Common use of Record Retention and Audit Clause in Contracts

Record Retention and Audit. (a) The MA Dual SNP agrees to maintain, and require its subcontractors to maintain, supporting information and documents that are adequate to ensure that payment is made in accordance with applicable federal and state requirements. These documents, including all original claims forms, will be maintained and retained by the MA Dual SNP or its subcontractors for a period of ten (10) years after the expiration of the Agreement period or until the resolution of all litigation, claim, financial management review, or audit pertaining to this Agreement, whichever is longer. The MA Dual SNP agrees to timely repay any undisputed audit exceptions taken by HHSC in any audit of the Agreement. (b) If HHSC determines that it has overpaid the MA Dual SNP, HHSC will provide the MA Dual SNP with written notice of the overpayment, including the amount of overpayment and supporting information. The MA Dual SNP must promptly pay HHSC the amount of any undisputed overpayment the MA Dual SNP owes HHSC, plus interest. Interest on this amount will be calculated from the date of receipt by the MA Dual SNP of the undisputed overpaid amount until the date of payment to HHSC, and will be calculated at the Department of Treasury’s Median Rate (resulting from the Treasury’s auction of 13-week bills) for the week in which liability is assessed. In the event an audit reveals an overpayment caused in whole or in part by the MA Dual SNP’s, its subcontractors’ or agents’ error, MA Dual SNP must reimburse HHSC for all costs of the audit. (c) For purposes of this Section 9.07 only, the term “subcontractor” does not include Network Providers.

Record Retention and Audit. (a) The MA Dual SNP agrees to maintain, and require its subcontractors to maintain, supporting information and documents that are adequate to ensure that payment is made in accordance with applicable federal and state requirements. These documents, including all original claims forms, will be maintained and retained by the MA Dual SNP or its subcontractors for a period of ten (10) years after the expiration of the Agreement period or until the resolution of all litigation, claim, financial management review, or audit pertaining to this Agreement, whichever is longer. The MA Dual SNP agrees to timely repay any undisputed audit exceptions taken by HHSC in any audit of the Agreement. (b) If HHSC determines that it has overpaid the MA Dual SNP, HHSC will provide the MA Dual SNP with written notice of the overpayment, including the amount of overpayment and supporting information. The MA Dual SNP must promptly pay HHSC the amount of any undisputed overpayment the MA Dual SNP owes HHSC, plus interest. Interest on this amount will be calculated from the date of receipt by the MA Dual SNP of the undisputed overpaid amount until the date of payment to HHSC, and will be calculated at the Department of Treasury’s Median Rate (resulting from the Treasury’s auction of 133-week bills) for the week in which liability is assessed. In the event an audit reveals an overpayment caused in whole or in part by the MA Dual SNP’s, its subcontractors’ or agents’ error, MA Dual SNP must reimburse HHSC for all costs of the audit. (c) For purposes of this Section 9.07 only, the term “subcontractor” does not include Network Providers.

Record Retention and Audit. (a) The MA Dual SNP agrees to maintain, and require its subcontractors to maintain, supporting information and documents that are adequate to ensure that payment is made in accordance with applicable federal and state requirements. These documents, including all original claims forms, will be maintained and retained by the MA Dual SNP or its subcontractors for a period of ten (10) years after the expiration of the Agreement contract period or until the resolution of all litigation, claim, financial management review, or audit pertaining to this Agreement, whichever is longer. The MA Dual SNP agrees to timely repay any undisputed audit exceptions taken by HHSC in any audit of the Agreement. (b) If HHSC determines that it has overpaid the MA Dual SNP, HHSC will provide the MA Dual SNP with written notice of the overpayment, including the amount of overpayment and supporting information. The MA Dual SNP must will promptly pay HHSC the amount of any undisputed overpayment the MA Dual SNP owes HHSC, plus interest. Interest on this amount will be calculated from the date of receipt by the MA Dual SNP of the undisputed overpaid amount until the date of payment to HHSC, and will be calculated at the Department of Treasury’s Median Rate (resulting from the Treasury’s auction of 13-week bills) for the week in which liability is assessed. In the event an audit reveals an overpayment caused in whole or in part by the MA Dual SNP’s, its subcontractors’ or agents’ error, MA Dual SNP must will reimburse HHSC for all costs of the audit. (c) For purposes of this Section 9.07 only, the term “subcontractor” does not include Network Providers.

