Common use of GOVERNMENT INSPECTION Clause in Contracts

GOVERNMENT INSPECTION. Provider shall make all records (including but not limited to, financial, administrative and Medical Records) available at Provider’s expense for administrative, civil and/or criminal review, audit, or evaluation, inspection, investigation and/or prosecution by authorized federal, state, and Office of the Comptroller of the Treasury personnel, including representatives from the OIG, the TBI MFCD, DOJ and the DHHS OIG, the Division of TennCare, the Office of the Attorney General, or any duly authorized state or federal agency, upon any authorized government agency’s request. Any authorized government agency, including but not limited to OIG, TBI MFCD, DHHS OIG, DOJ, and the Office of the Attorney General, may use these records to carry out their authorized duties, reviews, audits, administrative, civil and/or criminal investigations and/or prosecutions. Access will be either through on-site review of records or through the mail at the government agency’s discretion and during normal business hours, unless there are exigent circumstances, in which case access will be at any time. Provider shall send all records to be sent by mail to the Division of TennCare within twenty (20) business days of request unless otherwise specified by the Division of TennCare or applicable TennCare rules and regulations. Requested records shall be provided at no expense to the Division of TennCare, authorized federal, State, and Office of the Comptroller of the Treasury personnel, including representatives from the OIG, the TBI MFCD, DOJ and the DHHS OIG, the Office of the Attorney General, or any duly authorized State or federal agency. Records related to appeals shall be forwarded within the time frames specified by in the appeal process portion of the CRA. Provider acknowledges and agrees that such requests made by TennCare shall not be unreasonable. Records shall be provided by Provider to the requesting agency at no cost. As a condition of participation in TennCare, Covered Persons and Provider shall give TennCare or its authorized representative, the Office of the Comptroller of the Treasury, and any health oversight agency, such as OIG, TBI MFCD, DHHS Office of Inspector General (DHHS OIG), DOJ, the Office of the Attorney General, and any other authorized state or federal agency, access to their records. Provider shall furnish, immediately upon request, said records for fiscal audit, medical audit, medical review, utilization review, and other periodic monitoring as well as for administrative, civil and criminal investigations or prosecutions. TennCare or its authorized representative, the Office of the Comptroller of the Treasury, and any health oversight agency, such as OIG, TBI MFCD, DHHS Office of Inspector General (DHHS OIG), DOJ, the Office of the Attorney General, and any other authorized state or federal agency 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 TennCare-related activities or work is conducted. The right to audit under this section exists for ten (10) years from the end date of the State Contract or from the date of completion of any audit, whichever is later.

GOVERNMENT INSPECTION. Provider shall make all records (including but not limited to, financial, administrative and Medical Records) available at Provider’s expense for administrative, civil and/or criminal review, audit, or evaluation, inspection, investigation and/or prosecution by authorized federal, state, and Office of the Comptroller of the Treasury personnel, including representatives from the OIG, the TBI MFCD, DOJ and the DHHS OIG, the Division of TennCare, , the Office of the Attorney General, or any duly authorized state or federal agency, upon any authorized government agency’s request. Any authorized government agency, including but not limited to OIG, TBI MFCD, DHHS OIG, DOJ, and the Office of the Attorney General, may use these records to carry out their authorized duties, reviews, audits, administrative, civil and/or criminal investigations and/or prosecutions. Access will be either through on-site review of records or through the mail at the government agency’s discretion and during normal business hours, unless there are exigent circumstances, in which case access will be at any time. Provider shall send all records to be sent by mail to the Division of TennCare within twenty (20) business days of request unless otherwise specified by the Division of TennCare or applicable TennCare rules and regulations. Requested records shall be provided at no expense to the Division of TennCare, authorized federal, State, and Office of the Comptroller of the Treasury personnel, including representatives from the OIG, the TBI MFCD, DOJ and the DHHS OIG, the Office of the Attorney General, or any duly