Excluded Individuals and Entities i) By signing the Agreement, Provider certifies to the best of Provider’s knowledge and belief that neither it nor any of its employees, principals, nor any providers, subcontractors or consultants or persons with an ownership or controlling interest in the Provider (an owner including the Provider himself or herself), or an agent or managing employee of the Provider, with whom Provider contracts and who are providing 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 nonprocurement 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.
ii) Provider is obligated under 42 CFR §1001.1901(b) to screen all employees, contractors, and/or subcontractors initially and on an ongoing monthly basis to determine whether any of them have been 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 to provide items or Covered Services under this Agreement. Provider agrees not to employ or subcontract with individuals or entities whose owner, those with a controlling interest, or managing employees are on any state or federal exclusion lists. Provider shall immediately report to United 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.xxxxxxxx.xxx/fraud/xxxxxxxxxx.xxx. Federal and State exclusion databases must be reviewed monthly to ensure that no employee or contractor has been excluded. United will terminate the Agreement immediately and exclude from its network any provider who has been terminated from the Medicare, Medicaid or CHI...
Excluded Individuals and Entities. Employees of Contractor who, because of convictions or because of current or past failures to comply with state and federal program requirements, become designated as ineligible persons or are identified for exclusion from involvement in state and federal programs, shall be removed from responsibility or participation in or involvement with all aspects of this federally funded program, until such time as the person or entity is no longer identified on the exclusion lists. Contractor shall be responsible to perform ongoing exclusion reviews of current employees to ensure that Contractor does not hire or contract with any individual or entity under sanction or exclusion by the state and federal government. As an outcome of ongoing exclusion reviews, Contractor agrees to provide to County written certification under penalty of perjury that no current employee, subcontractor, entity or agent is excluded from participation of Medicaid or Medi-Cal programs per 42 CFR 455.436 and W&I Code Section 14043.61. Detailed reporting shall be made available to County upon demand. Failure to comply shall lead to contract termination. Contractor shall attest to and ensure that all providers or any person with a 5 percent or more direct or indirect ownership in the provider under this Agreement have undergone a criminal background check per 42 CFR 455.434 and other applicable State requirements based on the category of the provider. County shall not reimburse for past, present or future services rendered by individuals that were under employment by Contractor and have been excluded from federal and state participation.
Excluded Individuals and Entities. Employees of CONTRACTOR who, because of convictions or because of current or past failures to comply with state and federal program requirements, become designated as ineligible persons or are identified for exclusion from involvement in state and federal programs, shall be removed from responsibility or participation in or involvement with all aspects of this federally funded program, until such time as the person or entity is no longer identified on the exclusion lists. CONTRACTOR shall be responsible to perform ongoing exclusion reviews of current employees to ensure that CONTRACTOR does not hire or contract with any individual or entity under sanction or exclusion by the state and federal government. As an outcome of ongoing exclusion reviews, CONTRACTOR agrees to provide to COUNTY written certification under penalty of perjury that no current employee, subcontractor, entity or agent is excluded from participation of Medicaid or Medi-Cal programs per 42 CFR 455.436 and Welfare and Institutions Code 14043.61. Detailed reporting shall be made available to COUNTY upon demand. Failure to comply shall lead to contract termination. CONTRACTOR shall be responsible to ensure and attest to that all providers or any person with a 5 percent or more direct or indirect ownership in the provider under this agreement have undergone a criminal background check per 42 CFR 45.434 and other applicable State requirements based on the category of the provider. The COUNTY shall not reimburse for past, present or future services rendered by individual that were under employment by CONTRACTOR and have been excluded from federal and state participation.
Excluded Individuals and Entities. Employees of HSA/AAA who, because of convictions or because of current or past failures to comply with state and federal program requirements, become designated as ineligible persons or are identified for exclusion from involvement in state and federal programs, shall be removed from responsibility or participation in or involvement with all aspects of this federally funded program, until such time as the person or entity is no longer identified on the exclusion lists. HSA/AAA shall be responsible to perform ongoing exclusion reviews of current employees to ensure that HSA/AAA does not hire or contract with any individual or entity under sanction or exclusion by the state and federal government. As an outcome of ongoing exclusion reviews, HSA/AAA agrees to provide to BHRS written certification under penalty of perjury that no current employee, subcontractor, entity or agent is excluded from participation of Medicaid or Medi- Cal programs per 42 CFR 455.436 and Welfare and Institutions Code 14043.61. Detailed reporting shall be made available to BHRS upon demand. Failure to comply shall lead to contract termination. HSA/AAA shall be responsible to ensure and attest to that all providers or any person with a 5 percent or more direct or indirect ownership in the provider under this agreement have undergone a criminal background check per 42 CFR 45.434 and other applicable State requirements based on the category of the provider. The BHRS shall not reimburse for past, present or future services rendered by individual that were under employment by HSA/AAA and have been excluded from federal and state participation.
