Common use of Provider Eligibility Requirements Clause in Contracts

Provider Eligibility Requirements. Exclusion of Certain Persons and Entities from Participation in Medicare and State Health Care Programs. To ensure compliance with the Social Security Act Sections 1128, 1128A, 1156, 42 CFR 438.6, 455.10 and 45 CFR Part 76, Provider must ensure the following: (a) Provider and its subcontractors, board members, and employees are not debarred, suspended, proposed for debarment, declared ineligible, or excluded from a Federal or State health care program. (b) Provider and its subcontractors, board members, and employees have not been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract; violation of Federal/State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property. (c) Provider and its subcontractors, board members, and employees are not indicted or otherwise criminally or civilly charged by a government entity (Federal, State or local). (d) Provider and its subcontractors, board members, and employees have not within a three (e) Provider shall ensure an initial examination of Federal and State databases of excluded parties and litigation checks are conducted on Provider’s employees and Board members. Such examination must take place at the time of hire, and monthly thereafter, for all Provider employees and members of Provider’s Board. (f) Provider will notify CMHSP/LRE immediately when there is litigation initiated against Provider. (g) Provider shall immediately disclose to CMHSP, LRE or Administrator any information regarding the ownership or control by a person convicted of a criminal offense described under Sections 1128(a)(b) and 1128(b)(1), (2), or (3) of the Social Security Act and if any staff member, member of the Board of Directors, manager, or person with an employment, consulting or other arrangement with Provider has been convicted of a criminal offense described under Section 1128A of the Social Security Act. (h) Provider agrees to immediately notify CMHSP, LRE or Administrator of any threatened, proposed, or actual exclusions of Provider or its staff from any Federally-funded health care program. (i) Provider shall furnish CMHSP or Administrator with notice of proof of Provider’s authority to conduct business in the State of Michigan and in what business capacity (Corporation, etc.), prior to commencing the provision of Supports/Services under this Agreement, and with notice of any related organization of Provider per alliance, affiliation, joint venture, parent/subsidiary or other business relationship that Provider is a party to during the term hereunder. (j) Provider shall furnish upon request to CMHSP or LRE with notice of proof of financial solvency, prior to commencing the provision of Covered Services hereunder, and with immediate notice of any change in financial position material to Provider’s solvency and to its continuing in operation as a going concern, at any time during the term of this Agreement.

Provider Eligibility Requirements. Exclusion of Certain Persons and Entities from Participation in Medicare and State Health Care Programs. To ensure compliance with the Social Security Act Sections 1128, 1128A, 1156, 42 CFR 438.6438.214, 455.10 and 45 CFR Part 76, Provider must ensure the following: (a) A. Provider and its subcontractors, board Board members, and employees are not debarred, suspended, proposed for debarment, declared ineligible, or excluded from a Federal or State health care program. (b) B. Provider and its subcontractors, board Board members, and employees have not been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract; violation of Federal/State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property. (c) C. Provider and its subcontractors, board Board members, and employees are not indicted or otherwise criminally or civilly charged by a government entity (Federal, State State, or local). (d) D. Provider and its subcontractors, board Board members, and employees have not within a threethree (3) year period preceding this Agreement had one or more public transactions (Federal, State, or local) terminated for cause or default. (e) E. Provider shall ensure an initial examination of Federal and State databases of excluded parties and litigation checks are conducted on Provider’s employees and Board members. Such examination must take place at the time of hire, and monthly thereafter, for all Provider employees and members of Provider’s Board. (f) F. Provider will notify CMHSP/LRE immediately when there is litigation initiated against Provider. (g) G. Provider shall immediately disclose to CMHSP, LRE or Administrator CMHSP any information regarding the ownership or control by a person convicted of a criminal offense described under Sections 1128(a)(b) and 1128(b)(1), (2), or (3) of the Social Security Act and if any staff member, member of the Board of Directors, manager, or person with an employment, consulting or other arrangement with Provider has been convicted of a criminal offense described under Section 1128A of the Social Security Act. (h) H. Provider agrees to immediately notify CMHSP, LRE or Administrator CMHSP of any threatened, proposed, or actual exclusions of Provider or its staff from any Federally-Federally funded health care program. (i) I. Provider shall furnish CMHSP or Administrator with notice of proof of Provider’s authority to conduct business in the State of Michigan and in what business capacity (Corporation, etc.), prior to commencing the provision of Supports/Services under this Agreement, and with notice of any related organization of Provider per alliance, affiliation, joint venture, parent/subsidiary or other business relationship that Provider is a party to during the term hereunder. (j) Provider shall furnish upon request to CMHSP or LRE with notice of proof of financial solvency, prior to commencing the provision of Covered Services hereunder, and with immediate notice of any change in financial position material to Provider’s solvency and to its continuing in operation as a going concern, at any time during the term of this Agreement.

