Common use of Mandatory exclusion Clause in Contracts

Mandatory exclusion. The Secretary shall exclude the following individuals and entities from participation in a Federal health care program (as defined in section 1320a-7b(1) of this title): 1) Conviction of program-related crimes, Any individual or entity that has been convicted of a criminal offense related to the delivery of an item or service under subchapter XVIII of this chapter or under any State health care program. 2) Conviction relating to patient abuse. Any individual or entity that has been convicted, under Federal or State law, of a criminal offense relating to neglect or abuse of patients in connection with the delivery of a health care item or service. 3) Felony conviction relating to health care fraud. Any individual or entity that has been convicted for an offense which occurred after August 21, 1996, under Federal or State law, in connection with the delivery of a health care item or service or with respect to any act or omission in a health care program (other than those specifically described in paragraph (1)) operated by or financed in whole or in part by any Federal, State, or local government agency, of a criminal offense consisting of a felony relating to fraud, theft, embezzlement, breach of fiduciary responsibility. or other financial misconduct. 4) Felony conviction relating to controlled substance. Any individual or entity that has been convicted for an offense which occurred after August 21. 1996, under Federal or State law, of a criminal offense consisting of a felony relating to the unlawful manufacture, distribution, prescription, or dispensing of a controlled substance.

Appears in 1 contract

Sources: Affiliation Agreement

Mandatory exclusion. The Secretary shall exclude the following individuals and entities from participation in a an Federal health care program (as defined in section 1320a-7b(1) of this title): 1) Conviction of program-related crimes, Any individual or entity that has been convicted of a criminal offense related to the delivery of an item or service under subchapter XVIII of this chapter or under any State health care program. 2) Conviction relating to patient abuse. Any individual or entity that has been convicted, under Federal or State law, of a criminal offense relating to neglect or abuse of patients in connection with the delivery of a health care item or service. 3) Felony conviction relating to health care fraud. Any individual or entity that has been convicted for an offense which occurred after August 21, 1996, under Federal or State law, in connection with the delivery of a health care item or service or with respect to any act or omission in a health care program (other than those specifically described in paragraph (1)) operated by or financed in whole or in part by any Federal, State, or local government agency, of a criminal offense consisting of a felony relating to fraud, theft, embezzlement, breach of fiduciary responsibility. or other financial misconduct. 4) Felony conviction relating to controlled substance. Any individual or entity that has been convicted for an offense which occurred after August 21. 1996, under Federal or State law, of a criminal offense consisting of a felony relating to the unlawful manufacture, distribution, prescription, or dispensing of a controlled substance.

Appears in 1 contract

Sources: Affiliation Agreement