Common use of Fraud, Xxxxx and Abuse Prevention Clause in Contracts

Fraud, Xxxxx and Abuse Prevention. As a condition of payment, Provider shall comply with section A.2.20 of the CRA and shall cooperate fully with the State’s and Health Plan’s policies and procedures designed to protect program integrity and prevent and detect potential or suspected fraud, abuse and waste in the administration and delivery of services under the CRA and shall cooperate and assist the Division of TennCare and any other State or federal agency charged with the duty of preventing, identifying, investigating, sanctioning or prosecuting suspected fraud, abuse or waste in state and/or federal health care programs.

Appears in 3 contracts

Samples: Provider Agreement, Provider Agreement, Provider Agreement

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Fraud, Xxxxx and Abuse Prevention. As a condition of payment, Provider shall comply with section A.2.20 of the CRA and shall cooperate fully with the State’s and Health PlanUnited’s policies and procedures designed to protect program integrity and prevent and detect potential or suspected fraud, abuse and waste in the administration and delivery of services under the CRA and shall cooperate and assist the Division of TennCare and any other State or federal agency charged with the duty of preventing, identifying, investigating, sanctioning or prosecuting suspected fraud, abuse or waste in state and/or federal health care programs.

Appears in 1 contract

Samples: Provider Agreement

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Fraud, Xxxxx and Abuse Prevention. As a condition of payment, Provider shall comply with section A.2.20 of the CRA and shall cooperate fully with the State’s and Health Plan’s policies and procedures designed to protect program integrity and prevent and detect potential or suspected fraud, abuse and waste in the administration and delivery of services under the CRA and shall cooperate and assist the Division Bureau of TennCare and any other State or federal agency charged with the duty of preventing, identifying, investigating, sanctioning or prosecuting suspected fraud, abuse or waste in state and/or federal health care programs.

Appears in 1 contract

Samples: Provider Agreement

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