Monitoring and Disclosure of Exclusion, Debarment and Suspension Sample Clauses

Monitoring and Disclosure of Exclusion, Debarment and Suspension. PROVIDER agrees that failure to comply with Federal requirements that prohibit employment or contractual arrangements with PROVIDERs excluded from participation under either Medicare, Medicaid or other federal or state health care programs will result in Medicaid overpayment liability and may result in civil monetary penalties. PROVIDER agrees to perform checks at the time of initial engagement of an employee or contractor, at the time of renewal of engagement, on a monthly basis, and at the time new disclosure information is received. Checks must include the US Dep’t of Health and Human Services Office of Inspector General’s List of Excluded Individuals/ Entities (LEIE) at xxxx://xxxxxxxxxx.xxx.xxx.xxx, the federal government’s System for Award Management (XXX) at xxx.XXX.gov,and the Michigan Department of Health and Human Services website at xxx.xxxxxxxx.xxx/XXXXX (see Doing Business with MDHHS/ Health Care PROVIDERs/ List of Sanctioned PROVIDERs or xxxx://xxx.xxxxxxxx.xxx/mdhhs/0, 5885,7-339- 71551_2945_42542_42543_ 42546_42551-16459--,00.html). PROVIDER agrees to maintain documentation showing proof of having completed the exclusion checks at the required frequency and to make such documentation available to PAYOR for verification during site visits. PROVIDER agrees to notify the PAYOR CEO or designee within two business days if search results indicate that an employee, contractor, or individuals or entities with ownership or control interests in a PROVIDER entity appear on the exclusions databases.
Sample 1Sample 2Sample 3
AutoNDA by SimpleDocs
Monitoring and Disclosure of Exclusion, Debarment and Suspension. Provider agrees that failure to comply with Federal requirements that prohibit employment or contractual arrangements with providers excluded from participation under either Medicare, Medicaid or other federal or state health care programs will result in Medicaid overpayment liability and may result in civil monetary penalties. Provider agrees to perform checks at the time of initial engagement of an employee or contractor, at the time of renewal of engagement, on a monthly basis, and at the time new disclosure information is received. A complete list of Centers for Medicare and Medicaid Services (CMS) sanctioned providers is available on their website at xxxx://xxxxxxxxxx.xxx.xxx.xxx. A complete list of sanctioned providers is available on the Michigan Department of Health and Human Services website at xxx.xxxxxxxx.xxx/XXXXX. (Click on Providers, click on Information for Medicaid Providers, click on List of Sanctioned Providers). Provider agrees to maintain documentation showing proof of having completed the exclusion checks at the required frequency and to make such documentation available to BABH personnel for verification during site visits.
Sample 1
Monitoring and Disclosure of Exclusion, Debarment and Suspension. Provider agrees that failure to comply with Federal requirements that prohibit employment or contractual arrangements with providers excluded from participation under either Medicare, Medicaid or other federal or state health care programs will result in Medicaid overpayment liability and may result in civil monetary penalties. Provider agrees to perform checks at the time of initial engagement of an employee or contractor, at the time of renewal of engagement, on a monthly basis, and at the time new disclosure information is received. Checks must include, as required at 42 CFR 455.436 the Social Security Administration (SSA) Death Master File (xxxxx://xxx.xxxxx.xxx) to ensure the person is not deceased if SSA permits file access and fees are not cost prohibitive, and the Centers for Medicare and Medicaid Services (CMS) National Plan and Provider Enumeration System (NPPES) (xxxxx://xxxxx.xxx.xxx.xxx/) to verify national provider numbers (NPI’s), if not already verified via Medicare or Medicaid provider enrollment records; as required by 42 CFR 455.436 and 48 CFR 9.4, the US Dep’t of Health and Human Services Office of Inspector General’s List of Excluded Individuals/ Entities (LEIE) at xxxx://xxxxxxxxxx.xxx.xxx.xxx; as required by the MDHHS/PIHP Master Contract, the federal government’s System for Award Management (XXX) at xxx.XXX.gov; and as required by the Michigan Department of Health and Human Services Medicaid Manual, the MDHHS list of sanctioned providers at xxx.xxxxxxxx.xxx/XXXXX (see Doing Business with MDHHS/Health Care Providers/List of Sanctioned Providers or xxxx://xxx.xxxxxxxx.xxx/mdhhs/0, 5885,7-339- 71551_2945_42542_42543_ 42546_42551-16459--,00.html). Provider agrees to maintain documentation showing proof of having completed the exclusion checks at the required frequency and to make such documentation available to BABHA personnel for verification during site visits. Provider agrees to notify the BABHA CEO within two business days if search results indicate that an employee, contractor, or individuals or entities with ownership or control interests in a provider entity appear on the exclusions databases.
Sample 1

