Duty to Cooperate with Oversight Agencies. The PH-MCO and its employees must cooperate fully with oversight agencies responsible for Fraud, Xxxxx and Abuse detection, investigation, and prosecution activities. Such agencies include, but are not limited to, the Department’s BPI, Governor’s Office of the Budget, Office of Attorney General’s Medicaid Fraud Control Section, the Pennsylvania State Inspector General, the DHHS Office of Inspector General, CMS, the United States Attorney’s Office/ Justice Department and the Federal Bureau of Investigations. Such cooperation must include providing access to all necessary case information, computer files, and appropriate staff. In addition, such cooperation will include participating in periodic Fraud, Waste and Abuse training sessions, meetings, and joint reviews of subcontracted Providers or Members.
Appears in 2 contracts
Samples: Grant Agreement, Healthchoices Agreement
Duty to Cooperate with Oversight Agencies. The PHCHC-MCO and its employees must cooperate fully with oversight agencies responsible for Fraud, Xxxxx Waste and Abuse detection, investigation, and prosecution activities. Such agencies include, but are not limited to, the Department’s BPI, Governor’s Office of the Budget, Pennsylvania Office of Attorney General’s Medicaid Fraud Control Section, Pennsylvania Department of the Auditor General, Pennsylvania State Treasury Department, Pennsylvania Office of Inspector General, the US DHHS Office of Inspector General, CMS, the United States Attorney’s Office/ Office/Justice Department and the Federal Bureau of Investigations. Such cooperation must include providing access to all necessary case information, computer files, and appropriate staff. In addition, such cooperation will include participating in periodic Fraud, Waste and Abuse training sessions, meetings, and joint reviews of subcontracted Providers or MembersParticipants.
Appears in 2 contracts
Samples: Community Healthchoices Agreement, Community Healthchoices Agreement
Duty to Cooperate with Oversight Agencies. The PH-MCO and its employees must cooperate fully with oversight agencies responsible for Fraud, Xxxxx and Abuse detection, investigation, and prosecution activities. Such agencies include, but are not limited to, the Department’s BPI, Governor’s Office of the Budget, Office of Attorney General’s Medicaid Fraud Control Section, the Pennsylvania State Inspector General, the DHHS Office of Inspector General, CMS, and the United States Attorney’s Office/ Justice Department and the Federal Bureau of Investigations. Such cooperation must include providing access to all necessary case information, computer files, and appropriate staff. In addition, such cooperation will include participating in periodic Fraud, Waste and Abuse training sessions, meetings, and joint reviews of subcontracted Providers or Members.
Appears in 1 contract
Samples: Healthchoices Agreement
Duty to Cooperate with Oversight Agencies. The PH-MCO and its employees must cooperate fully with oversight agencies responsible for Fraud, Xxxxx Waste and Abuse detection, investigation, and prosecution activities. Such agencies include, but are not limited to, the Department’s BPI, Governor’s Office of the Budget, Pennsylvania Office of Attorney General’s Medicaid Fraud Control Section, the Pennsylvania State Inspector General, the DHHS Office of Inspector General, CMS, the United States Attorney’s Office/ Justice Department and the Federal Bureau of Investigations. Such cooperation must include providing access to all necessary case information, computer files, and appropriate staff. In addition, such cooperation will include participating in periodic Fraud, Waste and Abuse training sessions, meetings, and joint reviews of subcontracted Providers or Members.
Appears in 1 contract
Samples: Healthchoices Agreement