Affiliated definition
Examples of Affiliated in a sentence
MA Plan shall immediately cease making all payments to Dentist for Covered Services provided to MA Members by Excluded Persons as described in Section 1.19 as of the date Dentist, or any Affiliated Party or Downstream Entity employed by Dentist has been excluded from participation under Medicare as determined by CMS.
Dentist shall check appropriate databases at least monthly to determine whether any Affiliated Party or Downstream Entity has been suspended or excluded from participation in the Medicare program or any other federal health care program.
Dentist shall notify MA Plan immediately in writing if Dentist, an Affiliated Party, or any Downstream Entity is suspended or excluded from the Medicare program, or any other federal or state program monitored as described in Sections 1.19.2 or 1.19.3.
Dentist represents and certifies that neither it, nor its Affiliated Parties or Downstream Entities have been suspended or excluded from participation in the Medicare program or any other federal health care program (as defined in 42 U.S.C. § 1320a-7b(f)).
Dentist shall promptly report and shall cause Affiliated Parties and Downstream Entities, to promptly report compliance concerns and suspected or actual misconduct to MA Plan.