Common use of Participation Criteria Clause in Contracts

Participation Criteria. PROVIDER hereby warrants and represents that PROVIDER, and all of PROVIDER’s employees, affiliates, subcontractors and/or independent contractors who provide Covered Services under this Agreement, including without limitation health care, utilization review, and/or administrative services currently meet, and throughout the Term of this Agreement shall continue to meet any and all applicable conditions necessary to participate in the Medicare/Medicare Advantage program, including general provisions relating to non- discrimination, sexual harassment or fraud and abuse, as well as all applicable laws pertaining to the receipt of federal funds; federal laws designed to prevent or ameliorate fraud, waste and abuse, including applicable provisions of federal criminal law, the False Claims Act (31 X.X.X. §0000 et seq.) and the anti-kickback statute (42 U.S.C. §1320a-7b(b)), 42 CFR §§422.504(h)(l), 423.505(h)(l), and the HIPAA administrative simplification rules at 45 CFR Parts 160, 162, and 164. PROVIDER hereby warrants and represents PROVIDER and all of PROVIDER’s employees, affiliates, subcontractors, and/or independent contractors are not excluded, sanctioned or barred from participation under a federal health care program as described in Sections 1128B(b) and 1128B(f) of the Social Security Act, and all employees, affiliates, subcontractors, and/or independent contractors of PROVIDER are able to provide a current National Provider Identifier number, as applicable.

Participation Criteria. PROVIDER hereby warrants and represents that PROVIDER, and all of PROVIDER’s his/her/its employees, affiliates, subcontractors and/or independent contractors who provide Covered Services under this Agreement, including without limitation health care, utilization review, and/or administrative services currently meet, and throughout the Term of this Agreement shall continue to meet any and all applicable conditions necessary to participate in the Medicare/Medicare Advantage program, including general provisions relating to non- non-discrimination, sexual harassment or fraud and abuse, as well as all applicable laws pertaining to the receipt of federal funds; federal laws designed to prevent or ameliorate fraud, waste and abuse, including applicable provisions of federal criminal law, the False Claims Act (31 X.X.X. U.S.C. §0000 3729 et seq.) and the anti-kickback statute (42 U.S.C. §1320a-7b(b)), 42 CFR §§422.504(h)(l), 423.505(h)(l), and the HIPAA administrative simplification rules at 45 CFR Parts 160, 162, and 164. PROVIDER hereby warrants and represents PROVIDER that PROVIDER, and all of PROVIDER’s employees, affiliates, subcontractors, and/or independent contractors are not excluded, sanctioned or barred from participation under a federal health care program as described in Sections 1128B(b) and 1128B(f) of the Social Security Act, and all employees, affiliates, subcontractors, and/or independent contractors of PROVIDER are able to provide a current National Provider Identifier number, as applicable.

Participation Criteria. PROVIDER hereby warrants and represents that PROVIDER, and all of PROVIDER’s employees, affiliates, subcontractors and/or independent contractors who provide Covered Services under this Agreement, including without limitation health care, utilization review, and/or administrative services currently meet, and throughout the Term of this Agreement shall continue to meet any and all applicable conditions necessary to participate in the Medicare/Medicare Advantage program, including general provisions relating to non- non-discrimination, sexual harassment or fraud and abuse, as well as all applicable laws pertaining to the receipt of federal funds; federal laws law designed to prevent or ameliorate fraud, waste and abuse, including applicable provisions of federal criminal law, the False Claims Act (31 X.X.X. U.S.C. §0000 et 3729 et. seq.) and the anti-kickback statute (42 U.S.C. §1320a-7b(b)), 42 CFR §§422.504(h)(l), 423.505(h)(l423.505 (h)(l), ) and the HIPAA administrative simplification rules at 45 CFR Parts 160, 162, and 164. PROVIDER hereby warrants and represents PROVIDER PROVIDER, and all of PROVIDER’s employees, affiliates, subcontractors, and/or independent contractors are not excluded, sanctioned or barred from participation under a federal health care program as described in Sections 1128B(b) and 1128B(f) of the Social Security Act, and all employees, affiliates, subcontractors, and/or independent contractors of PROVIDER are able to provide a current National Provider Identifier number, as applicable.

Participation Criteria. PROVIDER hereby warrants and represents that PROVIDER, and all of PROVIDER’s employees, affiliates, subcontractors and/or independent contractors who provide Covered Services under this Agreement, including without limitation health care, utilization review, and/or administrative services services, currently meet, and throughout the Term of this Agreement shall continue to meet any and all applicable conditions necessary to participate in the Medicare/Medicare Advantage program, including general provisions relating to non- non-discrimination, sexual harassment or fraud and abuse, as well as all applicable laws pertaining to the receipt of federal funds; federal laws designed to prevent or ameliorate fraud, waste and abuse, including applicable provisions of federal criminal law, the False Claims Act (31 X.X.X. §0000 et seq.) and the anti-kickback statute (42 U.S.C. §1320a-7b(b)), 42 CFR §§422.504(h)(l), 423.505(h)(l), and the HIPAA administrative simplification rules at 45 CFR Parts 160, 162, and 164. PROVIDER hereby warrants and represents PROVIDER that PROVIDER, and all of PROVIDER’s employees, affiliates, subcontractors, and/or independent contractors are not excluded, sanctioned or barred from participation under a federal health care program as described in Sections 1128B(b) and 1128B(f) of the Social Security Act, and all employees, affiliates, subcontractors, and/or independent contractors of PROVIDER are able to provide a current National Provider Identifier numberIdentifier, as applicable.

