Government Audit; Investigations. Provider acknowledges and agrees that the State, CMS, the Office of Inspector General, the Comptroller General, and the U.S. Department of Health and Human Services and their designees or their authorized representatives shall at any time, have the right to inspect, audit or otherwise evaluate the quality, appropriateness, and timeliness of services provided under the terms of the State Contract and any other applicable rules, including the right to inspect and audit any records or documents of Provider and its subcontractors, and the right to inspect the premises, physical facilities, and equipment where Medicaid-related activities or work is conducted. The right to audit under this section exists for 10 years from the end date of the State Contract or from the date of completion of any audit, whichever is later. There shall be no restrictions on the right of the State or federal government to conduct whatever inspections and audits are necessary to assure quality, appropriateness or timeliness of services provided pursuant to the State Contract and the reasonableness of their costs.
Government Audit; Investigations. Provider acknowledges and agrees that the State and the U.S. Department of Health and Human Services or their authorized representatives shall have the right to inspect or otherwise evaluate the quality, appropriateness, and timeliness of services provided under the terms of the State Contract and any other applicable rules. There shall be no restrictions on the right of the State or federal government to conduct whatever inspections and audits are necessary to assure quality, appropriateness or timeliness of services provided pursuant to the State Contract and the reasonableness of their costs.
Government Audit; Investigations. The State, the Centers for Medicare & Medicaid Services (CMS), the U.S. Department of Health and Human Services (HHS) inspector general, the comptroller general, or their designees have the right to audit, evaluate, and inspect any books, records, contracts, computers, or other electronic systems of Provider, that pertain to any aspect of services and activities performed, or determination of amounts payable under Health Plan’s contract with the State.
Government Audit; Investigations. Provider acknowledges and agrees that the Agency, DOEA, MPI, MFCU, CMS, the Office of Inspector General, the Comptroller General, U.S. DHHS, and Attorney General’s Office or their authorized representatives or designees shall have the right to inspect or otherwise evaluate and audit all of the following related to the State Contract, and Provider shall cooperate fully in an investigation by the Agency, MPI, MFCU, or other state or federal entity and in any subsequent legal action that may result from such an investigation involving the State Contract:
Government Audit; Investigations. Provider acknowledges and agrees that the Department, the Office of Inspector General, the Comptroller General, the U.S. Department of Health and Human Services (DHHS) and the Centers for Medicare and Medicaid Services (CMS) or their authorized representatives or their designees shall have the right to inspect or otherwise evaluate the quality, appropriateness, and timeliness of services provided under the terms of the applicable State Contract and any other applicable rules, including the right to inspect and audit any records or documents of Provider and its subcontractors, and the right to inspect the premises, physical facilities, and equipment where Medicaid-related activities or work is conducted. The right to audit under this section exists for 10 years from the end date of the State Contract or from the date of completion of any audit, whichever is later. There shall be no restrictions on the right of the State or federal government to conduct whatever inspections and audits are necessary to assure quality, appropriateness or timeliness of services provided pursuant to the State Contract and the reasonableness of their costs. UHC/PRO.ST.PROG..XXXXXX.00.00.XX UnitedHealthcare Confidential and Proprietary
Government Audit; Investigations. Provider acknowledges and agrees that the State and the U.S. Department of Health and Human Services, the Centers for Medicare & Medicaid Services, the Office of Inspector General, the General Accounting Office, or any other auditing agency or their authorized representatives, with prior approval by XXX, shall, at all reasonable time, with or without notice, or their authorized representatives shall have the right to inspect or otherwise evaluate the quality, appropriateness, and timeliness of services provided under the terms of the State Contract and any other applicable rules. There shall be no restrictions on the right of the State or federal government to conduct whatever inspections and audits are necessary to assure quality, appropriateness or timeliness of services provided pursuant to the State Contract and the reasonableness of their costs.
Government Audit; Investigations. Provider acknowledges and agrees that the Department, the Office of Inspector General, the Comptroller General, the U.S. Department of Health and Human Services (DHHS) and the Centers for Medicare and Medicaid Services (CMS) or their authorized representatives or their designees shall have the right to inspect or UHC/PRO.ST.PROG..XXXXXX.00.00.XX UnitedHealthcare Confidential and Proprietary otherwise evaluate the quality, appropriateness, and timeliness of services provided under the terms of the applicable State Contract and any other applicable rules, including the right to inspect and audit any records or documents of Provider and its subcontractors, and the right to inspect the premises, physical facilities, and equipment where Medicaid-related activities or work is conducted. The right to audit under this section exists for 10 years from the end date of the State Contract or from the date of completion of any audit, whichever is later. There shall be no restrictions on the right of the State or federal government to conduct whatever inspections and audits are necessary to assure quality, appropriateness or timeliness of services provided pursuant to the State Contract and the reasonableness of their costs.
