Common use of Government Access to Records Clause in Contracts

Government Access to Records. Agent or Agency acknowledges and agrees that CMS, the U.S. Department of Health and Human Services (“HHS”) Inspector General, the Comptroller General, or their designees will have the right to audit, evaluate and inspect any premises, physical facilities, equipment, pertinent books, records and documents, financial records, claims history records, policies and procedures, complaints, and all related agreements, computer or other electronic systems, including medical records and documentation related to the applicable CMS Contract, consistent with 42 CFR § 438.3(h). If CMS, HHS Inspector General, the Comptroller General, or their designees, determine that there is a reasonable probability of fraud or similar risk, CMS, HHS Inspector General, the Comptroller General, or their designees, may audit the Agent or Agency at any time. This right will exist through ten (10) years from the later of the final date of the applicable CMS Contract period in effect at the time the records were created or the date of completion of any audit, or longer in certain instances described in the applicable law or regulations.

Government Access to Records. Agent or Agency acknowledges and agrees that CMS, the U.S. Department of Health and Human Services (“HHS”) Inspector General, the Comptroller General, or their designees will shall have the right to audit, evaluate and inspect any premises, physical facilities, equipment, pertinent books, records and documents, financial records, claims history records, policies and procedures, complaints, and all other related agreements, computer or other electronic systems, including medical records and documentation related to the applicable CMS Contract, consistent with 42 CFR § 438.3(h). If CMS, HHS Inspector General, the Comptroller General, or their designees, determine that there is a reasonable probability of fraud or similar risk, CMS, HHS Inspector General, the Comptroller General, or their designees, may audit the Agent or Agency at any time. This right will shall exist through ten (10) years from the later of the final date of the applicable CMS Contract period in effect at the time the records were created or the date of completion of any audit, or longer in certain instances described in the applicable law laws or regulations.