Common use of Prohibited Affiliations Clause in Contracts

Prohibited Affiliations. (a) The Contractor shall assure that all Affiliated Providers, including out-of-State Providers, are enrolled in the Medical Assistance Program, if such enrollment is required for such Provider by Department rules or policy in order to submit claims for reimbursement or otherwise participate in the Medical Assistance Program. The Contractor shall assure that any non-Affiliated Provider billing for services rendered in Illinois is enrolled in the Medical Assistance Program prior to paying claims. (b) The Contractor shall not employ, subcontract with, or affiliate itself with or otherwise accept any Ineligible Person into its network. (c) The Contractor shall screen all current and prospective employees, contractors, and sub-contractors, prior to engaging their services under this Contract by: (i) requiring them to disclose whether they are Ineligible Persons; (ii) reviewing the OIG's list of sanctioned persons (available on the World Wide Web at xxxx://xxx.xxxxx.xxx/epls) and the HHS/OIG List of Excluded Individuals/Entities (available on the World Wide Web at xxxx://xxx.xxxx.xxx/oig). The Contractor shall annually screen all current employees, contractors and sub-contractors providing services under this Contract. The Contractor shall screen out-of-State non-Affiliated Providers billing for Covered Services prior to payment and shall not pay such Providers who meet the definition of Ineligible Persons. (d) The Contractor shall terminate its relations with any Ineligible Person immediately upon learning that such Person or Provider meets the definition of an Ineligible Person and notify the OIG of the termination.

Prohibited Affiliations. (a) The Contractor shall assure that all any Affiliated ProvidersProvider, including out-of-State Providers, are is enrolled in the Medical Assistance Program, if such enrollment is required for such Provider by Department rules or policy in order to submit claims for reimbursement or otherwise participate in the Medical Assistance Program. The Contractor shall assure that any non-Affiliated Provider Illinois provider billing for services rendered in Illinois is enrolled in the Medical Assistance Program prior to paying claims. (b) The Contractor shall not employ, subcontract with, or affiliate itself with or otherwise accept any Ineligible Person into its network. (c) The Contractor shall screen all current and prospective employees, contractors, and sub-contractors, prior to engaging their services under this Contract by: (i) requiring them to disclose whether they are Ineligible Persons; (ii) reviewing the OIG's list of sanctioned persons (available on the World Wide Web at xxxx://xxx.xxxxx.xxx/eplshttp:www.arnet.[ILLEGIBLE]) and the HHS/OIG List of Excluded Individuals/Entities (available on the World Wide Web at xxxx://xxx.xxxx.xxx/oig). The Contractor shall annually screen all current employees, contractors and sub-contractors providing services under this Contract. The Contractor shall screen out-of-State non-Affiliated Providers billing for Covered Services prior to payment and shall not pay such Providers who meet the definition of Ineligible Persons. (d) The Contractor shall terminate its relations relations,with any Ineligible Person immediately upon learning that such Person or Provider meets the definition of an Ineligible Person and notify the OIG of the termination.

Prohibited Affiliations. (a) The Contractor shall assure that all Affiliated Providers, including out-of-State Providers, are enrolled in the HFS Medical Assistance Program, if such enrollment is required for such Provider by Department rules or policy in order to submit claims for reimbursement or otherwise participate in the HFS Medical Assistance Program. The Contractor shall assure that any non-Affiliated Provider billing for services rendered in Illinois is enrolled in the HFS Medical Assistance Program prior to paying claims.claims.‌ (b) The Contractor shall not employ, subcontract with, or affiliate itself with or otherwise accept any Ineligible Person into its network. (c) The Contractor shall screen all current and prospective employees, contractors, and sub-contractors, prior to engaging their services under this Contract by: (i) requiring them to disclose whether they are Ineligible Persons; (ii) reviewing the OIG's ’s list of sanctioned persons (available on the World Wide Web at xxxx://xxx.xxxxx.xxx/epls) and the HHS/OIG List of Excluded Individuals/Entities (available on the World Wide Web at xxxx://xxx.xxxx.xxx/oig). The Contractor shall annually screen all current employees, contractors and sub-contractors providing services under this Contract. The Contractor shall screen out-of-State non-Affiliated Providers billing for Covered Services prior to payment and shall not pay such Providers who meet the definition of Ineligible Persons. (d) The Contractor shall terminate its relations with any Ineligible Person immediately upon learning that such Person or Provider meets the definition of an Ineligible Person and notify the OIG of the termination.

Prohibited Affiliations. (a) The Contractor shall assure that all Affiliated Providers, including out-of-State Providers, are enrolled in the HFS Medical Assistance Program, if such enrollment is required for such Provider by Department rules or policy in order to submit claims for reimbursement or otherwise participate in the HFS Medical Assistance Program. The Contractor shall assure that any non-Affiliated Provider billing for services rendered in Illinois is enrolled in the HFS Medical Assistance Program prior to paying claims. (b) The Contractor shall not employ, subcontract with, or affiliate itself with or otherwise accept any Ineligible Person into its network. (c) The Contractor shall screen all current and prospective employees, contractors, and sub-contractors, prior to engaging their services under this Contract by: : (i) requiring them to disclose whether they are Ineligible Persons; (ii) reviewing the OIG's list of sanctioned persons (available on the World Wide Web at xxxx://xxx.xxxxx.xxx/epls) and the HHS/OIG List of Excluded Individuals/Entities (available on the World Wide Web at xxxx://xxx.xxxx.xxx/oig). The Contractor shall annually screen all current employees, contractors and sub-contractors providing services under this Contract. The Contractor shall screen out-of-State non-Affiliated Providers billing for Covered Services prior to payment and shall not pay such Providers who meet the definition of Ineligible Persons. (d) The Contractor shall terminate its relations with any Ineligible Person immediately upon learning that such Person or Provider meets the definition of an Ineligible Person and notify the OIG of the termination.

Prohibited Affiliations. (a) The Contractor shall assure that all any Affiliated ProvidersProvider, including out-of-State Providers, are is enrolled in the Medical Assistance Program, if such enrollment is required for such Provider by Department rules or policy in order to submit claims for reimbursement or otherwise participate in the Medical Assistance Program. The Contractor shall assure that any non-Affiliated Provider Illinois provider billing for services rendered in Illinois is enrolled in the Medical Assistance Program prior to paying claims. (b) The Contractor shall not employ, subcontract with, or affiliate itself with or otherwise accept any Ineligible Person into its network. (c) The Contractor shall screen all current and prospective employees, contractors, and sub-contractors, prior to engaging their services under this Contract by: (i) requiring them to disclose whether they are Ineligible Persons; (ii) reviewing the OIG's list of sanctioned persons (available on the World Wide Web at xxxx://xxx.xxxxx.xxx/eplshttp:www.xxxxx.xxx/xxxx) and xxd the HHS/OIG List of Excluded Individuals/Entities (available on the World Wide Web at xxxx://xxx.xxxx.xxx/oighttp://xxx.xxxx.xxx/xxx). The Contractor shall annually screen all current employees, contractors and sub-contractors providing services under this Contract. The Contractor shall screen out-of-State non-Affiliated Providers billing for Covered Services prior to payment and shall not pay such Providers who meet the definition of Ineligible Persons. (d) The Contractor shall terminate its relations with any Ineligible Person immediately upon learning that such Person or Provider meets the definition of an Ineligible Person and notify the OIG of the termination.