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Docusign Envelope lD: CEBC6B3C-DFA1-486C-AFE8-6A4A63440086
<br />analysis shall include audits and investigations of Facility. To the extent that Facility is delegated
<br />authority for authorization of services, Facility shall comply with all Utilization Management
<br />requirements described in the State Contract.
<br />5. Debarment CertiJication. Facility represents and warrants that it is not presently
<br />debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded by any
<br />State or federal department or agency from participating in transactions. Facility shall
<br />immediately notifu CHPW in writing if, during the term of the Agreement, (a) Facility becomes
<br />debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded, or (b)
<br />Facility or any of Facility's employees are subject to disciplinary action against accreditation,
<br />certification, license and/or registration.
<br />6. Records. Facility shall maintain all financial, billing, medical and other records pertinent
<br />to the Agreement, including but not limited to records related to services rendered, quality,
<br />appropriateness, and timeliness of service, any administrative, civil or criminal investigation or
<br />prosecution. All financial records shall follow generally accepted accounting principles. Other
<br />records shall be maintained as necessary to clearly reflect all actions taken by Facility related to
<br />the Agreement.
<br />All records and reports relating to the Agreement shall be retained by Facility for a minimum of
<br />ten (10) years after final payment is made under the Agreement. However, when an inspection,
<br />audit, litigation, or other action involving records is initiated prior to the end of said period, records
<br />shall be maintained for a minimum of ten (10) years following resolution of such action.
<br />7. Inspection. Facility shall fully cooperate with and permit State, including HCA, MFCU
<br />and state auditor, CMS, auditors from the federal Government Accountability Office, federal
<br />Office of the Inspector General, federal Office of Management and Budget, the Office of the
<br />Inspector General, the Comptroller General, and their designees, to access, inspect and audit any
<br />books, records, contracts, or documents of Facility that pertain to any aspect of services and
<br />activities performed, including any computerized data stored by Facility, and shall permit
<br />inspection of the premises, physical facilities, and equipment where Medicaid-related activities
<br />or work is conducted, at any time whether such visit is announced or unannounced. Facility shall
<br />make copies of records and shall deliver them to the requestor, without cost, within thirfy (30)
<br />calendar days of request. The right for the parties named above to audit, access and inspect
<br />under this Section exists for ten (10) years from the final date ofthe contract period or from the
<br />date of completion of any audit, whichever is later. If the State, CMS or the federal Office of the
<br />Inspector General determines that there is a reasonable possibility of fraud or similar risk, the
<br />State, CMS, or the federal Office of the Inspector General may inspect, evaluate, and audit the
<br />subcontractor at any time.
<br />8. Interpreter Services. Facility shall provide interpreter services, free ofcharge, for all
<br />interactions with Members or potential Members, including but not limited to: (a) customer
<br />service, (b) all appointments with any provider for any Covered Service, (c) emergency services,
<br />and (d) all steps necessary to file grievances and appeals including requests for Independent
<br />Review of CHPW decisions.
<br />9. Marketing Muteriuls. All information to be provided to Members, €.g.marketing
<br />materials, must be accurate, not misleading, comprehensible to its intended audience, designed to
<br />2020 Facility Exh B1B - McaidProv Page 32 of51 Contract #5908-662684
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