Common use of Excluded Individuals Clause in Contracts

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.

Appears in 5 contracts

Samples: Massachusetts Government Programs Regulatory Requirements Appendix, Massachusetts Government Programs Regulatory Requirements Appendix, Massachusetts Government Programs Regulatory Requirements Appendix

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Excluded Individuals. By signing the Agreement, Subcontractor certifies, and shall require Provider certifies to certify to the best of Subcontractor’s and Provider’s knowledge and belief that neither it nor any of its principals, nor any providers, subcontractors or consultants with whom Subcontractor and/or Provider contracts for the provision of items or services that are significant and material to Subcontractor’s and/or Provider’s obligations under the Agreement 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 nonprocurement activities under regulations issued under Executive Order Nono. 12549 or under guidelines implementing Executive Order No. 12549; , or an affiliate, as defined in the Federal Acquisition Regulation, of such a person. Subcontractor is obligated, and shall obligate Provider is obligated to screen its employees and contractors initially and on an ongoing monthly basis to determine whether any of them have been debarred or excluded from participation in Medicare, Medicaid, CHIPSCHIP, or any Federal Health Care Programs (as defined in Section 1128B(f) of the Social Security Act). Subcontractor shall not, and shall ensure Provider shall not employ or contract with an individual or entity that has been excluded. Subcontractor shall, and shall require Provider shall to immediately report to Subcontractor United any exclusion information discovered. Provider Subcontractor acknowledges and agrees agrees, and shall require Provider to acknowledge and agree that civil monetary penalties may be imposed against Subcontractor and/or Provider if he or she employs or enters into contracts with excluded individuals or entities to provide items or Covered Services. Subcontractor and Provider can search the HHS-OIG website, at no cost, by the names of any individuals or entities. The database is called entities through the following databases: LEIE and can be accessed at xxxx://xxx.xxx.xxx.xxx/fraud/xxxxxxxxxx.xxx.; the Health Integrity and Protection Data Bank (HIPDB) xxxx://xxx.xxxx-xxxxx.xxxx.xxx/index.html and the Excluded Parties List Serve (EPLS) xxxx://xxx.xxxx.xxx. Federal and State exclusion databases must be reviewed monthly to ensure that no employee or contractor has been excluded. Subcontractor must United will exclude from its network any provider who has been excluded from the Medicare, Medicaid or CHIP program in any state. United may also terminate the Agreement if Subcontractor or Provider or Subcontractor’s or Provider’s owners, agents, or managing employees are found to be excluded on a State or Federal exclusion list.

Appears in 4 contracts

Samples: Subcontract, Subcontract, Subcontract

Excluded Individuals. By signing the Agreement, Subcontractor certifies, and shall require Provider certifies to certify to the best of Subcontractor’s and Provider’s knowledge and belief that neither it nor any of its principals, nor any providers, subcontractors or consultants with whom Subcontractor and/or Provider contracts for the provision of items or services that are significant and material to Subcontractor’s and/or Provider’s obligations under the Agreement 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 nonprocurement activities under regulations issued under Executive Order Nono. 12549 or under guidelines implementing Executive Order No. 12549; , or an affiliate, as defined in the Federal Acquisition Regulation, of such a person. Subcontractor is obligated, and shall obligate Provider is obligated to screen its employees and contractors initially and on an ongoing monthly basis to determine whether any of them have been debarred or excluded from participation in Medicare, Medicaid, CHIPSCHIP, or any Federal Health Care Programs (as defined in Section 1128B(f) of the Social Security Act). Subcontractor shall not, and shall ensure Provider shall not employ or contract with an individual or entity that has been excluded. Subcontractor shall, and shall require Provider shall to immediately report to Subcontractor United any exclusion information discovered. Provider Subcontractor acknowledges and agrees agrees, and shall require Provider to acknowledge and agree that civil monetary penalties may be imposed against Subcontractor and/or Provider if he or she employs or enters into contracts with excluded individuals or entities to provide items or Covered Services. Subcontractor and Provider can search the HHS-OIG website, at no cost, by the names of any individuals or entitiesentities through the following databases: LEIE at xxxx://xxx.xxx.xxx.xxx/fraud/exclusions.asp.; the Health Integrity and Protection Data Bank (HIPDB) xxxx://xxx.xxxx-xxxxx.xxxx.xxx/index.html and the Excluded Parties List Serve (EPLS) xxxx://xxx.xxxx.xxx. 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 United will exclude from its network any provider who has been excluded from the Medicare, Medicare or Medicaid or CHIP program in any state.

Appears in 3 contracts

Samples: Behavioral Health Services Agreement, Dental Services Agreement, Administrative Services Agreement

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 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 nonprocurement activities under regulations issued under Executive Order Nono. 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 initially and on an ongoing monthly basis to determine whether any of them have been debarred or excluded from participation in Medicare, Medicaid, CHIPSCHIP, 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 and Health Plan 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 entities through the following databases: LEIE and can be accessed at xxxx://xxx.xxx.xxx.xxx/fraud/xxxxxxxxxx.xxx.; the Health Integrity and Protection Data Bank (HIPDB) xxxx://xxx.xxxx-xxxxx.xxxx.xxx/index.html and the Excluded Parties List Serve (EPLS) xxxx://xxx.xxxx.xxx. Federal and State exclusion databases must be reviewed monthly to ensure that no employee or contractor has been excluded. Subcontractor must Health Plan will exclude from its network any provider who has been excluded from the Medicare, Medicare or Medicaid or CHIP program in any state.

Appears in 1 contract

Samples: Provider Agreement

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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 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 Nono. 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, Medicare or Medicaid or CHIP program in any state.

Appears in 1 contract

Samples: Massachusetts Government Programs Regulatory Requirements Appendix

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