Reporting Fraud, Waste, or Abuse Sample Clauses

Reporting Fraud, Waste, or Abuse. The DOT Inspector General maintains a toll-free hotline for receiving information concerning fraud, waste, or abuse under grants and cooperative agreements. Such reports are kept confidential and callers may decline to give their names if they choose to remain anonymous. The number is: (000) 000-0000. The mailing address is: DOT Inspector General Hotline 0000 Xxx Xxxxxx Xxx XX West Bldg 7th Floor Washington, DC 20590 Email: xxxxxxx@xxx.xxx.xxx Web: xxxx://xxx.xxx.xxx.xxx/Hotline
Sample 1
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Reporting Fraud, Waste, or Abuse. 1. Upon receipt of allegations involving fraud, waste, or abuse regardless of entity (i.e. PIHP, employee, contracted entity, provider, or member), the PIHP shall perform a preliminary investigation. Upon completion of the preliminary investigation, if the PIHP determines a suspicion of fraud exists, the PIHP must promptly refer the matter to MDHHS OIG. These referrals must be made using the PIHP fraud referral template and be shared with MDHHS OIG via secure File Transfer Process (sFTP) using the PIHP’s applicable MDHHS OIG sFTP area. 2. The PIHP must report all suspicion of waste or abuse on the Quarterly Submission described in Section G. 3. Questions regarding whether suspicions should be classified as fraud, waste or abuse should be presented to MDHHS-OIG for clarification prior to making the referral. 4. Documents containing protected health information or protected personal information must be submitted in a manner that is compliant with applicable federal and State privacy rules and regulations, including but not limited to HIPAA 5. The MDHHS requires the PIHP or subcontractor, to the extent that the subcontractor is delegated responsibility by the PIHP for coverage of services and payment of claims under the contract between the state and the PIHP, to implement and maintain arrangements or procedures that include provision for the MCP's suspension of payments to a network provider for which the state determines there is a credible allegation of fraud. 6. The MDHHS requires the PIHP or subcontractor, to the extent that the subcontractor is delegated responsibility by the PIHP for coverage of services and payment of claims under the contract between the state and the PIHP, to implement and maintain arrangements or procedures for notification to the state when it receives information about a change in a network provider's circumstances that may affect the network provider's eligibility to participate in the managed care program, including the termination of the provider agreement with the PIHP.
Sample 1
Reporting Fraud, Waste, or Abuse. County must report any suspected incident of fraud, waste or abuse associated with the performance of this Contract to any one (1) of the following listed entities:  the Contract Manager;  the Deputy Director for Contract Operations, Child Support Division;  the Deputy Director, Child Support Division;  the Director, Child Support Division;  the OAG Ethics Advisor;  the OAG’s Fraud, Waste and Abuse Prevention Program (“FWAPP”) Hotline (866-552-7937) or the FWAPP E-mailbox (XXXXX@xxxxxxxxxxxxxxxxxxxx.xxx); and  the State Auditor’s Office hotline for fraud (1-800-892-8348). The report of suspected misconduct shall include (if known):  the specific suspected misconduct;  the names of the individual(s)/entity(ies) involved;  the date(s)/location(s) of the alleged activity(ies);  the names and all available contact information (phone numbers, addresses) of possible witnesses or other individuals who may have relevant information; and  any documents which tend to support the allegations. The words fraud, waste or abuse as used in this Section have the following meanings:  Fraud is the use of one’s position for obtaining personal benefit (including benefit for family/friends) through the deliberate misuse or misapplication of resources or assets.  Waste is the extravagant careless or needless expenditure of funds or consumption of property that results from deficient practices, system controls, or decisions.  Abuse is the misuse of one's position, title or authority to obtain a personal benefit (including benefit for family/friends) or to attempt to damage someone else.
Sample 1
Reporting Fraud, Waste, or Abuse. The County must report any suspected incident of fraud, waste, or abuse associated with the performance of this Contract to any one of the following listed entities: The report of suspected misconduct shall include (if known): The words fraud, waste, or abuse, as used in this Section, have the following meanings:
Sample 1
Reporting Fraud, Waste, or Abuse. Provider agrees to inform and train all of Provider’s employees, agents, and independent contractors (including sub-contractors) regarding their obligation to report fraud, waste, or abuse. Individuals with knowledge about suspected fraud, waste, or abuse in any State of Texas Health and Human Services program must report the information to the HHSC’s Office of Inspector General (OIG). To report fraud, waste, or abuse, go to xxx.xxx.xxxx.xxxxx.xxx and select “Report Fraud.” Individuals may also call the OIG hotline (0-000-000-0000) to report fraud, waste, or abuse if they do not have access to the Internet.
Sample 1