Excluded Individuals and Entities. (a) Agent or Agency warrants that Agent or Agency has not been: (i) convicted of a criminal offense related to Agent’s or Agency’s involvement in any federally funded government program; (ii) debarred, suspended or otherwise excluded from participation in any federally funded government program, as required by applicable federal law; or
Excluded Individuals and Entities. Employees of Contractor who, because of convictions or because of current or past failures to comply with state and federal program requirements, become designated as ineligible persons or are identified for exclusion from involvement in state and federal programs, shall be removed from responsibility or participation in or involvement with all aspects of this federally funded program, until such time as the person or entity is no longer identified on the exclusion lists. Contractor shall be responsible to perform ongoing exclusion reviews of current employees to ensure that Contractor does not hire or contract with any individual or entity under sanction or exclusion by the state and federal government. As an outcome of ongoing exclusion reviews, Contractor agrees to provide to County written certification under penalty of perjury that no current employee, subcontractor, entity or agent is excluded from participation within Social Security programs or Medicaid or Medi-Cal programs per 42 CFR 455.436 or W&I Code Section 14043.61 as applicable. Detailed reporting shall be made available to County upon demand. Failure to comply shall lead to contract termination. The County shall not reimburse for past, present or future services rendered by individuals that were under employment by Contractor and have been excluded from federal and state participation.
Excluded Individuals and Entities. (a) Vendor warrants that Vendor has not been: (i) convicted of a criminal offense related to Vendor’s involvement in any federally funded government program; (ii) debarred, suspended or otherwise excluded from participation in any federally funded government program; or (iii) sanctioned by the HHS Office of Inspector General (“OIG”).
(b) Vendor further warrants that Vendor will not, during the term of the Agreement, employ or contract with any individual and entity to provide Services under the Agreement that: (i) has been convicted of a criminal offense related to the individual’s or entity’s involvement in any federally funded government program;
Excluded Individuals and Entities. Excluded from the Settlement Class are: (1) The Company and its affiliates, assignees, and successors-in-interest, and their officers, directors, and employees; (2) Any Judge who presides or has presided over the Actions, together with his/her immediate family members and any other individual residing in the Judge’s household; (3) Individuals and entities that opt-out of the Settlement in accordance with the procedures approved by the Court; and (4) the United States and/or State governments and their agencies and departments.
Excluded Individuals and Entities. In furtherance of the requirements set forth under Section 5 of this Appendix, by signing the Agreement, Provider certifies to the best of Provider’s knowledge and belief that neither it nor any of its employees, principals, nor any providers, subcontractors or consultants or persons with an ownership or controlling interest in the Provider (an owner including the Provider himself or herself), or an agent or managing employee of the Provider, with whom Provider contracts and who are providing items or services that are significant and material to Provider’s obligations under the Agreement is:
i) excluded from participation in federal health care programs under either Section 1128 or section 1156 of the Social Security Act or is not otherwise barred from participation in the Medicaid and/or Medicare program; or
ii) debarred, suspended or otherwise excluded from participating in procurement activities under the Federal Acquisition Regulation or from participating in nonprocurement 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 acknowledges and agrees that payment will not be made for any items or Covered Services provided by an excluded individual pursuant to 42 CFR §1001.1901(b) and is obligated to screen all employees, contractors, and subcontractors for exclusion as required under applicable State and Federal laws. Additionally, Provider acknowledges that pursuant to 42 CFR §1003.102(a)(2) 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 to Medicaid Managed Care Members under this Agreement. Provider agrees not to employ or subcontract with individuals or entities whose owner, those with a controlling interest, or managing employees are on a State or Federal exclusion list to provide items or Covered Services under this Agreement. Provider shall immediately report to Subcontractor and Health Plan any exclusion information discovered. 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. The GSA EPLS/XXX database can be accessed at xxxxx://xxx.xxx.gov. Federal and State exclusion databases must be reviewed monthly to ens...
Excluded Individuals and Entities. 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 and who are providing 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 nonprocurement 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 databases are called LEIE and EPLS and can be accessed at xxxx://xxx.xxx.xxx.xxx/fraud/xxxxxxxxxx.xxx. Subcontractor must exclude from its network any provider who has been excluded from the Medicare or Medicaid program in any state.
