Common use of Special Investigation Unit Manager Clause in Contracts

Special Investigation Unit Manager. The Contractor shall employ a Special Investigation Unit (SIU) Manager who is dedicated full-time to the Contractor’s Indiana Medicaid product lines. The SIU Manager shall be located in Indiana. The SIU Manager is responsible for directing the activities of Special Investigation Unit staff, attending meetings with FSSA and reducing or eliminating wasteful, EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK fraudulent, or abusive healthcare xxxxxxxx and services. It is the responsibility of the SIU Manager to coordinate the timeliness, accuracy and completeness of all suspected or confirmed instances of waste, fraud and abuse referrals to the OMPP PI Unit. The SIU Manager shall report to the Compliance Officer and meet with the OMPP Program Integrity (OMPP PI) Unit at a minimum of quarterly or more frequently as directed by the OMPP PI Unit. The Special Investigation Unit Manager shall be a subject matter expert in Medicaid program integrity and hold qualifications similar to those of state program integrity unit managers. The SIU Manager shall be required to interview with the OMPP PI Unit prior to obtaining FSSA approval

Special Investigation Unit Manager. The Contractor shall employ a Special Investigation Unit (SIU) Manager who is dedicated full-time to the Contractor’s Indiana Medicaid product lines. The SIU Manager shall be located in Indiana. The SIU Manager is responsible for directing the activities of Special Investigation Unit staff, attending meetings with FSSA and reducing or eliminating wasteful, EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK fraudulent, or abusive healthcare xxxxxxxx and services. It is the responsibility of the SIU Manager to coordinate the timeliness, accuracy and completeness of all suspected or confirmed instances of EXHIBIT 2.I SCOPE OF WORK – HEALTHY INDIANA PLAN waste, fraud and abuse referrals to the OMPP PI Unit. The SIU Manager shall report to the Compliance Officer and meet with the OMPP Program Integrity (OMPP PI) Unit at a minimum of quarterly or more frequently as directed by the OMPP PI Unit. The Special Investigation Unit Manager shall be a subject matter expert in Medicaid program integrity and hold qualifications similar to those of state program integrity unit managers. The SIU Manager shall be required to interview with the OMPP PI Unit prior to obtaining FSSA approval

Special Investigation Unit Manager. The Contractor shall employ a Special Investigation Unit (SIU) Manager who is dedicated full-time to the Contractor’s Indiana Medicaid product lines. The SIU Manager shall be located in Indiana. The SIU Manager is responsible for directing the activities of Special Investigation Unit staff, attending meetings with FSSA and reducing or eliminating wasteful, EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK fraudulent, or abusive healthcare xxxxxxxx and services. It is the responsibility of the SIU Manager to coordinate the timeliness, accuracy and completeness of all suspected or confirmed instances of EXHIBIT 2.I SCOPE OF WORK – HEALHTY INDIANA PLAN waste, fraud and abuse referrals to the OMPP PI Unit. The SIU Manager shall report to the Compliance Officer and meet with the OMPP Program Integrity (OMPP PI) Unit at a minimum of quarterly or more frequently as directed by the OMPP PI Unit. The Special Investigation Unit Manager shall be a subject matter expert in Medicaid program integrity and hold qualifications similar to those of state program integrity unit managers. The SIU Manager shall be required to interview with the OMPP PI Unit prior to obtaining FSSA approval