Related to Reporting Fraud, Waste, or Abuse

  • Fraud, Waste, and Abuse Contractor understands that HHS does not tolerate any type of fraud, waste, or abuse. Violations of law, agency policies, or standards of ethical conduct will be investigated, and appropriate actions will be taken. Pursuant to Texas Government Code, Section 321.022, if the administrative head of a department or entity that is subject to audit by the state auditor has reasonable cause to believe that money received from the state by the department or entity or by a client or contractor of the department or entity may have been lost, misappropriated, or misused, or that other fraudulent or unlawful conduct has occurred in relation to the operation of the department or entity, the administrative head shall report the reason and basis for the belief to the Texas State Auditor’s Office (SAO). All employees or contractors who have reasonable cause to believe that fraud, waste, or abuse has occurred (including misconduct by any HHS employee, Grantee officer, agent, employee, or subcontractor that would constitute fraud, waste, or abuse) are required to immediately report the questioned activity to the Health and Human Services Commission's Office of Inspector General. Contractor agrees to comply with all applicable laws, rules, regulations, and System Agency policies regarding fraud, waste, and abuse including, but not limited to, HHS Circular C-027. A report to the SAO must be made through one of the following avenues: ● SAO Toll Free Hotline: 1-800-TX-AUDIT ● SAO website: xxxx://xxx.xxxxx.xxxxx.xx.xx/ All reports made to the OIG must be made through one of the following avenues: ● OIG Toll Free Hotline 0-000-000-0000 ● OIG Website: XxxxxxXxxxxXxxxx.xxx ● Internal Affairs Email: XxxxxxxxXxxxxxxXxxxxxxx@xxxx.xxxxx.xx.xx ● OIG Hotline Email: XXXXxxxxXxxxxxx@xxxx.xxxxx.xx.xx. ● OIG Mailing Address: Office of Inspector General Attn: Fraud Hotline MC 1300 P.O. Box 85200 Austin, Texas 78708-5200

  • Xxxxx Disaster Protection In accordance with the requirements of the Flood Disaster Protection Act of 1973 (42 U.S.C. 4001), the Subrecipient shall assure that for activities located in an area identified by the Federal Emergency Management Agency (FEMA) as having special flood hazards, flood insurance under the National Flood Insurance Program is obtained and maintained as a condition of financial assistance for acquisition or construction purposes (including rehabilitation).

  • National Environmental Policy Act All subrecipients must comply with the requirements of the National Environmental Policy Act (NEPA) 42 U.S.C. 4321 et seq., and the Council on Environmental Quality (CEQ) Regulations (40 C.F.R. Parts 1500-1508) for Implementing the Procedural Provisions of NEPA, which requires Subrecipients to use all practicable means within their authority, and consistent with other essential considerations of national policy, to create and maintain conditions under which people and nature can exist in productive harmony and fulfill the social, economic, and other needs of present and future generations of Americans.

  • Substance Abuse Treatment Information Substance abuse treatment information shall be maintained in compliance with 42 C.F.R. Part 2 if the Party or subcontractor(s) are Part 2 covered programs, or if substance abuse treatment information is received from a Part 2 covered program by the Party or subcontractor(s).

