Compliance Officer. The Health Plan shall have a designated person qualified by training and experience, to oversee a Fraud and Abuse program to prevent and detect potential Fraud and Abuse activities pursuant to State and federal rules and regulations.
Appears in 5 contracts
Samples: Contract (Wellcare Health Plans, Inc.), Amerigroup Corp, Wellcare Health Plans, Inc.
Compliance Officer. The Health Plan shall have a designated person qualified by training and experienceexperience in health care or risk management, to oversee a Fraud fraud and Abuse abuse program to prevent and detect potential Fraud fraud and Abuse abuse activities pursuant to State state and federal rules and regulations, and carry out the provisions of the compliance plan, including fraud and abuse policies and procedures, investigating unusual incidents and implementing corrective action.
Appears in 3 contracts
Samples: Attachment (Amerigroup Corp), Standard Contract (Wellcare Health Plans, Inc.), Contract (Wellcare Health Plans, Inc.)
Compliance Officer. The Health Plan shall have a designated person qualified by training and experienceexperience in health care or risk management, to oversee a Fraud fraud and Abuse abuse program to prevent and detect potential Fraud fraud and Abuse abuse activities pursuant to State state and federal rules and regulations., and carry out the provisions of the compliance plan, including fraud and abuse policies and procedures, investigating unusual incidents and implementing corrective action. AHCA Contract No. FA972, Attachment II, Page 175 of 285 WellCare of Florida, Inc., Medicaid HMO Non-Reform Contract d/b/a HealthEase
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