Fraud and Abuse Reporting Requirements. i) The Contractor must submit quarterly, via the HPN complaint reporting format, the number of complaints of fraud or abuse made to the Contractor that warrant preliminary investigation by the Contractor.
Appears in 9 contracts
Samples: Agreement Between (Americhoice Corp), Plan Agreement (Wellcare Health Plans, Inc.), Wellcare Health Plans, Inc.
Fraud and Abuse Reporting Requirements. iA) The Contractor must submit quarterly, via the HPN complaint Complaint reporting format, the number of complaints Complaints of fraud or abuse made to the Contractor that warrant preliminary investigation by the Contractor.
Appears in 5 contracts
Samples: Model Contract, Plan Agreement (Wellcare Health Plans, Inc.), Wellcare Health Plans, Inc.
Fraud and Abuse Reporting Requirements. i) The Contractor must submit quarterly, via the HPN complaint reporting format, the number of complaints of fraud or abuse made to the Contractor that hat warrant preliminary investigation by the Contractor.
Appears in 1 contract
Samples: Wellcare Health Plans, Inc.
Fraud and Abuse Reporting Requirements. iA) The Contractor must submit quarterly, via the HPN complaint Complaint reporting format, the number of complaints Complaints of fraud or abuse made to the Contractor related to Medicaid Only Covered Services that warrant preliminary investigation by the Contractor.. Medicaid Advantage Contract SECTION 18 (CONTRACTOR REPORTING REQUIREMENTS) State 2006
Appears in 1 contract
