Monitoring for prohibited affiliations Clause Samples
The 'Monitoring for prohibited affiliations' clause establishes a requirement for ongoing oversight to ensure that parties involved do not have connections with individuals or entities that are restricted or banned under the agreement. In practice, this may involve regular background checks, periodic certifications, or the use of compliance software to detect any affiliations with sanctioned organizations or persons. The core function of this clause is to mitigate legal and reputational risks by proactively identifying and addressing any prohibited relationships that could compromise the integrity of the agreement.
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Monitoring for prohibited affiliations. The MCP’s policies and procedures for ensuring that, pursuant to 42 CFR 438.610, the MCP will not knowingly have a relationship with individuals debarred by Federal Agencies, as specified in Article XII of the Agreement.
Monitoring for prohibited affiliations. The MCP’s policies and procedures for ensuring that, pursuant to 42 CFR 438.610, the MCP will not knowingly have a relationship with individuals debarred by Federal Agencies, as specified in Article XII of the Agreement. Covered Families and Children (CFC) population 2. Data Certification: Pursuant to 42 CFR 438.604 and 42 CFR 438.606, MCPs are required to provide certification as to the accuracy, completeness, and truthfulness of data and documents submitted to ODJFS which may affect MCP payment.
a. MCP Submissions: MCPs must submit the appropriate ODJFS-developed certification concurrently with the submission of the following data or documents:
i. Encounter Data [as specified in the Data Quality Appendix (Appendix L)]
ii. Prompt Pay Reports [as specified in the Fiscal Performance Appendix (Appendix J)]
iii. Cost Reports [as specified in the Fiscal Performance Appendix (Appendix J)]
iv. Case Management Data [as specified in the Data Quality Appendix (Appendix L)]
