Common use of Reporting Medicaid Member-Related Fraud, Waste, and Xxxxx Clause in Contracts

Reporting Medicaid Member-Related Fraud, Waste, and Xxxxx. If the Contractor or a Provider becomes aware of potential Medicaid member Fraud related to the Medicaid-member’s eligibility for Medicaid (such as, the recipient misrepresented facts in order to become or maintain Medicaid eligibility), the Contractor or Provider shall report the potential Medicaid member Fraud to the Utah Department of Workforce Services. All other types of potential Fraud and all types of potential Medicaid member Waste or Abuse related to the Medicaid program shall be reported to the Utah OIG and to the Department.

Reporting Medicaid Member-Related Fraud, Waste, and Xxxxx. If the Contractor or a Provider becomes aware of potential Medicaid member recipient Fraud related to the Medicaid-memberMedicaid Member’s eligibility for Medicaid (such as, the recipient misrepresented facts in order to become or maintain Medicaid eligibility), the Contractor or Provider shall report the potential Medicaid member Member Fraud to the Utah Department of Workforce Services. All other types of potential Fraud and all types of potential Medicaid member Member Waste or Abuse related to the Medicaid program shall be reported to the Utah OIG and to the Department’s Bureau of Managed Health Care.