Program Integrity. The state must have processes in place to ensure that there is no duplication of federal funding for any aspect of the demonstration.
Program Integrity. 1. The MA Organization agrees to provide notice based on best knowledge, information, and belief to CMS of any integrity items related to payments from governmental entities, both federal and state, for healthcare or prescription drug services. These items include any investigations, legal actions or matters subject to arbitration brought involving the MA Organization (or MA Organization's firm if applicable) and its subcontractors (excluding contracted network providers), including any key management or executive staff, or any major shareholders (5% or more), by a government agency (state or federal) on matters relating to payments from governmental entities, both federal and state, for healthcare and/or prescription drug services. In providing the notice, the sponsor shall keep the government informed of when the integrity item is initiated and when it is closed. Notice should be provided of the details concerning any resolution and monetary payments as well as any settlement agreements or corporate integrity agreements.
Program Integrity. 4.13.1.1 The Contractor shall have a Program Integrity Program, including a mandatory compliance plan, designed to guard against Fraud and Abuse. This Program Integrity Program shall include policies, procedures, and standards of conduct for the prevention, detection, reporting, and corrective action for suspected cases of Fraud and Abuse in the administration and delivery of services under this Contract.
Program Integrity. 1. To implement and require its responsible subcontractors to implement procedures that are designed to detect and prevent fraud, waste, and abuse set forth in 42 CFR 438.608 and COMAR 10.67.07 (Appendix Q).
Program Integrity. The ICDS Plan agrees that it will develop and implement an effective compliance program that applies to its operations, and to prevent, detect, and correct Fraud, waste and abuse consistent with 42 C.F.R. §§ 420, et seq § 422.503, and 42 C.F.R. §§ 438.600-610, 42 C.F.R. § 455 and the contents of this Contract. The compliance program must, at a minimum, include written policies, procedures, and standards of conduct that:
Program Integrity. The Contractor shall adopt and implement an effective compliance program to prevent, detect and correct Fraud, Waste, and Abuse consistent with 42 C.F.R. Part 420, et seq, 42 C.F.R. § 422.503, and 42 C.F.R. §§ 438.600-610, 42 C.F.R. Part 455. The compliance program must, at a minimum, include written policies, procedures, and standards of conduct that:
Program Integrity. 8.1. The Contractor must ensure compliance by having written policies, procedures, and standards of conduct that articulate the Contractor’s commitment to comply with all applicable Federal and State program integrity standards, including proper payments to subcontractors and methods for detection of fraud, waste, and abuse.
Program Integrity. The State must have processes in place to ensure that there is no duplication of Federal funding for any aspect of the Demonstration. Specifically, the State must ensure that there is no duplication of Federal funding between the State’s Maternal, Infant, and Early Childhood Home Visiting Program and the Demonstration. In addition, the State must ensure that there is no duplication of Federal funding between the State’s VFC Program and the Demonstration. The State must confirm in each quarterly and annual report that there is no duplication of funding.
Program Integrity. The PIHP must have administrative and management arrangements or procedures for compliance with 42 CFR 438.608. Such arrangements or procedures must identify any activities that will be delegated to affiliates and how the PIHP will monitor those activities.
Program Integrity. The FIDA Plan must have a comprehensive Program Integrity Plan to detect, correct and prevent Fraud, waste, and Abuse.
