Common use of LICENSES, ACCREDITATIONS, CREDENTIALING AND QUALIFICATIONS Clause in Contracts

LICENSES, ACCREDITATIONS, CREDENTIALING AND QUALIFICATIONS. a. The CONTRACTOR shall maintain all licenses, certifications, accreditations and registrations required for its facilities and staff providing services under the Contract as are required by Controlling Authority. Within ten (10) days after the CONTRACTOR receives notice of any sanction by any applicable licensing board, certification or registration agency, or accrediting body which affect the ability of CONTRACTOR to xxxx the LME/PIHP for services, the Contractor shall forward a copy of the notice to the LME/PIHP. b. The CONTRACTOR shall not xxxx the LME/PIHP: i. For any services provided by CONTRACTOR during any period of revocation or suspension of required licensure or accreditation of the CONTRACTOR’s facility; ii. For any services provided by a member of the CONTRACTOR’s staff during any period of revocation or suspension of the staff member’s required certification, licensure, or credentialing. c. The CONTRACTOR certifies that at the time of execution of this Contract, that neither CONTRACTOR, nor any of its staff or employees, is excluded from participation in Federal Health Care Programs under section 1128 of the Social Security Act and/or 42 CFR Part 1001. Within five (5) business days of notification of exclusion of CONTRACTOR or any of its staff or employees by the U.S. Office of Inspector General, CMS or any other State Medicaid program, CONTRACTOR shall notify the LME/PIHP of the exclusion and its plan for compliance. d. CONTRACTOR, upon written request by the LME/PIHP, shall provide the LME/PIHP with proof of CONTRACTOR accreditation and copies of accreditation reports as part of the credentialing process. e. The LME/PIHP will conduct an assessment of the CONTRACTOR’s qualifications to remain in the LME/PIHP’s network at a minimum of once every three (3) years.

LICENSES, ACCREDITATIONS, CREDENTIALING AND QUALIFICATIONS. a. The CONTRACTOR shall maintain all licenses, certifications, accreditations and registrations required for its facilities and staff providing services under the Contract as are required by Controlling Authority. Within ten (10) days after the CONTRACTOR receives notice of any sanction by any applicable licensing board, certification or registration agency, or accrediting body which affect the ability of CONTRACTOR to xxxx bill the LME/PIHP for services, the Contractor shall forward a copy of the notice to the LME/PIHP. b. The CONTRACTOR shall not xxxx bill the LME/PIHP: i. For any services provided by CONTRACTOR during any period of revocation or suspension of required licensure or accreditation of the CONTRACTOR’s facility; ii. For any services provided by a member of the CONTRACTOR’s staff during any period of revocation or suspension of the staff member’s required certification, licensure, or credentialing. c. The CONTRACTOR certifies that at the time of execution of this Contract, that neither CONTRACTOR, nor any of its staff or employees, is excluded from participation in Federal Health Care Programs under section 1128 of the Social Security Act and/or 42 CFR Part 1001. Within five (5) business days of notification of exclusion of CONTRACTOR or any of its staff or employees by the U.S. Office of Inspector General, CMS or any other State Medicaid program, CONTRACTOR shall notify the LME/PIHP of the exclusion and its plan for compliance. d. CONTRACTOR, upon written request by the LME/PIHP, shall provide the LME/PIHP with proof of CONTRACTOR accreditation and copies of accreditation reports as part of the credentialing process. e. The LME/PIHP will conduct an assessment of the CONTRACTOR’s qualifications to remain in the LME/PIHP’s network at a minimum of once every three (3) years.

