Compliance with Medicaid Laws and Regulations. Subcontractor agrees, and shall ensure Provider agrees to abide by the Medicaid laws, regulations and program instructions to the extent applicable to Subcontractor and Provider in Subcontractor’s and/or Provider’s performance of the Agreement. Subcontractor understands, and shall ensure Provider understands that payment of a claim by United or the State is conditioned upon the claim and the underlying transaction complying with such laws, regulations, and program instructions (including, but not limited to, federal requirements on fraud, waste and abuse, disclosure, debarment, termination and exclusion screening), and is conditioned on the Subcontractor’s and/or Provider’s compliance with all applicable conditions of participation in Medicaid. Subcontractor understands and shall ensure Provider understands and agrees that each claim the Subcontractor and/or Provider submits to United constitutes a certification that the Subcontractor and/or Provider has complied with all applicable Medicaid laws, regulations and program instructions in connection with such claims and the services provided therein. Subcontractor and Provider stipulate that Louisiana law, without regard to its conflict of laws provision, will prevail if there is a conflict between the state law where the material contractor is based and Louisiana law. Subcontractor shall require that Provider agrees that Provider’s payment of a claim will be denied if Provider is terminated or excluded from participation in federal healthcare programs. Subcontractor’s and/or Provider’s payment of a claim may be temporarily suspended if the State or United provides notice that a credible allegation of fraud exists and there is a pending investigation.
Appears in 4 contracts
Samples: ldh.la.gov, ldh.la.gov, ldh.la.gov
