Compliance Program / Reporting. OIG publishes compliance program guidance for health care firms available at ▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/fraud/▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇. Contracted Provider shall, and shall require its employees and its subcontractors and their employees to, comply with Health Plan compliance program requirements, including Health Plan’s compliance training requirements, and to report to Health Plan any suspected fraud, waste, or abuse or criminal acts by Health Plan, Contracted Provider, other Providers, their respective employees or subcontractors, or by Members. Reports may be made anonymously through the WellCare fraud hotline at (▇▇▇) ▇▇▇-▇▇▇▇. Also, if DHHS publishes compliance program requirements that providers must follow as a condition of participation in Federal Health Care Programs, Contracted Provider shall, and shall require its subcontractors to, comply with such requirements.
Appears in 7 contracts
Sources: Participating Provider Agreement, Participating Provider Agreement, Participating Provider Agreement