Related to Monitoring and Disclosure of Exclusion, Debarment and Suspension

  • CERTIFICATION REGARDING DEBARMENT AND SUSPENSION The undersigned (authorized official signing for the contracting organization) certifies to the best of his or her knowledge and belief, that the contractor, defined as the primary participant in accordance with 45 CFR Part 76, and its principals:

  • Permitted Uses and Disclosures of Phi by Business Associate Except as otherwise indicated in this Agreement, Business Associate may use or disclose PHI, inclusive of de-identified data derived from such PHI, only to perform functions, activities or services specified in this Agreement on behalf of DHCS, provided that such use or disclosure would not violate HIPAA or other applicable laws if done by DHCS.

  • Permitted Uses and Disclosures by Business Associate 1. Business Associate may only use or disclose protected health information as necessary to perform the services as outlined in the underlying agreement.

  • Debarment and Suspension A. The Contractor certifies by entering into this Contract that neither it nor its principals nor any of its subcontractors are presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from entering into this Contract by any federal agency or by any department, agency or political subdivision of the State of Indiana. The term “principal” for purposes of this Contract means an officer, director, owner, partner, key employee or other person with primary management or supervisory responsibilities, or a person who has a critical influence on or substantive control over the operations of the Contractor.

  • Permitted Uses and Disclosures of PHI 2.1 Unless otherwise limited herein, Business Associate may:

  • Use and Disclosure of PHI Business Associate is limited to the following permitted and required uses or disclosures of PHI:

  • Use and Disclosure of Protected Health Information The Business Associate must not use or further disclose protected health information other than as permitted or required by the Contract or as required by law. The Business Associate must not use or further disclose protected health information in a manner that would violate the requirements of HIPAA Regulations.

  • Convicted, Discriminatory, Antitrust Violator, and Suspended Vendor Lists In accordance with sections 287.133, 287.134, and 287.137, F.S., the Contractor is hereby informed of the provisions of sections 287.133(2)(a), 287.134(2)(a), and 287.137(2)(a), F.S. For purposes of this Contract, a person or affiliate who is on the Convicted Vendor List, the Discriminatory Vendor List, or the Antitrust Violator Vendor List may not perform work as a contractor, supplier, subcontractor, or consultant under the Contract. The Contractor must notify the Department if it or any of its suppliers, subcontractors, or consultants have been placed on the Convicted Vendor List, the Discriminatory Vendor List, or the Antitrust Violator Vendor List during the term of the Contract. In accordance with section 287.1351, F.S., a vendor placed on the Suspended Vendor List may not enter into or renew a contract to provide any goods or services to an agency after its placement on the Suspended Vendor List. A firm or individual placed on the Suspended Vendor List pursuant to section 287.1351, F.S., the Convicted Vendor List pursuant to section 287.133, F.S., the Antitrust Violator Vendor List pursuant to section 287.137, F.S., or the Discriminatory Vendor List pursuant to section 287.134, F.S., is immediately disqualified from Contract eligibility.

  • Permitted Uses and Disclosures of Protected Health Information Business Associate:

  • Permitted Uses and Disclosure by Business Associate (1) General Use and Disclosure Provisions Except as otherwise limited in this Section of the Contract, Business Associate may use or disclose PHI to perform functions, activities, or services for, or on behalf of, Covered Entity as specified in this Contract, provided that such use or disclosure would not violate the HIPAA Standards if done by Covered Entity or the minimum necessary policies and procedures of the Covered Entity.

Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!