authorized State or federal agency. Records related to appeals shall be forwarded within the time frames specified by in the appeal process portion of the CRA. Provider acknowledges and agrees that such requests made by TennCare shall not be unreasonable. Records shall be provided by Provider to the requesting agency at no cost. As a condition of participation in TennCare, Covered Persons and Provider shall give TennCare or its authorized representative, the Office of the Comptroller of the Treasury, and any health oversight agency, such as OIG, TBI MFCD, DHHS Office of Inspector General (DHHS OIG), DOJ, the Office of the Attorney General, and any other authorized state or federal agency, access to their records. Provider shall furnish, immediately upon request, said records for fiscal audit, medical audit, medical review, utilization review, and other periodic monitoring as well as for administrative, civil and criminal investigations or prosecutions. Records shall be provided by Provider to the requesting agency at no cost. TennCare or its authorized representative, the Office of the Comptroller of the Treasury, and any health oversight agency, such as OIG, TBI MFCD, DHHS Office of Inspector General (DHHS OIG), DOJ, the Office of the Attorney General, and any other authorized state or federal agency 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 TennCare-related activities or work is conducted. The right to audit under this section exists for ten (10) years from the end date of the State Contract or from the date of completion of any audit, whichever is later.

GOVERNMENT INSPECTION. Provider shall make all records (including but not limited to, financial, administrative and Medical Records) available at Provider’s expense for administrative, civil and/or criminal review, audit, or evaluation, inspection, investigation and/or prosecution by authorized federal, state, and Office of the Comptroller of the Treasury personnel, including representatives from the OIG, the TBI MFCDMFCU, DOJ and the DHHS OIG, the Division of TennCare, , the Office of the Attorney General, or any duly authorized state or federal agency, upon any authorized government agency’s request. Any authorized government agency, including but not limited to OIG, TBI MFCDMFCU, DHHS OIG, DOJ, and the Office of the Attorney General, may use these records to carry out their authorized duties, reviews, audits, administrative, civil and/or criminal investigations and/or prosecutions. Access will be either through on-site review of records or through the mail at the government agency’s discretion and during normal business hours, unless there are exigent circumstances, in which case access will be at any time. Provider shall send all records to be sent by mail to the Division of TennCare within twenty (20) business days of request unless otherwise specified by the Division of TennCare or applicable TennCare rules and regulations. Requested records shall be provided at no expense to the Division of TennCare, authorized federal, State, and Office of the Comptroller of the Treasury personnel, including representatives from the OIG, the TBI MFCDMFCU, DOJ and the DHHS OIG, the Office of the Attorney General, or any duly authorized State or federal agency. Records related to appeals shall be forwarded within the time frames specified by in the appeal process portion of the CRA. Provider acknowledges and agrees that such requests made by TennCare shall not be unreasonable. Records shall be provided by Provider to the requesting agency at no cost. As a condition of participation in TennCare, Covered Persons and Provider shall give TennCare or its authorized representative, the Office of the Comptroller of the Treasury, and any health oversight agency, such as OIG, TBI MFCDMFCU, DHHS Office of Inspector General (DHHS OIG), DOJ, the Office of the Attorney General, and any other authorized state or federal agency, access to their records. Provider shall furnish, immediately upon request, said records for fiscal audit, medical audit, medical review, utilization review, and other periodic monitoring as well as for administrative, civil and criminal investigations or prosecutions. Records shall be provided by Provider to the requesting agency at no cost. TennCare or its authorized representative, the Office of the Comptroller of the Treasury, and any health oversight agency, such as OIG, TBI MFCDMFCU, DHHS Office of Inspector General (DHHS OIG), DOJ, the Office of the Attorney General, and any other authorized state or federal agency 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 TennCare-related activities or work is conducted. The right to audit under this section exists for ten (10) years from the end date of the State Contract or from the date of completion of any audit, whichever is later.

