Common use of Audit Compliance Clause in Contracts

Audit Compliance. Provider and Practitioners shall, and shall require their Downstream Entities to annually attest to compliance with the following Sections in the Agreement: (a) “No Adverse Actions or Investigations,” (b) “No Criminal Conviction or Civil Judgments,” (c) “No Excluded or Debarred Individuals,” and (d) “Notice of Change of Circumstances.” Health Plan reserves the right to audit Provider, Practitioners, or Provider’s or Practitioner’s Downstream Entities for compliance and/or to request verification that employees, contractors, Governing Body members, Downstream Entities, and major shareholders have been checked against the OIG and GSA Lists on at least a monthly basis. Provider and Practitioners agree to provide Health Plan with any information necessary for Health Plan to conduct checks of the OIG and GSA Lists for Provider’s or Practitioner’s employees, contractors, Governing Body members, Downstream Entities, and major shareholders (5% or more); or otherwise assist Health Plan in documenting compliance with this provision, including but not limited to, supplying attestations as required in this Section.