LICENSES, ACCREDITATIONS, CREDENTIALING AND QUALIFICATIONS. a. The CONTRACTOR Contractor shall maintain all licenses, certifications, accreditations accreditations, credentialing and registrations required for its facilities and staff providing services under the Contract Contract, as are required by Controlling Authority. Within ten (10) days after the CONTRACTOR Contractor receives notice of any sanction by any applicable licensing board, certification or registration agency, or accrediting body or other authority which affect the ability of CONTRACTOR Contractor to xxxx the LME/PIHP for services, the Contractor shall forward a copy of the notice to the LME/PIHP. b. The CONTRACTOR Contractor shall not xxxx the LME/PIHP: i. 1. For any services provided by CONTRACTOR Contractor during any period of revocation or suspension of required licensure or accreditation of the CONTRACTORContractor’s facility; ii2. For any services provided by a member of the CONTRACTORContractor’s staff during any period of revocation or suspension of the staff member’s required certification, licensure, or credentialing. c. The CONTRACTOR Contractor certifies that at the time of execution of this Contract, that neither CONTRACTORContractor, nor any of its staff or employees, is excluded from participation in Federal Health Care Programs under section 1128 of the Social Security Act and/or 42 CFR Part 1001. Within five (5) business days of notification of exclusion of CONTRACTOR Contractor or any of its staff or employees by the U.S. Office of Inspector General, CMS or any other State Medicaid program, CONTRACTOR Contractor shall notify the LME/PIHP of the exclusion and its plan for compliance. d. CONTRACTORContractor, upon written request by the LME/PIHP, shall provide the LME/PIHP with proof of CONTRACTOR Contractor accreditation and copies of accreditation reports as part of the credentialing process. e. The LME/PIHP will conduct an assessment of the CONTRACTORContractor’s qualifications to remain in the LME/PIHP’s network at a minimum of once every three (3) years., unless otherwise required by the Department

LICENSES, ACCREDITATIONS, CREDENTIALING AND QUALIFICATIONS. a. The CONTRACTOR shall maintain all licenses, certifications, accreditations and registrations required for its facilities and staff providing services under the Contract as are required by Controlling Authority. Within ten (10) days after the CONTRACTOR receives notice of any sanction by any applicable licensing board, certification or registration agency, or accrediting body or other authority which affect the ability of CONTRACTOR to xxxx bill the LME/PIHP for services, the Contractor shall forward a copy of the notice to the LME/PIHP. b. The CONTRACTOR shall not xxxx bill the LME/PIHP: i. 1. For any services provided by CONTRACTOR during any period of revocation or suspension of required licensure or accreditation of the CONTRACTOR’s facility; ii2. For any services provided by a member of the CONTRACTOR’s staff during any period of revocation or suspension of the staff member’s required certification, licensure, or credentialing. c. The CONTRACTOR certifies that at the time of execution of this Contract, that neither CONTRACTOR, nor any of its staff or employees, is excluded from participation in Federal Health Care Programs under section 1128 of the Social Security Act and/or 42 CFR Part 1001. Within five (5) business days of notification of exclusion of CONTRACTOR or any of its staff or employees by the U.S. Office of Inspector General, CMS or any other State Medicaid program, CONTRACTOR shall notify the LME/PIHP of the exclusion and its plan for compliance. d. CONTRACTOR, upon written request by the LME/PIHP, shall provide the LME/PIHP with proof of CONTRACTOR accreditation and copies of accreditation reports as part of the credentialing process. e. The LME/PIHP will conduct an assessment of the CONTRACTOR’s qualifications to remain in the LME/PIHP’s network at a minimum of once every three (3) years.

LICENSES, ACCREDITATIONS, CREDENTIALING AND QUALIFICATIONS. a. The CONTRACTOR shall maintain all licenses, certifications, accreditations and registrations required for its facilities and staff providing services under the Contract as are required by Controlling Authority. Within ten (10) days after the CONTRACTOR receives notice of any sanction by any applicable licensing board, certification or registration agency, or accrediting body or other authority which affect the ability of CONTRACTOR to xxxx the LME/PIHP for services, the Contractor shall forward a copy of the notice to the LME/PIHP. b. . The CONTRACTOR shall not xxxx the LME/PIHP: i. : For any services provided by CONTRACTOR during any period of revocation or suspension of required licensure or accreditation of the CONTRACTOR’s facility; ii. ; For any services provided by a member of the CONTRACTOR’s staff during any period of revocation or suspension of the staff member’s required certification, licensure, or credentialing. c. . The CONTRACTOR certifies that at the time of execution of this Contract, that neither CONTRACTOR, nor any of its staff or employees, is excluded from participation in Federal Health Care Programs under section 1128 of the Social Security Act and/or 42 CFR Part 1001. Within five (5) business days of notification of exclusion of CONTRACTOR or any of its staff or employees by the U.S. Office of Inspector General, CMS or any other State Medicaid program, CONTRACTOR shall notify the LME/PIHP of the exclusion and its plan for compliance. d. . CONTRACTOR, upon written request by the LME/PIHP, shall provide the LME/PIHP with proof of CONTRACTOR accreditation and copies of accreditation reports as part of the credentialing process. e. . The LME/PIHP will conduct an assessment of the CONTRACTOR’s qualifications to remain in the LME/PIHP’s network at a minimum of once every three (3) years.