Referral to the Department. The PH-MCO must establish a policy on referral of suspected Fraud and Abuse to the Department. A standardized referral process is outlined in Exhibit KK of this Agreement, Reporting Suspected Fraud and Abuse to the Department, to expedite information for appropriate disposition.
Appears in 7 contracts
Samples: Grant Agreement, Grant Agreement, Grant Agreement
Referral to the Department. The PH-MCO must establish a policy on for referral of suspected Fraud Fraud, Waste and Abuse to the DepartmentDepartment as required in 42 CFR §438.608(a)(7). A standardized referral process is outlined in Exhibit KK of this Agreement, Reporting Suspected Fraud Fraud, Waste and Abuse to the Department, to expedite information for appropriate disposition.
Appears in 2 contracts
Samples: Grant Agreement, Healthchoices Agreement
Referral to the Department. The PH-MCO must establish a policy on referral of suspected Fraud Fraud, Xxxxx and Abuse to the Department. A standardized referral process is outlined in Exhibit KK of this Agreement, Reporting Suspected Fraud Fraud, Waste and Abuse to the Department, to expedite information for appropriate disposition.
Appears in 1 contract
Samples: Healthchoices Agreement