Participation Criteria. PROVIDER hereby warrants and represents that PROVIDER, and all of PROVIDER’s employees, affiliates, subcontractors and/or independent contractors who provide Covered Services under this Agreement, including without limitation health care, utilization review, and/or administrative services currently meet, and throughout the Term of this Agreement shall continue to meet any and all applicable conditions necessary to participate in the Medicare/Medicare Advantage programProgram, including general provisions relating to non- non-discrimination, sexual harassment or fraud and abuse, as well as all applicable laws pertaining to the receipt of federal funds; federal laws designed to prevent or ameliorate fraud, waste and abuse, including applicable provisions of federal criminal law, the False Claims Act (31 X.X.X. §0000 et U.S.C. 3729 et. seq.) and the anti-kickback statute (42 U.S.C. §1320a-7b(b)), 42 CFR §§422.504(h)(l), 423.505(h)(l), ) and the HIPAA administrative simplification rules at 45 CFR Parts 160, 162, 162 and 164. PROVIDER hereby warrants and represents PROVIDER that PROVIDER, and all of PROVIDER’s employees, affiliates, subcontractors, and/or independent contractors are not excluded, sanctioned or barred from participation under a federal Federal health care program as described in Sections 1128B(b) and 1128B(f) of the Social Security Act, and that all employees, affiliates, subcontractors, and/or independent contractors of PROVIDER are able to provide a current National Provider Identifier number, as applicable.

Participation Criteria. PROVIDER hereby warrants and represents that PROVIDER, and all of PROVIDER’s employees, affiliates, subcontractors and/or independent contractors who provide Covered Services under this Agreement, including without limitation health care, utilization review, and/or administrative services services, currently meet, and throughout the Term of this Agreement shall continue to meet any and all applicable conditions necessary to participate in the Medicare/Medicare Advantage program, including general provisions relating to non- non-discrimination, sexual harassment or fraud and abuse, as well as all applicable laws pertaining to the receipt of federal funds; federal laws designed to prevent or ameliorate fraud, waste and abuse, including applicable provisions of federal criminal law, the False Claims Act (31 X.X.X. U.S.C. §0000 3729 et seq.) and the anti-kickback statute (42 U.S.C. §1320a-7b(b)), 42 CFR §§422.504(h)(l), 423.505(h)(l), and the HIPAA administrative simplification rules at 45 CFR Parts 160, 162, and 164. PROVIDER hereby warrants and represents PROVIDER that PROVIDER, and all of PROVIDER’s employees, affiliates, subcontractors, and/or independent contractors are not excluded, sanctioned or barred from participation under a federal health care program as described in Sections 1128B(b) and 1128B(f) of the Social Security Act, and all employees, affiliates, subcontractors, and/or independent contractors of PROVIDER are able to provide a current National Provider Identifier numberIdentifier, as applicable.

Participation Criteria. PROVIDER hereby warrants and represents that PROVIDER, and all of PROVIDER’s employees, affiliates, subcontractors and/or independent contractors who provide Covered Services under this Agreement, including without limitation health care, utilization review, and/or administrative services currently meet, and throughout the Term of this Agreement shall continue to meet any and all applicable conditions necessary to participate in the Medicare/Medicare Advantage program, including general provisions relating to non- non-discrimination, sexual harassment or fraud and abuse, as well as all applicable laws pertaining to the receipt of federal funds; federal laws designed to prevent or ameliorate fraud, waste and abuse, including applicable provisions of federal criminal law, the False Claims Act (31 X.X.X. §0000 et seq.) and the anti-kickback statute (42 U.S.C. §1320a-7b(b)), 42 CFR §§422.504(h)(l), 423.505(h)(l), and the HIPAA administrative simplification rules at 45 CFR Parts 160, 162, and 164. PROVIDER hereby warrants and represents PROVIDER and all of PROVIDER’s employees, affiliates, subcontractors, and/or independent contractors are not excluded, sanctioned or barred from participation under a federal health care program as described in Sections 1128B(b) and 1128B(f) of the Social Security Act, and all employees, affiliates, subcontractors, and/or independent contractors of PROVIDER are able to provide a current National Provider Identifier number, as applicable.