Provider Eligibility Requirements. Exclusion of Certain Persons and Entities from Participation in Medicare and State Health Care Programs. To ensure compliance with the Social Security Act Sections 1128, 1128A, 1156, 42 CFR 438.6, 455.10 and 45 CFR Part 76, Provider must ensure the following: (a) Provider and its subcontractors, board members, and employees are not debarred, suspended, proposed for debarment, declared ineligible, or excluded from a Federal or State health care program. (b) Provider and its subcontractors, board members, and employees have not been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract; violation of Federal/State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property. (c) Provider and its subcontractors, board members, and employees are not indicted or otherwise criminally or civilly charged by a government entity (Federal, State or local). (d) Provider and its subcontractors, board members, and employees have not within a threethree (3) year period preceding this Agreement had one or more public transactions (Federal, State or local) terminated for cause or default. (e) Provider shall ensure an initial examination of Federal and State databases of excluded parties and litigation checks are conducted on Provider’s employees and Board members. Such examination must take place at the time of hire, and monthly thereafter, for all Provider employees and members of Provider’s Board. (f) Provider will notify CMHSP/LRE immediately when there is litigation initiated against Provider. (g) Provider shall immediately disclose to CMHSP, LRE or Administrator any information regarding the ownership or control by a person convicted of a criminal offense described under Sections 1128(a)(b) and 1128(b)(1), (2), or (3) of the Social Security Act and if any staff member, member of the Board of Directors, manager, or person with an employment, consulting or other arrangement with Provider has been convicted of a criminal offense described under Section 1128A of the Social Security Act. (h) Provider agrees to immediately notify CMHSP, LRE or Administrator of any threatened, proposed, or actual exclusions of Provider or its staff from any Federally-Federally- funded health care program. (i) Provider shall furnish CMHSP or Administrator with notice of proof of Provider’s authority to conduct business in the State of Michigan and in what business capacity (Corporation, etc.), prior to commencing the provision of Supports/Services under this Agreement, and with notice of any related organization of Provider per alliance, affiliation, joint venture, parent/subsidiary or other business relationship that Provider is a party to during the term hereunder. (j) Provider shall furnish upon request to CMHSP or LRE with notice of proof of financial solvency, prior to commencing the provision of Covered Services hereunder, and with immediate notice of any change in financial position material to Provider’s solvency and to its continuing in operation as a going concern, at any time during the term of this Agreement.

Provider Eligibility Requirements. Exclusion of Certain Persons and Entities from Participation in Medicare and State Health Care Programs. To ensure compliance with the Social Security Act Sections 1128, 1128A, 1156, 42 CFR 438.6438.214, 455.10 and 45 CFR Part 76, Provider must ensure the following: (a) Provider and its subcontractors, board Board members, and employees are not debarred, suspended, proposed for debarment, declared ineligible, or excluded from a Federal or State health care program. (b) Provider and its subcontractors, board Board members, and employees have not been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract; violation of Federal/State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property. (c) Provider and its subcontractors, board Board members, and employees are not indicted or otherwise criminally or civilly charged by a government entity (Federal, State or local). (d) Provider and its subcontractors, board Board members, and employees have not within a three (e) Provider shall ensure an initial examination of Federal and State databases of excluded parties and litigation checks are conducted on Provider’s employees and Board members. Such examination must take place at the time of hire, and monthly thereafter, for all Provider employees and members of Provider’s Board. (f) Provider will notify CMHSP/LRE immediately when there is litigation initiated against Provider. (g) Provider shall immediately disclose to CMHSP, LRE or Administrator CMHSP any information regarding the ownership or control by a person convicted of a criminal offense described under Sections 1128(a)(b) and 1128(b)(1), (2), or (3) of the Social Security Act and if any staff member, member of the Board of Directors, manager, or person with an employment, consulting or other arrangement with Provider has been convicted of a criminal offense described under Section 1128A of the Social Security Act. (h) Provider agrees to immediately notify CMHSP, LRE or Administrator CMHSP of any threatened, proposed, or actual exclusions of Provider or its staff from any Federally-funded health care program. (i) Provider shall furnish CMHSP or Administrator with notice of proof of Provider’s authority to conduct business in the State of Michigan and in what business capacity (Corporation, etc.), prior to commencing the provision of Supports/Services under this Agreement, and with notice of any related organization of Provider per alliance, affiliation, joint venture, parent/subsidiary or other business relationship that Provider is a party to during the term hereunder. (j) Provider shall furnish upon request to CMHSP or LRE with notice of proof of financial solvency, prior to commencing the provision of Covered Services hereunder, and with immediate notice of any change in financial position material to Provider’s solvency and to its continuing in operation as a going concern, at any time during the term of this Agreement.