Provider Responsibilities Sample Clauses
Provider Responsibilities. The Private Child-Caring Facility (PCC) (a.k.a., Provider) must comply with the following requirements:
Provider Responsibilities. Except as otherwise noted in this Agreement, PROVIDER shall provide, at its expense, all materials, labor, equipment, facilities and other items necessary to deliver the Services. Subject to Section 6.3 herein, all employees performing the Services shall be skilled in their trades and licensed, if required, by all proper authorities.
Provider Responsibilities. The Provider shall:
(a) Be liable for and indemnify, defend, and hold the State Medicaid Agency, Managed Care Plan, Enrollees and Government Sponsor harmless from all claims, suits, judgments, or damages, including court costs and attorney's fees, to the extent proximately caused by any negligent act or omission or other wrongful conduct relating to this Agreement. This clause must survive the termination of the Agreement, including breach due to insolvency. The State Medicaid Agency may waive this requirement for itself, but not Managed Care Plan Enrollees, for damages in excess of the statutory cap on damages for public entities, if the provider is a state agency or subdivision as defined by Xxxxxxxx, or a public health entity with statutory immunity. All such waivers shall be approved in writing by the Agency.
(b) Comply with all of the requirements of Section 6032 (Employee Education About False Claims Recovery) of the Deficit Reduction Act of 2005, if the Provider receives or earns five million dollars or greater annually under a State Medicaid program. The Provider portal and/or Provider Manual will have online details or access to the following from Section 6032 of the federal Deficit Reduction Act of 2005: The False Claim Act; The penalties for submitted false claims and statements; Whistleblower protections; The law’s role in preventing and detecting fraud, waste and abuse, and each person’s responsibility relating to detection and prevention.
(c) By signature to this Agreement, the Provider does attest that all statements and information furnished by the prospective provider before signing the Agreement shall be true and complete. The filing of a materially incomplete, misleading or false application will make the application and agreement voidable at the option of the State or ILS Community Network and is sufficient cause for immediate termination of the provider from the State and Managed Care Plan Medicaid program and/or revocation of the provider number.
(d) Agree to notify ILS Community Network of any changes to the information furnished on the Provider Enrollment Application including changes of address, tax identification number, group affiliation, depository bank account if Electronic Fund Transfers, and principals. For this purpose, principals includes partners or shareholders of five (5) percent or more, officers, directors, managers, financial records custodian, medical records custodian, subcontractors, and individuals holding...
Provider Responsibilities. The Medicaid provider shall:
(a) Possess at the time of signing of the provider agreement, and maintain in good standing throughout the period of the agreement's effectiveness, a valid professional, occupational, facility or other license pertinent to the services or goods being provided, as required by the state or locality in which the provider is located, and the Federal Government, if applicable.
(b) Maintain in a systematic and orderly manner all medical and Medicaid-related records the agency requires and determines are relevant to the services or goods being provided.
(c) Retain all medical and Medicaid-related records for a period of five (5) years to satisfy all necessary inquiries by the agency.
(d) Safeguard the use and disclosure of information pertaining to current or former Medicaid recipients and comply with all state and federal laws pertaining to confidentiality of patient information.
(e) Send, at the provider’s expense, all Medicaid-related information, which may be in the form of records, logs, documents, or computer files, and other information pertaining to services or goods billed to the Medicaid program, including access to all patient records and other provider information if the provider cannot easily separate records for Medicaid patients from other records to the Attorney General, the Federal Government, and the authorized agents of each of these entities.
(f) Xxxx other insurers and third parties, including the Medicare program, before billing the Medicaid program, if the recipient is eligible for payment for health care or related services from another insurer or person and comply with all other state and federal requirements in this regard.
(g) Report and refund any moneys received in error or in excess of the amount to which the provider is entitled from the Medicaid program within 90 days of receipt.
(h) Be liable for and indemnify, defend, and hold the agency harmless from all claims, suits, judgments, or damages, including court costs and attorney's fees, arising out of the negligence or omissions of the provider in the course of providing services to a recipient or a person believed to be a recipient to the extent allowed by in and accordance with section 768.28, F.S. (2001), and any successor legislation.
(i) Provide proof of liability insurance at the option of the agency and maintain such insurance in effect for any period during which services of goods are furnished to Medicaid recipients.
(j) Accept Medicaid payment...