Government Audit; Investigations. Provider acknowledges and agrees and shall require Provider to acknowledge and agree that the State or any of its duly authorized representatives, DOM, the U.S. Department of Health and Human Services, the Centers for Medicare & Medicaid Services, the Office of Inspector General, the General Accounting Office, or any other auditing agency or their authorized representatives, with prior approval by XXX, at any time during the term of the Agreement, shall, at all reasonable time and within regular business hours, with or without notice, have the right to inspect or otherwise evaluate the quality, appropriateness, and timeliness of services provided under the terms of the MississippiCHIP Program Contract and any other applicable federal and State law and regulation.. This shall include, but not be limited to, the right to enter onto Provider’s premises, access to and the right to audit, inspect, monitor, and examine any pertinent books, documents, papers, medical records, financial records, surveys and computer databases and/or to otherwise evaluate the performance of Provider related to Provider’s performance under the Agreement. Such monitoring activities may also include, without limitation, on-site inspections of all service locations and facilities; auditing and/or review of all records developed under the MississippiCHIP Program Contract or the Agreement; reviewing management systems and procedures developed under the MississippiCHIP Program Contract or the Agreement; and review of any other areas of materials relevant or pertaining to the MississippiCHIP Program Contract or the Agreement. All reviews and audits shall be performed in such a manner as will not unduly delay the work of Provider. There will be no restrictions on the right of the State or federal authorities to conduct inspections and audits as necessary. The Provider must fully cooperate with any and all reviews and/or audits by state or federal agencies, such as the Department of Audit, Department of Health and Human Services, Centers for Medicare and Medicaid Services, Office of Inspector General, General Accounting Office, or any other auditing agency approved by DOM, by assuring that appropriate employees and involved parties are available for interviews relating to the reviews or audits. All records shall be maintained and available for review by authorized federal and state agencies during the entire term of the MississippiCHIP Program Contract and for a period of five (5) years ther...
Government Audit; Investigations. Provider acknowledges and agrees that the State, CMS, the Office of Inspector General, the Comptroller General, and the U.S. Department of Health and Human Services and their designees or their authorized representatives shall at any time have the right to inspect or otherwise evaluate the quality, appropriateness, and timeliness of services provided under the terms of the State Contract and any other applicable rules, including the right to inspect and audit any books, records, contracts, documents, computers or other electronic systems of Provider and its subcontractors, and the right to inspect the premises, physical facilities, and equipment where Medicaid-related activities or work is conducted. The right to audit under this section exists for 10 years from the end date of the State Contract or from the date of completion of any audit, whichever is later.. There shall be no restrictions on the right of the State or federal government to conduct whatever inspections and audits are necessary to assure quality, appropriateness or timeliness of services provided pursuant to the State Contract and the reasonableness of their costs. Provider shall comply with all applicable Department Rules and Audit Guide relating to the audit of the Provider's records and the inspection of Provider's facilities. If the Provider is an inpatient facility, Provider shall file uniform reports and Title XVIII and Title XIX cost reports with Department.
Government Audit; Investigations. Provider acknowledges and agrees that the State, CMS, the Office of Inspector General, the Comptroller General, and the U.S. Department of Health and Human Services and their designees or their authorized representatives shall at any time, have the right to inspect, audit or otherwise evaluate the quality, appropriateness, and timeliness of services provided under the terms of the State Contract and any other applicable rules, including the right to inspect and audit any records or documents of Provider and its subcontractors, and the right to inspect the premises, physical facilities, and equipment where Medicaid-related activities or work is conducted. The right to audit under this section exists for 10 years from the end date of the State Contract or from the date of completion of any audit, whichever is later. There shall be no restrictions on the right of the State or federal government to conduct whatever inspections and audits are necessary to assure quality, appropriateness or timeliness of services provided pursuant to the State Contract and the reasonableness of their costs. United shall monitor Provider’s performance on an ongoing basis and subject the Provider to formal periodic review. As part of this review, United may conduct unannounced, in-person site visits, audits, or other reviews to ensure services are being rendered and billed correctly.
