Exclusion for Material Breach of this CIA. 1. Definition of Material Breach. A material breach of this CIA means:
Exclusion for Material Breach of this CIA. 1. Definition of Material Breach. A material breach of this CIA means:
a. a failure by IHS to report a Reportable Event, take corrective action, and make the appropriate refunds, as required in Section III.K;
b. repeated violations or a flagrant violation of the obligations under this CIA, including, but not limited to, the obligations addressed in Section X.A;
c. a failure to respond to a Demand Letter concerning the payment of Stipulated Penalties in accordance with Section X.C; or d. a failure to engage and use a Legal IRO in accordance with Section III.E, Appendix A, and Appendix B.
Exclusion for Material Breach of this CIA. 1. Notice of Material Breach and Intent to Exclude. The parties agree that a Material Breach of this CIA by Provider constitutes an independent basis for Provider’s exclusion from participation in the Medicaid program. Upon a reasonable determination by OMIG that Provider is in Material Breach of this CIA and that exclusion is the appropriate remedy, OMIG shall notify Provider (the “Notice of Material Breach and Intent to Exclude”) of:
Exclusion for Material Breach of this CIA. 1. Definition of Material Breach. A material breach of this CIA means:
a. repeated violations or a flagrant violation of any of the obligations under this CIA, including, but not limited to, the obligations addressed in Section X.A;
b. a failure by the U.S. Healthcare Parties to report a Reportable Event, take corrective action, or make the appropriate refunds, as required in Section III.J;
c. a failure to respond to a Demand Letter concerning the payment of Stipulated Penalties in accordance with Section X.C; or d. a failure to engage and use an IRO in accordance with Section III.D, Appendix A, or Appendix B.
Exclusion for Material Breach of this CIA. Par Corporate Integrity Agreement
Exclusion for Material Breach of this CIA. 1. Definition
