FRAUD, ABUSE AND WASTE Sample Clauses
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FRAUD, ABUSE AND WASTE a. Vendor shall report quarterly to Health Plan, DHS and Office of the Medicaid Inspector General (“OMIG”) all internal and external tips regarding potential waste, abuse or overpayment.
i. Vendor shall report to Health Plan, DHS and OMIG all internal and external tips regarding suspected fraud immediately.
ii. Vendor is required to fully cooperate in any investigation by DHS, Medicaid Program Integrity (MPI), the Medicaid Fraud Control Unit (MFCU), OMIG, the Department of Elder Affairs, or any other state of federal entity and any subsequent legal action that may result from the investigation. In addition, Vendor shall cooperate fully in any investigation by federal and state oversight agencies and any subsequent administrative, civil, or criminal action that may result from such an investigation. Such cooperation shall include but is not limited to providing, upon request, information, access to records, and access to employees, subcontractors, providers, and consultants for the purpose of interviewing.
iii. If DHS, MPI, MFCU, OMIG, CMS, or the Department of Health and Health Services (“DHHS”) Inspector General determines that entity may inspect, evaluate or audit the Vendor at any time.
iv. Health Plan and Vendor will not retaliate against any individual who reports violations of the Health Plan’s or Vendor’s fraud, waste and abuse policies and procedures or suspected fraud and abuse.
FRAUD, ABUSE AND WASTE. The HHS Inspector General accepts tips and complaints from all sources about potential fraud, waste, abuse, and mismanagement in Department of Health and Human Services' programs.
FRAUD, ABUSE AND WASTE a. Vendor shall ensure that employees, providers and subcontractors are educated about their individual responsibilities; the responsibilities of others; as well as how fraud, waste, and abuse is defined and how and in what instances to report it.
b. Vendor is required to fully cooperate in any investigation by Agency, or any other state of federal entity and any subsequent legal action that may result from the investigation. In addition, Vendor shall cooperate fully in any investigation by federal and state oversight agencies and any subsequent administrative, civil, or criminal action that may result from such an investigation. Such cooperation shall include but is not limited to providing, upon request, information, access to records, and access to employees, subcontractors, providers, and consultants for the purpose of interviewing.
c. If the Agency determines that, there is a reasonable possibility of fraud or similar risk, that entity may inspect evaluate or audit the Vendor at any time.
d. Health Plan or Vendor shall suspend payment to any provider, pending any State or Federal review or investigation of suspected fraud or abuse, if so instructed by the Agency.
e. Whistleblower Protections. Vendor shall comply with the provisions of 41 U.S.C. 4712 that states an employee of a contractor, subcontractor, grantee, or subgrantee may not be discharged, demoted or otherwise discriminated against as a reprisal for “whistleblowing”. In addition, whistleblower protections cannot be waived by any agreement, policy, form, or condition of employment. Vendor’s employees, providers or subcontractors are encouraged to report fraud, waste, and abuse. Vendor shall inform their employees providers or subcontractors in writing they are subject to federal whistleblower rights and remedies. This notification must be in the predominant native language of the workforce.
FRAUD, ABUSE AND WASTE. The HHS Inspector General accepts tips and complaints from all sources about potential fraud, waste, abuse, and mismanagement in Department of Health and Human Services' programs. DocuSign Envelope ID: BA409BE6-6E48-4E8D-914D-D3F7C19AA065 I, Jessi Bon, am the City Manager of the City of ▇▇▇▇▇▇ Island, and I certify that:
1. I have authority and approval from the governing body on behalf of City of ▇▇▇▇▇▇ Island to accept proceeds from the County per the Agreement for COVID-19 Relief Funds by and between the County and City of ▇▇▇▇▇▇ Island from the County’s allocation of the Coronavirus Relief Fund as created by section 5001 of H.R. 748, the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”) for eligible expenditures included on the corresponding invoice voucher for report period [March 1, 2020 through December 30, 2020].
2. I understand that as additional federal guidance becomes available, a contract amendment to the agreement between the County and City of ▇▇▇▇▇▇ Island may become necessary and agree to execute necessary amendments.
FRAUD, ABUSE AND WASTE. Company will provide Vendor with training materials regarding fraud, waste and abuse prevention. Vendor is required to fully cooperate in any investigation by the State, DHHS Inspector General, CMS, or any other state of federal entity and any subsequent legal action that may result from the investigation. Vendor must implement and maintain arrangements or procedures that include provision for the prompt referral of any potential fraud, waste, or abuse the Vendor identifies to the Company.