Audit and Record Retention. 6.1 Contractor shall maintain proper clinical and fiscal records relating to patients served under the terms of this Contract, as required by the Local Mental Health Director, the State Department of Health Care Services, and all applicable State and Federal statutes and regulations. Patient records shall include but not be limited to admission records, diagnostic studies and evaluations, patient interviews and progress notes, and records of services provided by the various professional personnel. All such records shall be maintained in sufficient detail to make possible an evaluation of services provided and to meet State Department of Health Care Services’ claiming requirements. 6.2 Contractor agrees to maintain and preserve, until three years after termination of (insert agreement number) and final payment from DHCS to the County, to permit DHCS or any duly authorized representative, to have access to, examine or audit any pertinent books, documents, papers and records related to this subcontract and to allow interviews of any employee who might reasonably have information related to such records. 6.3 Contractor agrees to extend to State Department of Health Care Services and to County, and to their respective designees, the right to review and investigate records, programs, and/or procedures, as well as the overall operation of Contractor’s program, during normal business hours with reasonable notice and to allow interviews of any employee who might reasonably have information related to such records. The contracting parties shall be subject to the examination and audit of the State of California Auditor General for a period of ten years after final payment under this Contract. 6.4 Contractor shall allow the County, State, CMS, the Office of the Inspector General, the Comptroller General of the United States, and other authorized federal and state agencies, or their duly authorized designees, to evaluate Contractor’s, and subcontractors’, performance under this Contract, including the quality, appropriateness, and timeliness of services provided, and to inspect, evaluate, and audit any and all records, documents, and the premises, equipment and facilities maintained by the Contractor and its subcontractors pertaining to such services at any time. Contractor shall allow such Inspection, evaluation and audit of Contractor’s documents and facilities, and those of its subcontractors, for 10 years from the term end date of this Contract or in the event the Contractor has been notified that an audit of investigation of this Contract has been commenced, until such time as the matter under audit or investigation has been resolved, including exhaustion of all legal remedies, whichever is later. (42 C.F.R. §§ 438.3(h), 438.230(c)(3)(i-iii).)
Appears in 9 contracts
Samples: Professional Services, Professional Services, Professional Services
Audit and Record Retention. 6.1 Contractor shall maintain proper clinical and fiscal records relating to patients served under the terms of this Contract, as required by the Local Mental Health Director, the State Department of Health Care Services, and all applicable State and Federal statutes and regulations. Patient records shall include but not be limited to admission records, diagnostic studies and evaluations, patient interviews and progress notes, and records of services provided by the various professional personnel. All such records shall be maintained in sufficient detail to make possible an evaluation of services provided and to meet State Department of Health Care Services’ claiming requirements.
6.2 Contractor agrees to maintain and preserve, until three ten years after termination of Professional Services Contract (insert agreement numberPSC) and final payment from DHCS to the County, to permit DHCS or any duly authorized representative, to have access to, examine or audit any pertinent books, documents, papers and records related to this subcontract and to allow interviews of any employee who might reasonably have information related to such records.
6.3 Contractor agrees to extend to State Department of Health Care Services and to County, and to their respective designees, the right to review and investigate records, programs, and/or procedures, as well as the overall operation of Contractor’s program, during normal business hours with reasonable notice and to allow interviews of any employee who might reasonably have information related to such records. The contracting parties shall be subject to the examination and audit of the State of California Auditor General for a period of ten years after final payment under this Contract.
6.4 Contractor shall allow the County, State, CMS, the Office of the Inspector General, the Comptroller General of the United States, and other authorized federal and state agencies, or their duly authorized designees, to evaluate Contractor’s, and subcontractors’, performance under this Contract, including the quality, appropriateness, and timeliness of services provided, and to inspect, evaluate, and audit any and all records, documents, and the premises, equipment and facilities maintained by the Contractor and its subcontractors pertaining to such services at any time. Contractor shall allow such Inspection, evaluation and audit of Contractor’s documents and facilities, and those of its subcontractors, for 10 years from the term end date of this Contract or in the event the Contractor has been notified that an audit of investigation of this Contract has been commenced, until such time as the matter under audit or investigation has been resolved, including exhaustion of all legal remedies, whichever is later. (42 C.F.R. §§ 438.3(h), 438.230(c)(3)(i-438.230(c)(3)(i- iii).)
Appears in 4 contracts
Samples: Professional Services, Professional Services, Professional Services Contract
Audit and Record Retention. 6.1 Contractor shall maintain proper clinical and fiscal records relating to patients served under the terms of this Contract, as required by the Local Mental Health Director, the State Department of Health Care Services, and all applicable State and Federal statutes and regulations. Patient records shall include but not be limited to admission records, diagnostic studies and evaluations, patient interviews and progress notes, and records of services provided by the various professional personnel. All such records shall be maintained in sufficient detail to make possible an evaluation of services provided and to meet State Department of Health Care Services’ claiming requirements.
6.2 Contractor agrees to maintain and preserve, until three years after termination of (insert agreement number) and final payment from DHCS to the County, to permit DHCS or any duly authorized representative, to have access to, examine or audit any pertinent books, documents, papers and records related to this subcontract and to allow interviews of any employee who might reasonably have information related to such records.
6.3 Contractor agrees to extend to State Department of Health Care Services and to County, and to their respective designees, the right to review and investigate records, programs, and/or procedures, as well as the overall operation of Contractor’s program, during normal business hours with reasonable notice and to allow interviews of any employee who might reasonably have information related to such records. The contracting parties shall be subject to the examination and audit of the State of California Auditor General for a period of ten years after final payment under this Contract.
