Common use of Referral to the Department Clause in Contracts

Referral to the Department. The PH-MCO must establish a policy on referral of suspected Fraud and Abuse to the Department. A standardized referral process is outlined in Exhibit KK of this Agreement, Reporting Suspected Fraud and Abuse to the Department, to expedite information for appropriate disposition.

Appears in 7 contracts

Samples: Healthchoices Agreement, Grant Agreement, Grant Agreement

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Referral to the Department. The PH-MCO must establish a policy on for referral of suspected Fraud Fraud, Waste and Abuse to the DepartmentDepartment as required in 42 CFR §438.608(a)(7). A standardized referral process is outlined in Exhibit KK of this Agreement, Reporting Suspected Fraud Fraud, Waste and Abuse to the Department, to expedite information for appropriate disposition.

Appears in 2 contracts

Samples: Healthchoices Agreement, Healthchoices Agreement

Referral to the Department. The PH-MCO must establish a policy on referral of suspected Fraud Fraud, Xxxxx and Abuse to the Department. A standardized referral process is outlined in Exhibit KK of this Agreement, Reporting Suspected Fraud Fraud, Waste and Abuse to the Department, to expedite information for appropriate disposition.

Appears in 1 contract

Samples: Healthchoices Agreement

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Referral to the Department. The PH-MCO must establish a policy on referral of suspected Fraud Fraud, Waste and Abuse to the Department. A standardized referral process is outlined in Exhibit KK of this Agreement, Reporting Suspected Fraud Fraud, Waste and Abuse to the Department, to expedite information for appropriate disposition.

Appears in 1 contract

Samples: Healthchoices Agreement

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