Fraud, Xxxxx and Abuse Prevention. Provider shall cooperate fully with Subcontractor’s and Health Plan’s policies and procedures designed to protect program integrity and prevent and detect potential or suspected fraud, waste, and abuse in the administration and delivery of services under the State Contract and shall cooperate and assist the State Program and any other State or federal agency charged with the duty of preventing, identifying, investigating, sanctioning or prosecuting suspected fraud, waste, and abuse in state and/or federal health care programs. In accordance with Subcontractor’s and Health Plan’s policies and the Deficit Reduction Act of 2005 (DRA), Provider shall have written policies for its employees, contractors or agents that:
Appears in 4 contracts
Samples: Downstream Provider, public.providerexpress.com, Downstream Provider
Fraud, Xxxxx and Abuse Prevention. Provider shall cooperate fully with Subcontractor’s Subcontractor and Health Plan’s policies and procedures designed to protect program integrity and prevent and detect potential or suspected fraud, waste, and abuse in the administration and delivery of services under the State Contract contract and shall cooperate and assist the State Program and any other State or federal agency charged with the duty of preventing, identifying, investigating, sanctioning or prosecuting suspected fraud, waste, and abuse in state and/or federal health care programs. In accordance with Subcontractor’s Subcontractor and Health Plan’s policies and the Deficit Reduction Act of 2005 (DRA), Provider shall have written policies for its employees, contractors or agents that:
Appears in 3 contracts
Samples: public.providerexpress.com, www.uhchearing.com, learn.optumrx.com
Fraud, Xxxxx and Abuse Prevention. Provider shall cooperate fully with Subcontractor’s and Health Plan’s policies and procedures designed to protect program integrity and prevent and detect potential or suspected fraud, waste, and abuse in the administration and delivery of services under the State Contract and shall cooperate and assist the State Program Department and any other State or federal agency charged with the duty of preventing, identifying, investigating, sanctioning or prosecuting suspected fraud, waste, and abuse in state and/or federal health care programs. In accordance with Subcontractor’s and Health Plan’s policies and the Deficit Reduction Act of 2005 (DRA), Provider shall have written policies for its employees, contractors or agents that:
Appears in 2 contracts
Samples: United Behavioral Health, www.uhcprovider.com
Fraud, Xxxxx and Abuse Prevention. Provider shall cooperate fully with Subcontractor’s and Health Plan’s policies and procedures designed to protect program integrity and prevent and detect potential or suspected fraud, waste, abuse and abuse waste in the administration and delivery of services under the State Contract contract and shall cooperate and assist the State Program and any other State or federal agency charged with the duty of preventing, identifying, investigating, sanctioning or prosecuting suspected fraud, waste, and abuse or waste in state and/or federal health care programs. In accordance with Subcontractor’s and Health Plan’s policies and the Deficit Reduction Act of 2005 (DRA), Provider shall have written policies for its employees, contractors or agents that:
Appears in 1 contract
Samples: www.uhchearing.com