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.
Appears in 7 contracts
Samples: Prepaid Mental Health Plan (Pmhp) Contract, Prepaid Mental Health Plan (Pmhp) Contract, Prepaid Mental Health Plan (Pmhp) Contract
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.
Appears in 3 contracts
Samples: McNa Dental Contract, Prepaid Ambulatory Health Plan (Pahp) Contract, Prepaid Ambulatory Health Plan (Pahp) Contract
