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

Reporting Recipient-Related Fraud, Waste, and Xxxxx. If the Contractor or a Provider becomes aware of potential recipient Fraud related to the recipient’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 recipient Fraud to the Utah Department of Workforce Services. All other types of potential Fraud and all types of potential recipient 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.

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

Reporting Recipient-Related Fraud, Waste, and Xxxxx. If the Contractor or a Provider becomes aware of potential recipient Fraud related to the recipient’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 recipient Fraud to the Utah Department of Workforce ServicesServices and the Department’s Bureau of Managed Health Care. All other types of potential Fraud and all types of potential recipient 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.