Record Retention and Audit. (a) The MA Dual SNP agrees to maintain, and require its subcontractors to maintain, supporting information and documents that are adequate to ensure that payment is made in accordance with applicable federal and state requirements. These documents, including all original claims forms, will be maintained and retained by the MA Dual SNP or its subcontractors for a period of ten (10) years after the expiration of the Agreement period or until the resolution of all litigation, claim, financial management review, or audit pertaining to this Agreement, whichever is longer. The MA Dual SNP agrees to timely repay any undisputed audit exceptions taken by HHSC in any audit of the Agreement. (b) If HHSC determines that it has overpaid the MA Dual SNP, HHSC will provide the MA Dual SNP with written notice of the overpayment, including the amount of overpayment and supporting information. The MA Dual SNP must promptly pay HHSC the amount of any undisputed overpayment the MA Dual SNP owes HHSC, plus interest. Interest on this amount will be calculated from the date of receipt by the MA Dual SNP of the undisputed overpaid amount until the date of payment to HHSC, and will be calculated at the Department of Treasury’s Median Rate (resulting from the Treasury’s auction of 13-week -week bills) for the week in which liability is assessed. In the event an audit reveals an overpayment caused in whole or in part by the MA Dual SNP’s, its subcontractors’ or agents’ error, MA Dual SNP must reimburse SN HHSC for all costs of the audit. (c) For purposes of this Section 9.07 only, the term “subcontractor” does not include Network . Providers.

Record Retention and Audit. (a) The MA Dual SNP Health Plan agrees to maintain, and require its subcontractors to maintain, supporting information and documents that are adequate to ensure that payment is made in accordance with applicable federal and state requirements. These documents, including all original claims forms, will be maintained and retained by the MA Dual SNP Health Plan or its subcontractors for a period of ten (10) years after the expiration of the Agreement contract period or until the resolution of all litigation, claim, financial management review, or audit pertaining to this Agreement, whichever is longer. The MA Dual SNP Health Plan agrees to timely repay any undisputed audit exceptions taken by HHSC in any audit of the Agreement. (b) If HHSC determines that it has overpaid the MA Dual SNPHealth Plan, HHSC will provide the MA Dual SNP Health Plan with written notice of the overpayment, including the amount of overpayment and supporting information. The MA Dual SNP Health Plan must promptly pay HHSC the amount of any undisputed overpayment the MA Dual SNP Health Plan owes HHSC, plus interest. Interest on this amount will be calculated from the date of receipt by the MA Dual SNP Health Plan of the undisputed overpaid amount until the date of payment to HHSC, and will be calculated at the Department of Treasury’s Median Rate (resulting from the Treasury’s auction of 13-week bills) for the week in which liability is assessed. In the event an audit reveals an overpayment caused in whole or in part by the MA Dual SNPHealth Plan’s, its subcontractors’ or agents’ error, MA Dual SNP Health Plan must reimburse HHSC for all costs of the audit. (c) For purposes of this Section 9.07 only, the term “subcontractor” does not include Network Providers.Network

Record Retention and Audit. (a) The MA Dual SNP Health Plan agrees to maintain, and require its subcontractors to maintain, supporting information and documents that are adequate to ensure that payment is made in accordance with applicable federal and state requirements. These documents, including all original claims forms, will be maintained and retained by the MA Dual SNP Health Plan or its subcontractors for a period of ten (10) years after the expiration of the Agreement contract period or until the resolution of all litigation, claim, financial management review, or audit pertaining to this Agreement, whichever is longer. The MA Dual SNP Health Plan agrees to timely repay any undisputed audit exceptions taken by HHSC in any audit of the Agreement. (b) If HHSC determines that it has overpaid the MA Dual SNPHealth Plan, HHSC will provide the MA Dual SNP Health Plan with written notice of the overpayment, including the amount of overpayment and supporting information. The MA Dual SNP must Health Plan will promptly pay HHSC the amount of any undisputed overpayment the MA Dual SNP Health Plan owes HHSC, plus interest. Interest on this amount will be calculated from the date of receipt by the MA Dual SNP Health Plan of the undisputed overpaid amount until the date of payment to HHSC, and will be calculated at the Department of Treasury’s Median Rate (resulting from the Treasury’s auction of 13-week bills) for the week in which liability is assessed. In the event an audit reveals an overpayment caused in whole or in part by the MA Dual SNPHealth Plan’s, its subcontractors’ or agents’ error, MA Dual SNP must Health Plan will reimburse HHSC for all costs of the audit. (c) For purposes of this Section 9.07 only, the term “subcontractor” does not include Network Providers.

