False Claims Act, Generally. (A) In accordance with Section 6032 of the Deficit Reduction Act of 2005, if the Contractor receives annual payments of at least $5,000,000.00 from the Department, the Contractor shall establish written policies and procedures for all of its employees (including management) and its contractors or agents which comply with the Act. (B) For purposes of Article 6.2 of this attachment, the following definitions apply: (1) Employee: includes any officer or employee of the Contractor. (2) Agent or contractor: includes any contractor, Subcontractor, agent or other person which or who, on behalf of the Contractor, furnishes or otherwise authorizes the furnishing of Medicaid Covered Services, performs billing or coding functions, or is involved in monitoring of health care provided by or on behalf of the Contractor.
Appears in 11 contracts
Samples: Utah Medicaid Contract, Utah Medicaid Contract, Home Program Contract
False Claims Act, Generally. (A) In accordance with Section 6032 of the Deficit Reduction Act of 2005, if the Contractor receives annual payments of at least $5,000,000.00 from the Department, the Contractor shall establish written policies and procedures for all of its employees (including management) and its contractors or agents which comply with the Act.
(B) For purposes of Article 6.2 of this attachment6.2, the following definitions apply:
(1) Employee: includes any officer or employee of the Contractor.
(2) Agent or contractor: includes any contractor, Subcontractorsubcontractor, agent or other person which or who, on behalf of the Contractor, furnishes or otherwise authorizes the furnishing of Medicaid Covered Services, performs billing or coding functions, or is involved in monitoring of health care provided by or on behalf of the Contractor.
Appears in 2 contracts
Samples: Accountable Care Organization (Aco) Contract, Accountable Care Organization (Aco) Contract
False Claims Act, Generally. (A) In accordance with Section 6032 of the Deficit Reduction Act of 2005, if the Contractor receives annual payments of at least $5,000,000.00 from the Department, the Contractor shall establish written policies and procedures for all of its employees (including management) and its contractors or agents which comply with the Act.
(B) For purposes of Article 6.2 of this attachment6.2, the following definitions apply:
(1) Employee: includes any officer or employee of the Contractor.
(2) Agent or contractor: includes any contractor, Subcontractor, agent or other person which or who, on behalf of the Contractor, furnishes or otherwise authorizes the furnishing of Medicaid Covered Services, performs billing or coding functions, or is involved in monitoring of health care provided by or on behalf of the Contractor.
Appears in 2 contracts
Samples: Integrated Care Contract, Accountable Care Organization (Aco) Contract
False Claims Act, Generally. (A) In accordance with Section 6032 of the Deficit Reduction Act of 2005, if the Contractor receives annual payments of at least $5,000,000.00 from the Department, the Contractor shall establish written policies and procedures for all of its employees (including management) and its contractors or agents which comply with the Act.
(B) For purposes of this Article 6.2 of this attachment6.2, the following definitions apply:
(1) Employee: includes any officer or employee of the Contractor.
(2) Agent or contractor: includes any contractor, Subcontractorsubcontractor, agent or other person which or who, on behalf of the Contractor, furnishes or otherwise authorizes the furnishing of Medicaid Covered Services, performs billing or coding functions, or is involved in monitoring of health care provided by or on behalf of the Contractor.
Appears in 1 contract
Samples: Home Program Contract