GOVERNMENT INSPECTION. Provider shall make all records (including but not limited to, financial, administrative and Medical Records) available at Provider’s expense for administrative, civil and/or criminal review, audit, or evaluation, inspection, investigation and/or prosecution by authorized federal, state, and Office of the Comptroller of the Treasury personnel, including representatives from the OIG, the TBI MFCDMFCU, DOJ and the DHHS OIG, the Division of TennCare, the Office of the Attorney General, or any duly authorized state or federal agency, upon any authorized government agency’s request. Any authorized government agency, including but not limited to OIG, TBI MFCDMFCU, DHHS OIG, DOJ, and the Office of the Attorney General, may use these records to carry out their authorized duties, reviews, audits, administrative, civil and/or criminal investigations and/or prosecutions. Access will be either through on-site review of records or through the mail at the government agency’s discretion and during normal business hours, unless there are exigent circumstances, in which case access will be at any time. Provider shall send all records to be sent by mail to the Division of TennCare within twenty (20) business days of request unless otherwise specified by the Division of TennCare or applicable TennCare rules and regulations. Requested records shall be provided at no expense to the Division of TennCare, authorized federal, State, and Office of the Comptroller of the Treasury personnel, including representatives from the OIG, the TBI MFCDMFCU, DOJ and the DHHS OIG, the Office of the Attorney General, or any duly authorized State or federal agency. Records related to appeals shall be forwarded within the time frames specified by in the appeal process portion of the CRA. Provider acknowledges and agrees that such requests made by TennCare shall not be unreasonable. Records shall be provided by Provider to the requesting agency at no cost. As a condition of participation in TennCare, Covered Persons and Provider shall give TennCare or its authorized representative, the Office of the Comptroller of the Treasury, and any health oversight agency, such as OIG, TBI MFCDMFCU, DHHS Office of Inspector General (DHHS OIG), DOJ, the Office of the Attorney General, and any other authorized state or federal agency, access to their records. Provider shall furnish, immediately upon request, said records for fiscal audit, medical audit, medical review, utilization review, and other periodic monitoring as well as for administrative, civil and criminal investigations or prosecutions. Records shall be provided by Provider to the requesting agency at no cost. TennCare or its authorized representative, the Office of the Comptroller of the Treasury, and any health oversight agency, such as OIG, TBI MFCDMFCU, DHHS Office of Inspector General (DHHS OIG), DOJ, the Office of the Attorney General, and any other authorized state or federal agency 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 TennCare-related activities or work is conducted. The right to audit under this section exists for ten (10) years from the end date of the State Contract or from the date of completion of any audit, whichever is later.

GOVERNMENT INSPECTION. Provider shall make all records (including but not limited to, financial, administrative and Medical Records) available at Provider’s expense for administrative, civil and/or criminal review, audit, or evaluation, inspection, investigation and/or prosecution by authorized federal, state, and Office of the Comptroller of the Treasury personnel, including representatives from the OIG, the TBI MFCDMFCU, DOJ and the DHHS OIG, the Division of TennCare, the Office of the Attorney General, or any duly authorized state or federal agency, upon any authorized government agency’s request. Any authorized government agency, including but not limited to OIG, TBI MFCDMFCU, DHHS OIG, DOJ, and the Office of the Attorney General, may use these records to carry out their authorized duties, reviews, audits, administrative, civil and/or criminal investigations and/or prosecutions. Access will be either through on-site review of records or through the mail at the government agency’s discretion and during normal business hours, unless there are exigent circumstances, in which case access will be at any time. Provider shall send all records to be sent by mail to the Division of TennCare within twenty (20) business days of request unless otherwise specified by the Division of TennCare or applicable TennCare rules and regulations. Requested records shall be provided at no expense to the Division of TennCare, authorized federal, State, and Office of the Comptroller of the Treasury personnel, including representatives from the OIG, the TBI MFCDMFCU, DOJ and the DHHS OIG, the Office of the Attorney General, or any duly authorized State or federal