Record Retention and Audit. (a) The MA Dual SNP agrees to maintain, and require its subcontractors to maintain, supporting information and documents that are adequate to ensure that payment is made in accordance with applicable federal and state requirements. These documents, including all original claims forms, will be maintained and retained by the MA Dual SNP or its subcontractors for a period of ten (10) years after the expiration of the Agreement period or until the resolution of all litigation, claim, financial management review, or audit pertaining to this Agreement, whichever is longer. The MA Dual SNP agrees to timely repay any undisputed audit exceptions taken by HHSC in any audit of the Agreement. (b) If HHSC determines that it has overpaid the MA Dual SNP, HHSC will provide the MA Dual SNP with written notice of the overpayment, including the amount of overpayment and supporting information. The MA Dual SNP must promptly pay HHSC the amount of any undisputed overpayment the MA Dual SNP owes HHSC, plus interest. Interest on this amount will be calculated from the date of receipt by the MA Dual SNP of the undisputed overpaid amount until the date of payment to HHSC, and will be calculated at the Department of Treasury’s Median Rate (resulting from the Treasury’s auction of 13-week -week bills) for the week in which liability is assessed. In the event an audit reveals an overpayment caused in whole or in part by the MA Dual SNP’s, its subcontractors’ or agents’ error, MA Dual SNP must reimburse HHSC for all costs of the audit. (c) For purposes of this Section 9.07 only, the term “subcontractor” does not include Network . Providers.

Record Retention and Audit. (a) The MA Dual SNP Health Plan agrees to maintain, and require its subcontractors to maintain, supporting information and documents that are adequate to ensure that payment is made in accordance with applicable federal and state requirements. These documents, including all original claims forms, will be maintained and retained by the MA Dual SNP Health Plan or its subcontractors for a period of ten (10) years after the expiration of the Agreement contract period or until the resolution of all litigation, claim, financial management review, or audit pertaining to this Agreement, whichever is longer. The MA Dual SNP Health Plan agrees to timely repay any undisputed audit exceptions taken by HHSC in any audit of the Agreement. (b) If HHSC determines that it has overpaid the MA Dual SNPHealth Plan, HHSC will provide the MA Dual SNP Health Plan with written notice of the overpayment, including the amount of overpayment and supporting information. The MA Dual SNP Health Plan must promptly pay HHSC the amount of any undisputed overpayment the MA Dual SNP Health Plan owes HHSC, plus interest. Interest on this amount will be calculated from the date of receipt by the MA Dual SNP Health Plan of the undisputed overpaid amount until the date of payment to HHSC, and will be calculated at the Department of Treasury’s Median Rate (resulting from the Treasury’s auction of 13-week bills) for the week in which liability is assessed. In the event an audit reveals an overpayment caused in whole or in part by the MA Dual SNPHealth Plan’s, its subcontractors’ or agents’ error, MA Dual SNP Health Plan must reimburse HHSC for all costs of the audit. (c) For purposes of this Section 9.07 only, the term “subcontractor” does not include Network Providers.

Record Retention and Audit. (a) The MA Dual SNP agrees to maintain, and require its subcontractors to maintain, supporting information and documents that are adequate to ensure that payment is made in accordance with applicable federal and state requirements. These documents, including all original claims forms, will be maintained and retained by the MA Dual SNP or its subcontractors for a period of ten (10) 10 years after from the expiration of date the Agreement period medical service or benefit is provided or until the resolution of all litigation, claim, financial management review, or audit pertaining to this Agreement, whichever is longer. The MA Dual SNP agrees to timely repay any undisputed audit exceptions taken by HHSC in any audit of the Agreement. (b) If HHSC determines that it has overpaid the MA Dual SNP, HHSC will provide the MA Dual SNP with written notice of the overpayment, including the amount of overpayment and supporting information. The MA Dual SNP must will promptly pay HHSC the amount of any undisputed overpayment the MA Dual SNP owes HHSC, plus interest. Interest on this amount will be calculated from the date of receipt by the MA Dual SNP of the undisputed overpaid amount until the date of payment to HHSC, and will be calculated at the Department of Treasury’s Median Rate (resulting from the Treasury’s auction of 13-week bills) for the week in which liability is assessed. In the event an audit reveals an overpayment caused in whole or in part by the MA Dual SNP’s, its subcontractors’ or agents’ error, MA Dual SNP must will reimburse HHSC for all costs of the audit. (c) For purposes of this Section 9.07 only, the term “subcontractor” does not include Network Providers.