVIDER GROUP shall also furnish ownership information to OKDHS and OHCA upon its request. 6.4 Pursuant to 74 OS § 85.41, OHCA and the Oklahoma State Auditor and Inspector shall have the right to examine GROUP’s books, records, documents, accounting procedures, practices, or any other items relevant to this Agreement. 6.5 PROVIDER GROUP shall submit, within thirty-five days of a request by OKDHS, OHCA, MFCU, or the Secretary, all documents, as defined by 12 O. S. OS § 3234, in its possession, custody, or control concerning (i) the ownership of any subcontractor with whom PROVIDER GROUP has had business transactions totaling more than twenty-five thousand dollars during the twelve months preceding the date of the request or (ii) any significant business transactions between PROVIDER and any wholly owned supplier or between PROVIDER and any subcontractor during the five years preceding the date of the request., or

Audit and Inspection. 6.1 PROVIDER shall keep such records as are necessary to disclose fully the extent of service provided to SoonerCare member/service Medicaid recipients and shall furnish records and information regarding any claim for providing such service to OKDHS, OHCA, the Oklahoma Attorney General’s Medicaid Fraud Control Unit (MFCU hereafter), and the U.S. Secretary of Health and Human Services (Secretary hereafter) for six years from the date of provision. PROVIDER shall not destroy nor dispose of records, which are under audit, review or investigation when the six-year limitation is met. PROVIDER shall maintain such records until informed in writing by the auditing, reviewing or investigating agency that the audit, review or investigation is complete. 6.2 Authorized representatives of OKDHS, OHCA, MFCU, and the Secretary shall have the right to make physical inspection of PROVIDER’s place of business and to examine records relating to financial statements or claims submitted by PROVIDER under this Agreement and to audit PROVIDER’s financial records as provided by 42 C.F.R. § 431.107. 6.3 Pursuant to 74 O.S. § 85.41, OKDHS, OHCA and the Oklahoma State Auditor and Inspector shall have the right to examine PROVIDER’s books, records, documents, accounting procedures, practices, or any other items relevant to this Agreement. 6.4 PROVIDER shall provide OHCA with information concerning PROVIDER’s ownership in accordance with 42 CFR § 455.100 et. seq. This Agreement shall not be effective until OHCA receives the ownership information. Ownership information shall be provided to OHCA at each Agreement renewal and within twenty days of any change in ownership. Ownership information is critical for determining whether a person with an ownership interest has been convicted of a program-related crime under Titles V, XVIII, XIX, XX and XXI of the federal Social Security Act, 42 USC § 301 et seq. PROVIDER shall also furnish ownership information to OKDHS and OHCA upon its request. 6.5 PROVIDER shall submit, within thirty-five days of a request by OKDHS, OHCA, MFCU, or the Secretary, all documents, as defined by 12 O. S. § 3234, in its possession, custody, or control concerning (i) the ownership of any subcontractor with whom PROVIDER has had business transactions totaling more than twenty-five thousand dollars during the twelve months preceding the date of the request or (ii) any significant business transactions between PROVIDER and any wholly owned supplier or between PROVIDER and any subcontractor during the five years preceding the date of the request.

