Common use of Excluded Persons Clause in Contracts

Excluded Persons. Dentist represents and certifies that neither it, nor its Affiliated Parties or Downstream Entities have been suspended or excluded from participation in the Medicare program or any other federal health care program (as defined in 42 U.S.C. § 1320a-7b(f)). Dentist shall check appropriate databases regularly, but no less than annually and upon hiring and subcontracting, to determine whether any Affiliated Party or Downstream Entity has been suspended or excluded from participation in the Medicare program or any other federal health care program. Databases include the U.S. Department of Health and Human Services (“HHS”) Office of Inspector General list of excluded individuals and entities (LEIE) (▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/exclusions/index.asp) and the System for Awareness Management (▇▇▇) lists of parties excluded from federal procurement and nonprocurement programs (▇▇▇▇▇://▇▇▇.▇▇▇.gov/portal/public/▇▇▇/). Dentist shall notify MA Plan immediately in writing if Dentist, an Affiliated Party, or any Downstream Entity is suspended or excluded from the Medicare program, or any other federal program monitored as described in this section. Dentist shall prohibit any Affiliated Party or Downstream Entity that appears on any of the above-listed databases or who has opted out of Medicare from doing any work directly or indirectly related to the delivery or administration of Covered Services to MA Members. MA Plan reserves the right to require Dentist to demonstrate compliance with this provision upon reasonable request.

Appears in 2 contracts

Sources: Preferred Provider Agreement, Participating Provider Agreement

Excluded Persons. Dentist DENTIST represents and certifies that neither it, nor its Affiliated Parties or Downstream Entities have been suspended or excluded from participation in the Medicare program or any other federal health care program (as defined in 42 U.S.C. § 1320a-7b(f)). Dentist DENTIST shall check appropriate databases regularly, but no less than annually and upon hiring and subcontracting, to determine whether any Affiliated Party or Downstream Entity has been suspended or excluded from participation in the Medicare program or any other federal health care program. Databases include the U.S. Department of Health and Human Services (“HHS”) Office of Inspector General list List of excluded individuals and entities Excluded Individuals/Entities (LEIE) (▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/exclusions.▇▇▇/fraud/index.aspexclusions.html) and the System for Awareness Management General Service Administration Lists of Parties Excluded from Federal Procurement and Nonprocurement Programs (▇▇▇) lists of parties excluded from federal procurement and nonprocurement programs (▇▇▇▇▇://▇▇▇.▇▇▇.gov/portal/public/▇.▇▇▇//FAQEPLS.html). Dentist DENTIST shall notify MA Plan immediately in writing if DentistDENTIST, an Affiliated Party, or any Downstream Entity is suspended or excluded from the Medicare program, or any other federal program monitored as described in this section. Dentist DENTIST shall prohibit any Affiliated Party or Downstream Entity that appears on any of the above-listed databases or who has opted out of Medicare from doing any work directly or indirectly related to the delivery or administration of Covered Services to MA Members. MA Plan reserves the right to require Dentist DENTIST to demonstrate compliance with this provision upon reasonable request.

Appears in 1 contract

Sources: Participating Provider Agreement