6.4 Contractor shall allow the County, State, CMS, the Office of the Inspector General, the Comptroller General of the United States, and other authorized federal and state agencies, or their duly authorized designees, to evaluate Contractor’s, and subcontractors’, performance under this Contract, including the quality, appropriateness, and timeliness of services provided, and to inspect, evaluate, and audit any and all records, documents, and the premises, equipment and facilities maintained by the Contractor and its subcontractors pertaining to such services at any time. Contractor shall allow such Inspection, evaluation and audit of Contractor’s documents and facilities, and those of its subcontractors, for 10 years from the term end date of this Contract or in the event the Contractor has been notified that an audit of investigation of this Contract has been commenced, until such time as the matter under audit or investigation has been resolved, including exhaustion of all legal remedies, whichever is later. (42 C.F.R. §§ 438.3(h), 438.230(c)(3)(i-iii).)
6.5 Contractor and County mutually agree to maintain the confidentiality of Contractor’s patient records and information, in compliance with all applicable State and Federal statutes and regulations, including but not limited to HIPAA and California Welfare and Institutions Code, Section 5328. Contractor shall inform all of its officers, employees and agents of the confidentiality provisions of all applicable statutes.
6.6 Contractor is responsible for the repayment to County of all audit exceptions and disallowances taken by local, State and Federal agencies, related to activities conducted by Contractor under this Contract. All overpayments shall be returned to the County within 60 calendar days after the date on which the overpayment was identified, or the date any corresponding cost report is due, if applicable. (42 C.F.R. § 438.608, MHSUDS IN 19-034, Public Law 111- 148))
6.7 Contractor’s fiscal records shall contain sufficient data to enable auditors to perform a complete audit and shall be maintained in conformance with the procedures and accounting principles set forth in the State Department of Mental Health, Cost Reporting/Data Collection System.
6.8 Contractor’s statistical records shall be maintained as required by the Local Mental Health Director and the State Department of Health Care Services on forms furnished by the Department or County. All statistical data or information requested by the Local Mental Health Director shall be provided by Contractor in a complete and timely manner.
Appears in 1 contract
Samples: Professional Services
Audit and Record Retention. 6.1 Contractor shall maintain proper clinical and fiscal records relating to patients served under the terms of this Contract, as required by the Local Mental Health Director, the State Department of Health Care Services, and all applicable State and Federal statutes and regulations. Patient records shall include but not be limited to admission records, diagnostic studies and evaluations, patient interviews and progress notes, and records of services provided by the various professional personnel. All such records shall be maintained in sufficient detail to make possible an evaluation of services provided and to meet State Department of Health Care Services’ claiming requirements.
6.2 Contractor agrees to maintain and preserve, until three years after termination of (insert agreement number) and final payment from DHCS to the County, to permit DHCS or any duly authorized representative, to have access to, examine or audit any pertinent books, documents, papers and records related to this subcontract and to allow interviews of any employee who might reasonably have information related to such records.
6.3 Contractor agrees to extend to State Department of Health Care Services and to County, and to their respective designees, the right to review and investigate records, programs, and/or procedures, as well as the overall operation of Contractor’s program, during normal business hours with reasonable notice and to allow interviews of any employee who might reasonably have information related to such records. The contracting parties shall be subject to the examination and audit of the State of California Auditor General for a period of ten years after final payment under this Contract.
6.4 Contractor shall allow the County, State, CMS, the Office of the Inspector General, the Comptroller General of the United States, and other authorized federal and state agencies, or their duly authorized designees, to evaluate Contractor’s, and subcontractors’, performance under this Contract, including the quality, appropriateness, and timeliness of services provided, and to inspect, evaluate, and audit any and all records, documents, and the premises, equipment and facilities maintained by the Contractor and its subcontractors pertaining to such services at any time. Contractor shall allow such Inspection, evaluation and audit of Contractor’s documents and facilities, and those of its subcontractors, for 10 years from the term end date of this Contract or in the event the Contractor has been notified that an audit of investigation of this Contract has been commenced, until such time as the matter under audit or investigation has been resolved, including exhaustion of all legal remedies, whichever is later. (42 C.F.R. §§ 438.3(h), 438.230(c)(3)(i-iii).)
6.5 Contractor and County mutually agree to maintain the confidentiality of Contractor’s patient records and information, in compliance with all applicable State and Federal statutes and regulations, including but not limited to HIPAA and California Welfare and Institutions Code, Section 5328. Contractor shall inform all of its officers, employees and agents of the confidentiality provisions of all applicable statutes.
6.6 Contractor is responsible for the repayment to County of all audit exceptions and disallowances taken by local, State and Federal agencies, related to activities conducted by Contractor under this Contract. All overpayments shall be returned to the County within 60 calendar days after the date on which the overpayment was identified, or the date any corresponding cost report is due, if applicable. (42 C.F.R. § 438.608, MHSUDS IN 19-034, Public Law 111-148))
6.7 Contractor’s fiscal records shall contain sufficient data to enable auditors to perform a complete audit and shall be maintained in conformance with the procedures and accounting principles set forth in the State Department of Mental Health, Cost Reporting/Data Collection System.
6.8 Contractor’s statistical records shall be maintained as required by the Local Mental Health Director and the State Department of Health Care Services on forms furnished by the Department or County. All statistical data or information requested by the Local Mental Health Director shall be provided by Contractor in a complete and timely manner.
Appears in 1 contract
Samples: Professional Services