Provider Responsibilities. The Provider is responsible for its costs associated with compliance with this policy and determining and certifying to the Company, upon Company’s request, a Provider employee’s eligibility for Provider Access, consistent with this policy.
Provider Responsibilities. We will provide all information necessary for you to make Links from your Affiliate Site to Provider Website. Provider will be solely responsible for order processing (including payment processing, cancellations, and refunds) for orders for Provider Services placed by a Referred Customer, for tracking the volume and amount of Qualified Purchases generated by your Affiliate Site, for providing information to Affiliates regarding Qualified Purchase statistics, and for providing Referred Customers with the services purchased.
Provider Responsibilities. A. Provider shall notify the GLO immediately in writing of any conflict of interest or potential conflict of interest over the contract term.
B. Provider shall submit invoices in the format required by GLO and shall submit such invoices only when the environmental service(s) are completed and approved by the GLO Project Manager.
Provider Responsibilities. Provider will, and will cause its Authorized Users to,
(i) provide Adtran with reasonable access to facilities as necessary for the provision or configuration of the Services, subject to reasonable written policies regarding vendors on premises; (ii) cooperate fully and in good faith with Adtran for purposes of configuration, implementation, migration and provision of support services by Adtran. Provider understands and agrees that Adtran is not liable for any delays resulting from the actions or inactions of Provider or any Authorized User. Consequently, in the event of any such delay caused by Provider or any Authorized User that is not due to an act or omission of Adtran, Provider assumes sole responsibility and Adtran reserves the right to invoice Provider in accordance with the Order. Provider is responsible for any activities performed under credentials or authorization issued by it or any Authorized User to Adtran. The Services and Documentation contain proprietary and confidential information of Adtran and its suppliers and/or licensors, and Provider must use at least reasonable means to protect the Services and Documentation from unauthorized access, use or copying. Provider may not disclose the Services, or their respective components, features or functionality to third parties except as expressly permitted herein.
Provider Responsibilities. A. Provider agrees to comply with State, and Federal Rules and Regulations, applicable to the services covered by this Agreement. Failure to comply with any part of this Agreement which results in an audited exception of state funding will be reimbursed by Provider.
B. If services provided by provider are, in whole or part, funded by MA-Waiver Dollars, provider’s signature on this Agreement certifies that MA-Waiver Funds will not be used for any room and/or board expenses.
C. Notify Purchaser in writing, sixty (60) days prior to any changes in location of the delivery of the provided services, and of any major changes in the officers, management, or ownership of Provider’s agency.
Provider Responsibilities. A. As a condition of participating in the WCSF Program, the Provider must participate in the PACE and PACENET Programs and in the course of such participation, the Provider must comply with all Federal and Pennsylvania laws generally and specifically governing participation in the PACE and PACENET Programs. The Provider agrees to be knowledgeable of and to comply with applicable rules, regulations, rates and fees schedules promulgated under such laws and any amendments thereto. The Provider agrees that in the event any part of the Agreement is inconsistent with existing State or Federal statutory or regulatory authority, the statute or regulation in question governs.
B. The submission by or on behalf of the Provider of any claim for payment under the WCSF Program shall constitute certification by the Provider that:
1. the services or items for which payment is claimed were actually provided by the Provider identified by the WCSF Provider Number on this Agreement to the person identified as the WCSF Claimant; and
2. the claim does not exceed the Provider’s usual charge for the same items or equivalent services provided to the cash-paying public.
C. The Provider agrees to maintain all records necessary to disclose the extent of services the Provider furnishes to the WCSF Claimant.
D. The Provider agrees to furnish the Department of Aging or its agents with any information it may request regarding prescription records and payments claimed by the Provider. These records must be readily available for review, inspection and photocopying by the Program at the Provider’s principal place of business. When evidence warrants it, the Program will obtain a Court Order to seize hardcopies of prescriptions for WCSF Claimants from the principal place of business for a period not to exceed seven (7) days. The Provider further agrees to fully cooperate with the WCSF Program or its agents in the conduct of its drug utilization review responsibilities. The Provider further agrees to respond in a complete manner to inquiries by the Program’s Utilization Review Committees within seven (7) business days of a Committee’s request. Failure to cooperate with the WCSF Program or its agents in these areas constitutes a breach of this Agreement and grounds for termination.
E. The Provider agrees to furnish the Department of Aging within seven (7) days of request, information related to business transactions which shall include full and complete information about:
1. the ownership of su...