Audit and Inspection. 6.1 PROVIDER shall keep such records as are necessary to disclose fully the extent of service provided to SoonerCare member/service Medicaid recipients and shall furnish records and information regarding any claim for providing such service to OKDHS, OHCA, the Oklahoma Attorney General’s Medicaid Fraud Control Unit (MFCU hereafter), and the U.S. Secretary of Health and Human Services (Secretary hereafter) for six years from the date of provision. PROVIDER shall not destroy nor dispose of records, which are under audit, review or investigation when the six-year limitation is met. PROVIDER shall maintain such records until informed in writing by the auditing, reviewing or investigating agency that the audit, review or investigation is complete. 6.2 Authorized representatives of OKDHS, OHCA, MFCU, and the Secretary shall have the right to make physical inspection of PROVIDER’s place of business and to examine records relating to financial statements or claims submitted by PROVIDER under this Agreement and to audit PROVIDER’s financial records as provided by 42 C.F.R. CFR § 431.107. 6.3 Pursuant to 74 O.S. Ok Stat § 85.41, OKDHS, OHCA and the Oklahoma State Auditor and Inspector shall have the right to examine PROVIDER’s books, records, documents, accounting procedures, practices, or any other items relevant to this Agreement. 6.4 PROVIDER shall provide OHCA with information concerning PROVIDER’s ownership in accordance with 42 CFR § 455.100 et. seq. This Agreement shall not be effective until OHCA receives the ownership information. Ownership information shall be provided to OHCA at each Agreement renewal and within twenty days of any change in ownership. Ownership information is critical for determining whether a person with an ownership interest has been convicted of a program-related crime under Titles V, XVIII, XIX, XX and XXI of the federal Social Security Act, 42 USC § 301 et seq. PROVIDER shall also furnish ownership information to OKDHS and OHCA upon its request. 6.5 PROVIDER shall submit, within thirty-five days of a request by OKDHS, OHCAXXXX, MFCU, or the Secretary, all documents, as defined by 12 O. S. Ok Stat § 3234, in its possession, custody, or control concerning (i) the ownership of any subcontractor with whom PROVIDER has had business transactions totaling more than twenty-five thousand dollars during the twelve months preceding the date of the request or (ii) any significant business transactions between PROVIDER and any wholly owned supplier or between PROVIDER and any subcontractor during the five years preceding the date of the request.concerning

Audit and Inspection. 6.1 PROVIDER shall keep such records as are necessary to disclose fully the extent of service provided to SoonerCare member/service recipients members and shall furnish records and information regarding any claim for providing such service to OKDHS, OHCA, the Oklahoma Attorney General’s Medicaid Fraud Control Unit (MFCU hereafter), and the U.S. Secretary of Health and Human Services (Secretary hereafter) for six years from the date of provision. PROVIDER shall not destroy nor dispose of records, which are under audit, review or investigation when the six-year limitation is met. PROVIDER shall maintain such records until informed in writing by the auditing, reviewing or investigating agency that the audit, review or investigation is complete. 6.2 Authorized representatives of OKDHS, OHCA, MFCU, and the Secretary shall have the right to make physical inspection of PROVIDER’s place of business and to examine records relating to financial statements or claims submitted by PROVIDER under this Agreement and to audit PROVIDER’s financial records as provided by 42 C.F.R. § 431.107. 6.3 Pursuant to 74 O.S. § 85.41, OKDHS, OHCA and the Oklahoma State Auditor and Inspector shall have the right to examine PROVIDER’s books, records, documents, accounting procedures, practices, or any other items relevant to this Agreement. 6.4 PROVIDER shall provide OHCA with information concerning PROVIDER’s ownership in accordance with 42 CFR § 455.100 et. seq. This Agreement shall not be effective until OHCA receives the ownership information. Ownership information shall be provided to OHCA at each Agreement renewal and within twenty days of any change in ownership. Ownership information is critical for determining whether a person with an ownership interest has been convicted of a program-related crime under Titles V, XVIII, XIX, XX and XXI of the federal Social Security Act, 42 USC § 301 et seq. PROVIDER shall also furnish ownership information to OKDHS and OHCA upon its request. 6.5 PROVIDER shall submit, within thirty-five days of a request by OKDHS, OHCAXXXX, MFCU, or the Secretary, all documents, as defined by 12 O. S. § 3234, in its possession, custody, or control concerning (i) the ownership of any subcontractor with whom PROVIDER has had business transactions totaling more than twenty-five thousand dollars during the twelve months preceding the date of the request or (ii) any significant business transactions between PROVIDER and any wholly owned supplier or between PROVIDER and any subcontractor during the five years preceding the date of the request.