Participation Criteria. PROVIDER hereby warrants and represents that PROVIDER, and all of PROVIDER’s employees, affiliates, subcontractors and/or independent contractors who provide Covered Services under this Agreement, including without limitation health care, utilization review, and/or administrative services currently meet, and throughout the Term of this Agreement shall continue to meet any and all applicable conditions necessary to participate in the Medicare/Medicare Advantage program, including general provisions relating to non- non-discrimination, sexual harassment or fraud and abuse, as well as all applicable laws pertaining to the receipt of federal funds; federal laws designed to prevent or ameliorate fraud, waste and abuse, including applicable provisions of federal criminal law, the False Claims Act (31 X.X.X. U.S.C. §0000 3729 et seq.) and the anti-kickback statute (42 U.S.C. §1320a-7b(b)), 42 CFR §§422.504(h)(l), 423.505(h)(l), ) and the HIPAA administrative simplification rules at 45 CFR Parts 160, 162, and 164. PROVIDER hereby warrants and represents PROVIDER that PROVIDER, and all of PROVIDER’s employees, affiliates, subcontractors, and/or independent contractors are not excluded, sanctioned or barred from participation under a federal health care program as described in Sections 1128B(b) and 1128B(f) of the Social Security Act, and all employees, affiliates, subcontractors, and/or independent contractors of PROVIDER are able to provide a current National Provider Identifier number, Number as applicable.

Participation Criteria. PROVIDER hereby warrants and represents that PROVIDER, and all of PROVIDER’s employees, affiliates, subcontractors and/or independent contractors who provide Covered Services under this Agreement, including without limitation health care, utilization review, and/or administrative services currently meet, and throughout the Term of this Agreement shall continue to meet any and all applicable conditions necessary to participate in the Medicare/Medicare Advantage program, including general provisions relating to non- non-discrimination, sexual harassment or fraud and abuse, as well as all applicable laws pertaining to the receipt of federal funds; federal laws designed to prevent or ameliorate fraud, waste and abuse, abuse including applicable provisions of federal criminal law, the False Claims Act (31 X.X.X. §0000 et U.S.C. 3729 et. seq.) and the anti-anti- kickback statute (42 U.S.C. §1320a-7b(b)), 42 CFR §§422.504(h)(l), 423.505(h)(l)), and the HIPAA administrative simplification rules at 45 CFR Parts 160, 162, 162 and 164. PROVIDER hereby warrants and represents PROVIDER and all of PROVIDER’s employees, affiliates, subcontractors, and/or independent contractors are not excluded, sanctioned or barred from participation under a federal health care program as described in Sections 1128B(b) and 1128B(f) of the Social Security Act, and all employees, affiliates, subcontractors, and/or independent contractors of PROVIDER are able to provide a current National Provider Identifier number, as applicable.

Participation Criteria. PROVIDER hereby warrants and represents that PROVIDER, and all of PROVIDER’s employees, affiliates, subcontractors and/or independent contractors who provide Covered Services under this Agreement, including without limitation health care, utilization review, and/or administrative services currently meet, and throughout the Term of this Agreement shall continue to meet any and all applicable conditions necessary to participate in the Medicare/Medicare Advantage program, including general provisions relating to non- non-discrimination, sexual harassment or fraud and abuse, as well as all applicable laws pertaining to the receipt of federal funds; federal laws designed to prevent or ameliorate fraud, waste and abuse, including applicable provisions of federal criminal law, the False Claims Act (31 X.X.X. U.S.C. §0000 3729 et seq.) and the anti-kickback statute (42 U.S.C. §1320a-7b(b)), 42 CFR §§422.504(h)(l), 423.505(h)(l), ) and the HIPAA administrative simplification rules at 45 CFR Parts 160, 162, and 164. PROVIDER hereby warrants and represents PROVIDER PROVIDER, and all of PROVIDER’s employees, affiliates, subcontractors, and/or independent contractors are not excluded, sanctioned or barred from participation under a federal health care program as described in Sections 1128B(b) and 1128B(f) of the Social Security Act, and all employees, affiliates, subcontractors, and/or independent contractors of PROVIDER are able to provide a current National Provider Identifier numberIdentification Number, as applicable.

Participation Criteria. PROVIDER hereby warrants and represents that PROVIDER, and all of PROVIDER’s employees, affiliates, subcontractors and/or independent contractors who provide Covered Services under this Agreement, including without limitation health care, utilization review, and/or administrative services currently meet, and throughout the Term of this Agreement shall continue to meet any and all applicable conditions necessary to participate in the Medicare/Medicare Advantage program, including general provisions relating to non- non-discrimination, sexual harassment or fraud and abuse, as well as all applicable laws pertaining to the receipt of federal Federal funds; federal laws law designed to prevent or ameliorate fraud, waste waste, and abuse, including applicable provisions of federal criminal law, the False Claims Act (31 X.X.X. U.S.C. §0000 et 3729 et. seq.) and the anti-kickback statute (42 U.S.C. §1320a-7b(b)), 42 CFR CFR. §§422.504(h)(l), 423.505(h)(l), ) and the HIPAA administrative simplification rules at 45 CFR Parts 160, 162, and 164. PROVIDER hereby warrants and represents PROVIDER PROVIDER, and all of PROVIDER’s employees, affiliates, subcontractors, and/or independent contractors are not excluded, sanctioned or barred from participation under a federal health care program as described in Sections 1128B(b) and 1128B(f) of the Social Security Act, and all employees, affiliates, subcontractors, and/or independent contractors of PROVIDER are able to provide a current National Provider Identifier number, as applicable.