Reporting Fraud and Abuse. Contractor acknowledges that it has reviewed information on how to prevent, detect, and report fraud, waste and abuse of public funds, including information about the Federal False Claims Act, the New York State False Claims Act, and whistleblower protections.
Reporting Fraud and Abuse. The WIOA or Opportunity regulations, Title 20 CFR Section 667.630, and State directives require that information and complaints involving criminal fraud, waste, abuse or other criminal activity must be reported to the County and to the State Compliance Review Division, MIC 22M, Attention: Compliance Resolution Unit, Employment Development Department, P.O. Box 826880, Sacramento, CA 94280-0001. The information and complaints should also be reported immediately through the Department’s Incident Reporting System to the DOL Office of Inspector General, United States Department of Labor 000 Xxxxxxxxxxxx Xxxxxx X.X., Xxxxxxxxxx X.X. 00000, or to the corresponding Regional Inspector General for Investigations, with a copy simultaneously provided to the Employment and Training Administration. The Hotline number is 0-000-000-0000. It is the responsibility of the Contractor to be alert for instances of fraud, abuse, and criminal activity committed by staff, contractors, or program participants.
Reporting Fraud and Abuse. If PO identifies any suspected fraud, abuse or misconduct under applicable law, PO shall report such suspicion directly to Plan immediately in accordance with Plan’s then current policies and procedures set forth in Plan Provider Manual.
Reporting Fraud and Abuse. Contractor acknowledges that it has reviewed information on how to prevent, detect, and report fraud, waste and abuse of public funds, including information about the federal False Claims Act, the New York State False Claims Act and whistleblower protections. Non-Collusive Bidding: By submission of this bid, the Contractor and each person signing on behalf of the Contractor certifies, and in the case of a joint bid each party thereto certifies as to its own organization, under penalty of perjury, that to the best of his or her knowledge and belief that its bid was arrived at independently and without collusion aimed at restricting competition. The Contractor further affirms that, at the time the Contractor submitted its bid, an authorized and responsible person executed and delivered to the State a non-collusive binding certification on the Contractor’s behalf.
Reporting Fraud and Abuse. Provider shall cooperate with Anthem's anti-fraud compliance program. If Provider identifies any actual or suspected fraud, abuse or misconduct in connection with the services rendered hereunder in violation of Regulatory Requirements, Provider shall promptly report such activity directly to the compliance officer of Anthem or through the compliance hotline in accordance with the provider manual(s). In addition, Provider is not limited in any respect in reporting other actual or suspected fraud, abuse, or misconduct to Anthem.
Reporting Fraud and Abuse. Subcontractor shall cooperate with Anthem’s anti-fraud compliance program. If Subcontractor identifies any actual or suspected fraud, abuse or misconduct in connection with the services rendered hereunder, in violation of Commonwealth or federal law, Subcontractor immediately shall report such activity directly to the Compliance Officer of Anthem Medicaid.
Reporting Fraud and Abuse. Subcontractor shall cooperate with Community Care’s anti- fraud compliance program. If Subcontractor identifies any actual or suspected fraud, abuse or misconduct in connection with the services rendered hereunder, in violation of State or federal law, Subcontractor immediately shall report such activity directly to the Compliance Officer of Community Care Medicaid.
Reporting Fraud and Abuse. Vendor shall cooperate with Company’s anti-fraud compliance program and Program Contract requirements in the reporting of actual or suspected fraud, abuse or misconduct. If Vendor identifies any actual or suspected fraud, abuse or misconduct in connection with the services rendered hereunder in violation of state or federal law, Vendor shall immediately report such activity directly to the Company’s Compliance Department, Chief Compliance Officer, the Company Compliance Officer or through the Compliance Hotline in accordance with the Company’s Code of Conduct. Vendor is not limited in any respect in reporting actual or suspected fraud, abuse, or misconduct to Company.
Reporting Fraud and Abuse. Contractor shall report all cases of alleged fraud and/or abuse, as defined in 42 Code of Federal Regulations, Section 455.2, by subcontractors. Members, providers, or employees within 10 business days of the date when Contractor is on notice of the activity. Contractor shall establish and submit to DHS for approval, written policies and procedures for identifying, investigating and taking appropriate Corrective Action against fraud and/or abuse in the provision of health care services under the Medi-Cal program. The policies and procedures will include, at a minimum, notification of DHS and consultation with DHS prior to conducting any investigations; and reporting investigations results within 10 business days of conclusion of any fraud and/or abuse investigation. Article 8 - Administrative and Operational Requirements Sharp Health Plan 00-91035