Audit and Inspection. 6.1 As required under 42 CFR 431.107, PROVIDER shall keep such records as are necessary to disclose fully the extent of service services provided to SoonerCare member/service recipients Members and shall furnish records and information regarding any claim for providing such service to OKDHS, OHCA, the Oklahoma Attorney General’s Medicaid Fraud Control Unit (MFCU hereafter), and the U.S. Secretary of Health and Human Services (Secretary hereafter) ). PROVIDER agrees to keep records to disclose the services it provides for six seven years from the date of provisionservice. PROVIDER shall not destroy nor or dispose of records, which are under audit, review or investigation when the sixseven-year limitation is met. PROVIDER shall maintain such records until informed in writing by the auditing, reviewing or investigating agency that the audit, review or investigation is complete. 6.2 Authorized representatives of OKDHS, OHCA, MFCU, and the Secretary shall have the right to make physical inspection of PROVIDER’s place of business and to examine records relating to financial statements or claims submitted by PROVIDER under this Agreement and to audit PROVIDER’s financial records as provided by 42 C.F.R. CFR § 431.107. If PROVIDER fails to submit records to OHCA or its agent within reasonable specified timeframes, all SoonerCare payments to PROVIDER may be suspended until records are submitted. 6.3 Pursuant to 74 O.S. Okla. Stat. § 85.41, OKDHS, OHCA and the Oklahoma State Auditor and Inspector shall have the right to examine PROVIDER’s books, records, documents, accounting procedures, practices, or any other items relevant to this Agreement. 6.4 PROVIDER shall provide OHCA with information concerning PROVIDER’s ownership in accordance with 42 CFR § 455.100 et. seq. This Agreement shall not be effective until OHCA receives the ownership information. Ownership information shall be provided to OHCA at each Agreement renewal and within twenty days of any change in ownership. Ownership information is critical for determining whether a person with an ownership interest has been convicted of a program-related crime under Titles V, XVIII, XIX, XX and XXI of the federal Social Security Act, 42 USC § 301 et seq. PROVIDER shall also furnish ownership information to OKDHS and OHCA upon its request. 6.5 PROVIDER shall submit, within thirty-five days of a request by OKDHS, OHCAXXXX, MFCU, or the Secretary, all documents, as defined by 12 O. S. Okla. Stat. § 3234, in its possession, custody, or control concerning (i) the ownership of any subcontractor with whom PROVIDER has had business transactions totaling more than twenty-five thousand dollars during the twelve months preceding the date of the request request, or (ii) any significant business transactions between PROVIDER and any wholly owned supplier or between between 6.5 If PROVIDER is an entity other than an individual person, PROVIDER shall provide OHCA with information concerning PROVIDER’s ownership in accordance with 42 CFR § 455.100 et. seq. PROVIDER agrees to update its Provider Information within twenty (20) days of any change in ownership. Ownership information is critical for determining whether a person with an ownership interest has been convicted of a program- crime under Titles V, XVIII, XIX, XX and any subcontractor during the five years preceding the date XXI of the federal Social Security Act, 42 USC § 301 et seq. PROVIDER shall also furnish ownership information to OHCA upon further request.