agency. Records related to appeals shall be forwarded within the time frames specified by in the appeal process portion of the CRAPBM Contract. Provider acknowledges and agrees that such requests made by TennCare shall not be unreasonable. Records shall be provided by Provider to the requesting agency at no cost. As a condition of participation in TennCare, Covered Persons and Provider shall give TennCare or its authorized representative, the Office of the Comptroller of the Treasury, and any health oversight agency, such as OIG, TBI MFCDMFCU, DHHS Office of Inspector General (DHHS OIG), DOJ, the Office of the Attorney General, and any other authorized state or federal agency, access to their records. Provider shall furnish, immediately upon request, said records for fiscal audit, medical audit, medical review, utilization review, and other periodic monitoring as well as for administrative, civil and criminal investigations or prosecutions. Records shall be provided by Provider to the requesting agency at no cost. TennCare or its authorized representative, the Office of the Comptroller of the Treasury, and any health oversight agency, such as OIG, TBI MFCDMFCU, DHHS Office of Inspector General (DHHS OIG), DOJ, the Office of the Attorney General, and any other authorized state or federal agency 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 PBM 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 TennCare-related activities or work is conducted. The right to audit under this section exists for ten (10) years from the end date of the State PBM Contract or from the date of completion of any audit, whichever is later.

GOVERNMENT INSPECTION. Provider shall make all records (including but not limited to, financial, administrative and Medical Records) available at Provider’s expense for administrative, civil and/or criminal review, audit, or evaluation, inspection, investigation and/or prosecution by authorized federal, state, and Office of the Comptroller of the Treasury personnel, including representatives from the OIG, the TBI MFCDMFCU, DOJ and the DHHS OIG, the Division Bureau of TennCare, the Office of the Attorney General, TennCare or any duly authorized state or federal agency, upon any authorized government agency’s request. Any authorized government agency, including but not limited to OIG, TBI MFCDMFCU, DHHS OIG, OIG and DOJ, and the Office of the Attorney General, may use these records to carry out their authorized duties, reviews, audits, administrative, civil and/or criminal investigations and/or prosecutions. Access will be either through on-site review of records or through the mail at the government agency’s discretion and during normal business hours, unless there are exigent circumstances, in which case access will be at any time. Provider shall send all records to be sent by mail to the Division Bureau of TennCare within twenty (20) business days of request unless otherwise specified by the Division Bureau of TennCare or applicable TennCare rules and regulations. Requested records shall be provided at no expense to the Division Bureau of TennCare, authorized federal, State, and Office of the Comptroller of the Treasury personnel, including representatives from the OIG, the TBI MFCDMFCU, DOJ and the DHHS OIG, the Office of the Attorney General, or any duly authorized State or federal agency. Records related to appeals shall be forwarded within the time frames specified by in the appeal process portion of the CRA. Provider acknowledges and agrees that such requests made by TennCare shall not be unreasonable. Records shall be provided by Provider to the requesting agency at no cost. As a condition of participation in TennCare, Covered Persons and Provider shall give TennCare or its authorized representative, the Office of the Comptroller of the Treasury, and any health oversight agency, such as OIG, TBI MFCDMFCU, DHHS Office of Inspector General (DHHS OIG), and DOJ, the Office of the Attorney General, and any other authorized state or federal agency, access to their records. Provider shall furnish, immediately upon request, said records for fiscal audit, medical audit, medical review, utilization review, and other periodic monitoring as well as for administrative, civil and criminal investigations or prosecutions. TennCare or its authorized representative, Records shall be provided by Provider to the Office of the Comptroller of the Treasury, and any health oversight agency, such as OIG, TBI MFCD, DHHS Office of Inspector General (DHHS OIG), DOJ, the Office of the Attorney General, and any other authorized state or federal requesting agency 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 TennCare-related activities or work is conducted. The right to audit under this section exists for ten (10) years from the end date of the State Contract or from the date of completion of any audit, whichever is laterno cost.