Excluded Providers. 6.4.1 Definition of Excluded Providers In accordance with 42 CFR 438.214(d), the Contractor may not employ or contract with Providers who are Excluded from participation in Federal Health Care Programs under either Section 1128 or 1128(A) of the Social Security Act.
Excluded Providers i. The Contractor shall not employ or subcontract with providers excluded from participation in Federal health care programs under either section 1128 or section 1128A of the Act.
Excluded Providers. 10.2 The Contractor shall screen and periodically revalidate all network providers in accordance with the requirements of 42 C.F.R., Part 455, Subparts B and E.
Excluded Providers. Pursuant to 42 CFR 438.214(d), the Contractor shall not employ or contract with Providers that are Excluded from participation in Federal Health Care Programs under either Section 1128 or 1128A of the Social Security Act.
Excluded Providers. This agreement does NOT cover health care services performed by a provider who has been excluded or debarred from participation in Federal programs, such as Medicare and Medicaid. To determine whether a provider has been excluded from a Federal program, visit the U.S. Department of Human Services Office of Inspector General website (xxxxx://xxxxxxxxxx.xxx.xxx.xxx/) or the Excluded Parties List System Web site maintained by the U.S. General Services Administration (xxxxx://xxx.xxx.gov/).
Excluded Providers. 12.1 Vendor represents and warrants that Vendor and Vendor Employees are not individuals or entities excluded from participation in federal or state health care programs. Vendor shall ensure the eligibility of Vendor and Vendor Employees to participate in federal and state health care programs and further warrants that it will notify NYC Health + Hospitals in writing if Vendor or any Vendor Employees become excluded from such participation during the term of this Agreement. NYC Health + Hospitals may terminate this Agreement immediately without liability for any damages resulting therefrom should Vendor or Vendor Employees be excluded from participation in federal or state health care programs.
Excluded Providers. The Office of Inspector General (“OIG”) Special Advisory Bulletin on the Effect of Exclusions on Participation in Federal Health Care Programs clarifies OIG’s sanction authority to impose civil money penalties and deny reimbursement under federal health care programs for products or services provided by an excluded entity. Specifically, it provides that “items or equipment sold by an excluded manufacturer or supplier used in the care or treatment of beneficiaries and reimbursed, directly or indirectly, by a federal health care program violate the OIG’s exclusion.” ABDC certifies that neither it, nor any of its key personnel, are listed by a federal agency as being debarred, excluded, or otherwise ineligible for federal program participation as of the Effective Date and ABDC will immediately notify Customer in writing if any of these events occurs.
Excluded Providers. The Contractor and its subcontractors are prohibited from paying with funds received under this Agreement for goods and services furnished, ordered, or prescribed by excluded individuals and entities: (Social Security Act (SSA) Section 1903(i)(2); 42 CFR § 455.104; 42 CFR 455.106; and 42 CFR § 1001.1901(b). In addition, the Contractor must ensure that it does not employ or contract with anyone that is excluded from participation in Federal health care programs under Section 1128 or Section 1128A of the SSA, Executive Order 12549 or 45 CFR § 92.35.
Excluded Providers. Provider acknowledges that Payer is prohibited from employing or contracting with an individual who is excluded from participation in the Medicare program (or with an entity that employs or contracts with such an individual) for the provision of any of the following: (i) health care; (ii) utilization review; (iii) medical social work; or (iv) administrative services. Provider agrees to immediately notify HPN and Payer in the event Provider, or any of its employees, Subcontractors, or agents is excluded from participation in the Medicare program or any administrative or regulatory proceedings is initiated that could lead to the exclusion of Provider or any of its employees, agents or Subcontractors from the Medicare program. In such event, HPN or Payer may immediately terminate Provider’s participation under such Payer’s Plan.
Excluded Providers. Each Party represents, warrants and covenants to other Party that, during the term of the Agreement, it and each of its employees, contractors and/or agents providing services hereunder has not been: (a) convicted of a criminal offense that falls within the ambit of 42 U.S.C. § 1320a- 7(a); or (b) excluded, debarred, suspended or otherwise ineligible to participate in the Federal health care programs or in Federal procurement or non-procurement programs. Without limiting the foregoing, each Party agrees to use its reasonable efforts to check, before hiring staff and every thirty (30) days thereafter, all of its employees, contractors and/or agents providing services hereunder whose salaries are directly or indirectly paid for by a federal health care program against the exclusion lists maintained by the following: (v) the US Department of Health and Human Services’ Office of Inspector General; (w) the System for Award Management (“XXX”) ; (x) the New York State Office of Medicaid Inspector General; (y) Social Security Death Master; and (z) the Office of Foreign Asset Control. Each Party shall promptly notify the other Party in writing in the event that it becomes aware that it or any of its employees, contractors, or agents providing services hereunder appear on one or more of these lists and shall immediately remove such sanctioned person from providing services to or on behalf of the other Party. Either Party shall have the right to immediately terminate this Agreement upon written notice to the other Party if the other Party appears on one of the foregoing lists. Each Party represents and warrants that it is not currently a party to a Corporate Integrity Agreement ("CIA") or Certification of Compliance
