Restrictions on Referrals. Provider shall not make inappropriate referrals for designated health services to health care entities with which Provider or a member of Provider’s family has a financial relationship, pursuant to federal anti-kickback and physician self-referral laws that prohibit such referrals.
Restrictions on Referrals. Provider shall not make inappropriate referrals for designated health services to health care entities with which Provider or a member of Provider’s family has a financial relationship, pursuant to federal anti-kickback and physician self-referral laws that prohibit such referrals. By signing this subcontract, Provider certifies that it has not engaged in any violation of the Medicare Anti- Kickback statute (42 USC §§1320a-7b) or the “Xxxxx I” and “Xxxxx II” laws governing related-entity referrals (PL 101-239 and PL 101-432) and compensation there from. If Provider provides laboratory testing, it certifies that it has complied with 42 CFR 411.361 and has sent to AHCCCS simultaneous copies of the information required by that rule to be sent to the Centers for Medicare and Medicaid Services.
Restrictions on Referrals. 24.1 The Council will not agree to fund a placement in respect of a Customer not already accommodated in the Home if any person registered in respect of, or employed in, the Home is:
(a) convicted of an offence under the Health and Social Care Xxx 0000 and any subsequent amendments, or any other legislation dealing with Residential or Nursing Home Care; except were the person has been dismissed or suspended from the home
(b) convicted of any offence involving dishonesty, undue influence or violence in respect of any resident or visitor; subject to the Rehabilitation of Offenders legislation
(c) served with a notice under the Health and Social Care Xxx 0000 and any subsequent amendments, where the requirements of the notice have not been met as certified in writing by the Care Quality Commission, or where the Council believes those requirements are not in the process of being met
(d) served with a notice of intent to cancel registration under the Health and Social Care Xxx 0000 and any subsequent amendments.
24.2 The Council will not make any referral to the Provider if it is proven that the service provision within the Home has been conducted in breach of this Contract in accordance with Clause 22.
24.3 The Council will not agree to fund a placement of a Customer not already accommodated in the Home if the Provider has served notice of their intention to cease to provide the Service.
Restrictions on Referrals. During the Term, Employee agrees that he or she shall obtain the prior written consent of UHP prior to:
(a) Referring any patient of UHP to any healthcare service business in which Employee has any interest (equity or otherwise, except for equity interests in publicly traded corporations listed on a major stock exchange), and which does not have a duly authorized provider service agreement with UHP (including any ancillary service business);
(b) Using Employee’s position with UHP in any way for the financial benefit of any such healthcare service business; or
(c) Making any referral to any entity the services of which fall within those healthcare services defined as “Designated Health Services,” as that term is defined in 42 U.S.C. §1395nn (the “Xxxxx Law”), or as defined under any rules or regulations pertaining to the Xxxxx Law.