Audit and Inspection. 6.1 A required under CFR 431.107, PROVIDER shall keep such records as are necessary to disclose fully the extent of service provided to SoonerCare member/service recipients members and shall furnish records and information regarding any claim for providing such service to OKDHS, OHCA, the Oklahoma Attorney General’s Medicaid Fraud Control Unit (MFCU hereafter), and the U.S. Secretary of Health and Human Services (Secretary hereafter) for six years from the date of provision. PROVIDER shall not destroy nor dispose of records, which are under audit, review or investigation when the six-six- year limitation is met. PROVIDER shall maintain such records until informed in writing by the auditing, reviewing or investigating agency that the audit, review or investigation is complete. 6.2 Authorized representatives of OKDHS, OHCA, MFCU, and the Secretary shall have the right to make physical inspection of PROVIDER’s place of business and to examine records relating to financial statements or claims submitted by PROVIDER under this Agreement and to audit PROVIDER’s financial records as provided by 42 C.F.R. CFR § 431.107. 6.3 Pursuant to 74 O.S. § 85.41, OKDHS, OHCA and the Oklahoma State Auditor and Inspector shall have the right to examine PROVIDER’s books, records, documents, accounting procedures, practices, or any other items relevant to this Agreement. 6.4 PROVIDER shall provide OHCA with information concerning PROVIDER’s ownership in accordance with 42 CFR § 455.100 et. seq. This Agreement shall not be effective until OHCA receives the ownership information. Ownership information shall be provided to OHCA at each Agreement renewal and within twenty days of any change in ownership. Ownership information is critical for determining whether a person with an ownership interest has been convicted of a program-related crime under Titles V, XVIII, XIX, XX and XXI of the federal Social Security Act, 42 USC § 301 et seq. PROVIDER shall also furnish ownership information to OKDHS and OHCA upon its request. 6.5 PROVIDER shall submit, within thirty-five days of a request by OKDHS, OHCAXXXX, MFCU, or the Secretary, all documents, as defined by 12 O. S. O.S. § 3234, in its possession, custody, or control concerning (i) the ownership of any subcontractor with whom PROVIDER has had business transactions totaling more than twenty-five thousand dollars during the twelve months preceding the date of the request or (ii) any significant business transactions between PROVIDER and any wholly owned supplier or between PROVIDER and any subcontractor during the five years preceding the date of the request.

Audit and Inspection. 6.1 PROVIDER shall keep such records as are necessary to disclose fully the extent of service provided to SoonerCare member/service recipients members and shall furnish records and information regarding any claim for providing such service to OKDHS, OHCA, the Oklahoma Attorney General’s Medicaid Fraud Control Unit (MFCU hereafter), and the U.S. Secretary of Health and Human Services (Secretary hereafter) for six years from the date of provision. PROVIDER shall not destroy nor dispose of records, which are under audit, review or investigation when the six-year limitation is met. PROVIDER shall maintain such records until informed in writing by the auditing, reviewing or investigating agency that the audit, review or investigation is complete. 6.2 Authorized representatives of OKDHS, OHCA, MFCU, and the Secretary shall have the right to make physical inspection of PROVIDER’s place of business and to examine records relating to financial statements or claims submitted by PROVIDER under this Agreement and to audit PROVIDER’s financial records as provided by 42 C.F.R. CFR § 431.107. 6.3 Pursuant to 74 O.S. § 85.41, OKDHS, OHCA and the Oklahoma State Auditor and Inspector shall have the right to examine PROVIDER’s books, records, documents, accounting procedures, practices, or any other items relevant to this Agreement. 6.4 PROVIDER shall provide OHCA with information concerning PROVIDER’s ownership in accordance with 42 CFR § 455.100 et. et seq. This Agreement shall not be effective until OHCA receives the ownership information. Ownership information shall be provided to OHCA at each Agreement renewal and within twenty days of any change in ownership. Ownership information is critical for determining whether a person with an ownership interest has been convicted of a program-related crime under Titles V, XVIII, XIX, XX and XXI of the federal Social Security Act, 42 USC § 301 et seq. PROVIDER shall also furnish ownership information to OKDHS and OHCA upon its request. 6.5 PROVIDER shall submit, within thirty-five days of a request by OKDHS, OHCAXXXX, MFCU, or the Secretary, all documents, as defined by 12 O. S. § 3234, in its possession, custody, or control concerning (i) the ownership of any subcontractor with whom PROVIDER has had business transactions totaling more than twenty-five thousand dollars during the twelve months preceding the date of the request or (ii) any significant business transactions between PROVIDER and any wholly owned supplier or between PROVIDER and any subcontractor during the five years preceding the date of the request.