Excluded Individuals. By signing the Agreement, Provider certifies to the best of Provider’s knowledge and belief that neither it nor any of its principals, nor any providers, subcontractors or consultants with whom Provider contracts for the provision of items or services that are significant and material to Provider’s obligations under the Agreement is:
(a) excluded from participation in federal health care programs under either Section 1128 or Section 1128A of the Social Security Act; or
(b) debarred, suspended or otherwise excluded from participating in procurement activities under the Federal Acquisition Regulation or from participating in non- procurement activities under regulations issued under Executive Order No. 12549 or under guidelines implementing Executive Order No. 12549; or an affiliate, as defined in the Federal Acquisition Regulation, of such a person. Provider is obligated to screen its employees and contractors to determine whether any of them have been debarred or excluded from participation in Medicare, Medicaid, CHIP, or any Federal Health Care Programs (as defined in Section 1128B(f) of the Social Security Act). Provider shall not employ or contract with an individual or entity that has been excluded. Provider shall immediately report to Subcontractor any exclusion information discovered. Provider acknowledges and agrees that civil monetary penalties may be imposed against Provider if he or she employs or enters into contracts with excluded individuals or entities to provide items or Covered Services. Provider can search the HHS-OIG website, at no cost, by the names of any individuals or entities. The database is called LEIE and can be accessed at xxxx://xxx.xxx.xxx.xxx/fraud/xxxxxxxxxx.xxx. Federal and State exclusion databases must be reviewed monthly to ensure that no employee or contractor has been excluded. Subcontractor must exclude from its network any provider who has been excluded from the Medicare, Medicaid or CHIP program in any state.
Excluded Individuals. Neither Vendor nor United shall employ or contract any individual or entity (a) excluded from participation in Medicare or a state health care program or (b) any entity that employs or contracts with such an individual or entity to provide services under this Agreement.
Excluded Individuals entities. Contractor shall ensure that all current and prospective employees and Subcontractors are screened prior to engaging their services under this Contract and at least monthly thereafter, by:
9.1.32.1 requiring current and prospective employees and Subcontractors to disclose whether they are excluded individuals/entities; and
9.1.32.2 reviewing the list of sanctioned Persons maintained by the OIG, the Federal CMS Data Exchange System (DEX), the excluded parties list system maintained by the U.S. General Services Administration, or any other such database that is required by State or federal law.
Excluded Individuals. Notwithstanding the eligibility criteria in paragraph 16, the following persons are excluded from the populations described above. Hoosier Healthwise Program Persons eligible for Medicaid exclusively through categories other than those listed above in Table 2. Individuals eligible for Medicare. Healthy Indiana Plan Individuals otherwise eligible for Medicare or Medicaid. Individuals who have access to an employer-sponsored health plan. Individuals who are currently enrolled in a health insurance program.
Excluded Individuals. Participating Provider shall not employ or contract with any individual excluded from participation in the Medicare Program. Participating Provider hereby represents and warrants that no such excluded person currently is employed by or under contract with Participating Provider for the fulfillment of obligations hereunder.
Excluded Individuals. PROVIDER shall inform MHACO and Payor immediately if PROVIDER is excluded from participation in any Federal health care program as defined in 42 USC 1320a-7b(f). Further, PROVIDER shall not employ or contract with any individual or entity who is excluded from participating in Medicare under Sections 1128 or 1128A of the Social Security Act (or with an entity that employs or contracts with such and individual or entity) for the provision of any Medicare Services under this Addendum, including but not limited to, (i) health care services; (ii) utilization review; (iii) medical social work; or (iv) administrative services.
Excluded Individuals. Fitness Center represents and warrants that Fitness Center or any person who owns more than five percent (5%) of Fitness Center are not excluded from participation in a federal or state healthcare program, including but not limited to, Medicare and Medicaid. Also, Fitness Center represents that it does not now employ or contract with, and shall not in the future employ or contract with any individual excluded from participation in such federal or state programs to provide Services to Members. Fitness Center shall check key employees and persons employed, contracted or otherwise affiliated with Fitness Center and any person owning more than five percent (5%) of Fitness Center against the appropriate lists upon hire or contract and monthly thereafter to determine if the persons have been excluded from participation in a federal or state program or has been terminated for cause or default on public transactions and public programs as well as non-reinstatement. Such lists (commonly referred to as Exclusion Lists) include, but are not limited to, the U.S. Department of Health and Human Services Office of Inspector General List of Excluded Individuals/Entities, the General Service Administration Lists of Parties Excluded from Federal Procurement and Nonprocurement Programs, and state published Medicaid exclusion lists). For the purpose of this agreement the term “key employee” refers to all employees/contractors who are (i) involved with the receipt of funds from Members or submit claims/bills to ASH concerning services provided to Members, and (ii) individuals who lead/teach exercise classes that are specifically tailored to Members. Fitness Center shall maintain records relating to its checks of these lists in accordance with Section 8 of this addendum. Fitness Center agrees to indemnify ASH Fitness or ASH Clients, as applicable, for any civil monetary penalties levied against an ASH Client or ASH Fitness as a result of (a) Fitness Center’s failure to properly screen all employed, affiliated or contracted persons who provide Services to Members and/or hold or held more than a five percent (5%) interest in Fitness Center against the Exclusions lists or (b) Fitness Center’s permitting an individual or entity found on the Exclusions Lists to provide Services to any Medicare Advantage Members, or otherwise be affiliated with those services, under this
Excluded Individuals. Entities: Contractor shall screen all current and prospective employees, contractors and subcontractors prior to engaging their services under this Contract and at least annually thereafter, by:
Excluded Individuals. Medaphis shall not employ, contract with, or otherwise use the services of any individual whom Medaphis knows or should have known, after reasonable inquiry, (1) has been convicted of a criminal offense related to health care (unless the individual has been reinstated to participation in Medicare and all other Federal health care programs after being excluded because of the conviction), or (2) is currently listed by a Federal agency as excluded, debarred, or otherwise ineligible for participation in any Federal health care program. In furtherance of this requirement, Medaphis agrees to make reasonable inquiry as to any prospective employee, agent, or individual considered for engagement by Medaphis as an independent contractor by reviewing the General Services Administration's List of Parties Excluded from Federal Programs (available over the Internet at http://xxx.xxxxx.xxx/xxxx) and the HHS/OIG Cumulative Sanction Report (available over the Internet at http://xxx.xxxx.xxx/xxxxxxx/oig). Within one hundred and twenty (120) days of the date of execution of this CIA, if it has not already been accomplished, Medaphis will have made reasonable inquiry whether any current employee is excluded, debarred or
Excluded Individuals. Neither Sellers, the Hospital, Practices nor any director or manager (as applicable), officer or employee of Sellers or the Hospital or Practices (a) was, is or is proposed to be, suspended, excluded from participation in, or sanctioned under, any federal or state health care program (including, without limitation, Medicare and Medicaid) (an “Excluded Individual”); (b) has been convicted of any criminal offense related to the delivery of any medical or health care services or supplies, or related to the neglect or abuse of patients; (c) has failed to maintain its current license to provide the services required to be provided by it to or on behalf of Sellers, the Hospital and the Practices; or (d) is unable to obtain or maintain liability insurance consistent with commercially reasonable industry practices.
