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 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.
Appears in 2 contracts
Samples: Provider Agreement, Provider Agreement
Fraud, Xxxxx and Abuse Prevention. Provider shall cooperate fully with Subcontractor’s and Health Plan’s and/or Subcontractor ‘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 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.
Appears in 2 contracts
Samples: Downstream Provider Medicaid Program Regulatory Requirements Appendix, Downstream Provider Medicaid Program Regulatory Requirements Appendix
Fraud, Xxxxx and Abuse Prevention. Provider shall cooperate fully with Subcontractor’s and Health Plan’s and/or Subcontractor ‘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 Department 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.
Appears in 1 contract
Samples: Downstream Provider Medicaid Program Regulatory Requirements Appendix