  • Credit Reporting; Gramm-Leach-Bliley Act (a) With respect to each Mortgage Loan, each Sexxxxxx xxxxxx xx xully furnish, in accordance with the Fair Credit Reporting Act and its implementing regulations, accurate and complete information (e.g., favorable and unfavorable) on its borrower credit files to Equifax, Experian and TransUnion Credit Information Company (three of the credit repositories), on a monthly basis. (b) Each Servicer shall comply with Title V of the Gramm-Leach-Bliley Act of 1999 and all applicable regulations promulgatxx xxxxxxxxxx, xxxating to the Mortgage Loans required to be serviced by it and the related borrowers and shall provide all required notices thereunder.

  • COMPLIANCE WITH HEALTH, SAFETY, AND ENVIRONMENTAL REGULATIONS The Contractor, it’s Subcontractors, and their respective employees, shall comply fully with all applicable federal, state, and local health, safety, and environmental laws, ordinances, rules and regulations in the performance of the services, including but not limited to those promulgated by the City and by the Occupational Safety and Health Administration (OSHA). In case of conflict, the most stringent safety requirement shall govern. The Contractor shall indemnify and hold the City harmless from and against all claims, demands, suits, actions, judgments, fines, penalties and liability of every kind arising from the breach of the Contractor’s obligations under this paragraph.

  • Substance Abuse The dangers and costs that alcohol and other chemical abuses can create in the electrical contracting industry in terms of safety and productivity are significant. The parties to this Agreement resolve to combat chemical abuse in any form and agree that, to be effective, programs to eliminate substance abuse and impairment should contain a strong rehabilitation component. The local parties recognize that the implementation of a drug and alcohol policy and program must be subject to all applicable federal, state, and local laws and regulations. Such policies and programs must also be administered in accordance with accepted scientific principles, and must incorporate procedural safeguards to ensure fairness in application and protection of legitimate interests of privacy and confidentiality. To provide a drug-free workforce for the Electrical Construction Industry, each IBEW local union and NECA chapter shall implement an area-wide Substance Abuse Testing Policy. The policy shall include minimum standards as required by the IBEW and NECA. Should any of the required minimum standards fail to comply with federal, state, and/or local laws and regulations, they shall be modified by the local union and chapter to meet the requirements of those laws and regulations.

  • Workplace Violence Prevention and Crisis Response (applicable to any Party and any subcontractors and sub-grantees whose employees or other service providers deliver social or mental health services directly to individual recipients of such services): Party shall establish a written workplace violence prevention and crisis response policy meeting the requirements of Act 109 (2016), 33 VSA §8201(b), for the benefit of employees delivering direct social or mental health services. Party shall, in preparing its policy, consult with the guidelines promulgated by the U.S. Occupational Safety and Health Administration for Preventing Workplace Violence for Healthcare and Social Services Workers, as those guidelines may from time to time be amended. Party, through its violence protection and crisis response committee, shall evaluate the efficacy of its policy, and update the policy as appropriate, at least annually. The policy and any written evaluations thereof shall be provided to employees delivering direct social or mental health services. Party will ensure that any subcontractor and sub-grantee who hires employees (or contracts with service providers) who deliver social or mental health services directly to individual recipients of such services, complies with all requirements of this Section.

  • Waste Disposal Tenant shall store its waste either inside the Premises or within outside trash enclosures that are fully fenced and screened in compliance with all Private Restrictions, and designed for such purpose. All entrances to such outside trash enclosures shall be kept closed, and waste shall be stored in such manner as not to be visible from the exterior of such outside enclosures. Tenant shall cause all of its waste to be regularly removed from the Premises at Tenant’s sole cost. Tenant shall keep all fire corridors and mechanical equipment rooms in the Premises free and clear of all obstructions at all times.

  • Emergency Medical Condition a medical condition manifesting itself by acute symptoms of sufficient severity (including severe pain) that a prudent layperson, who possesses an average knowledge of health and medicine, could reasonably expect the absence of immediate medical attention to result in the following: a) Placing the health of the individual (or, with respect to a pregnant woman, the health of the woman or her unborn child) in serious jeopardy; b) Serious impairment to bodily functions; or c) Serious dysfunction of any bodily organ or part.

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