Common use of Referral to the Department Clause in Contracts

Referral to the Department. The CHC-MCO must establish and implement a policy on referral of suspected Provider Fraud, Waste and Abuse to the Department. A standardized referral process is outlined in Exhibit Q, Reporting Suspected Fraud, Waste, and Abuse to the Department.

Referral to the Department. The CHC-MCO must establish and implement a policy on referral of suspected Provider Fraud, Waste and Abuse to the Department. A standardized referral process is outlined in Exhibit QU, Reporting Suspected Fraud, Waste, Xxxxx and Abuse to the Department.