Common use of FRAUD AND ABUSE COMPLIANCE PLAN Clause in Contracts

FRAUD AND ABUSE COMPLIANCE PLAN. 5.3.1 This contract is subject to all state and federal laws and regulations relating to fraud and abuse in health care and the Medicaid program. HMO must cooperate and assist HHSC and any other state or federal agency charged with the duty of identifying, investigating, sanctioning or prosecuting suspected fraud and abuse. HMO must provide originals and/or copies of all records and information requested and allow access to premises and provide records to HHSC or its authorized agent(s), HHSC, CMS, the U.S. Department of Health and Human Services, FBI, TDI, and the Texas Attorney General’s Medicaid Fraud Control Unit. All copies of records must be provided free of charge.

Appears in 5 contracts

Samples: Amerigroup Corp, Amerigroup Corp, Amerigroup Corp

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FRAUD AND ABUSE COMPLIANCE PLAN. 5.3.1 This contract is subject to all state and federal laws and regulations relating to fraud and abuse in health care and the Medicaid program. HMO must cooperate and assist HHSC TDH and THHSC and any other state or federal agency charged with the duty of identifying, investigating, sanctioning or prosecuting suspected fraud and abuse. HMO must provide originals and/or copies of all records and information requested and allow access to premises and provide records to HHSC TDH or its authorized agent(s), HHSCTHHSC, CMSHCFA, the U.S. Department of Health and Human Services, FBI, TDI, and the Texas Attorney General’s 's Medicaid Fraud Control Unit. All copies of records must be provided free of charge.

Appears in 3 contracts

Samples: Agreement and Plan of Merger (Centene Corp), Amerigroup Corp, Amerigroup Corp

FRAUD AND ABUSE COMPLIANCE PLAN. 5.3.1 This contract is subject to all state and federal laws and regulations relating to fraud and abuse in health care and the Medicaid program. HMO must cooperate and assist HHSC TDH and any other state or federal agency charged with the duty of identifying, investigating, sanctioning or prosecuting suspected fraud and abuse. HMO must provide originals and/or copies of all records and information requested and allow access to premises and provide records to HHSC TDH or its authorized agent(s), HHSCTHHSC, CMSHCFA, the U.S. Department of Health and Human Services, FBI, TDI, and the Texas Attorney General’s 's Medicaid Fraud Control Unit. All copies of records must be provided free of charge.

Appears in 1 contract

Samples: Amerigroup Corp

FRAUD AND ABUSE COMPLIANCE PLAN. 5.3.1 This contract is subject to all state and federal laws and regulations relating to fraud and abuse in health care and the Medicaid program. HMO must cooperate and assist HHSC and any other state or federal agency charged with the duty of identifying, investigating, sanctioning or prosecuting suspected fraud and abuse. HMO must provide originals and/or copies of all records and information requested and allow access to premises and provide records to HHSC or its authorized agent(s), HHSC, CMS, the U.S. Department of Health and Human Services, FBI, TDI, and the Texas Attorney General’s 's Medicaid Fraud Control Unit. All copies of records must be provided free of charge.

Appears in 1 contract

Samples: Amerigroup Corp

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FRAUD AND ABUSE COMPLIANCE PLAN. 5.3.1 This contract is subject to all state and federal laws and regulations relating to fraud and abuse in health care and the Medicaid program. HMO must cooperate and assist HHSC TDH and THHSC and any other state or federal agency charged with the duty of identifying, investigating, sanctioning or prosecuting suspected fraud and abuse. , HMO must provide originals and/or copies of all records and information requested and allow access to premises and provide records to HHSC TDH or its authorized agent(s), HHSCTHHSC, CMSHCFA, the U.S. Department of Health and Human Services, FBI, TDI, and the Texas Attorney General’s 's Medicaid Fraud Control Unit. All copies of records must be provided free of charge.

Appears in 1 contract

Samples: Agreement and Plan of Merger (Centene Corp)

FRAUD AND ABUSE COMPLIANCE PLAN. 5.3.1 This contract is subject to all state and federal laws and regulations relating to fraud and abuse in health care and the Medicaid program. HMO must cooperate and assist HHSC TDHS and THHSC and any other state or federal agency charged with the duty of identifying, investigating, sanctioning or prosecuting suspected fraud and abuse. HMO must provide originals and/or copies of all records and information requested and allow access to premises and provide records to HHSC TDHS or its authorized agent(s), HHSCTHHSC, CMSHCFA, the U.S. Department of Health and Human Services, FBI, TDI, and the Texas Attorney General’s 's Medicaid Fraud Control Unit. All copies of records must be provided free of charge.

Appears in 1 contract

Samples: Amerigroup Corp

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