Audit Protocol. The PH-MCO must inform all Network Providers of the Pennsylvania Medical Assistance Provider Self Audit Protocol which allows Providers to voluntarily disclose overpayments or improper payments of MA funds. The protocol is available on the Department’s Web site at ▇▇▇.▇▇▇.▇▇▇▇▇.▇▇.▇▇/ under “Fraud and Abuse.”
Appears in 6 contracts
Sources: Grant Agreement, Grant Agreement, Grant Agreement
Audit Protocol. The PH-MCO must inform all Network Providers of the Pennsylvania Medical Assistance MA Provider Self Audit Protocol which allows Providers to voluntarily disclose overpayments or improper payments of MA funds. This includes, but is not limited to inclusion in the provider handbooks. The PH-MCO must provide written documentation that this action has been completed. The protocol is available on the Department’s Web site at ▇▇▇.▇▇▇.▇▇▇▇▇.▇▇.▇▇/ under “About DHS-Fraud and Abuse.”
Appears in 2 contracts
Sources: Grant Agreement, Healthchoices Agreement
Audit Protocol. The PH-MCO must inform all Network Providers of the Pennsylvania Medical Assistance MA Provider Self Audit Protocol which allows Providers to voluntarily disclose overpayments or improper payments of MA funds. This includes, but is not limited to inclusion in the provider handbooks. The PH-MCO must provide written documentation that this action has been completed. The protocol is available on the Department’s Web site at ▇▇▇.▇▇▇.▇▇▇▇▇.▇▇.▇▇/ under “Fraud and Abuse.”
Appears in 2 contracts
Sources: Grant Agreement, Healthchoices Agreement
Audit Protocol. The PH-MCO must inform all Network Providers of the Pennsylvania Medical Assistance Provider Self Audit Protocol which allows Providers to voluntarily disclose overpayments or improper payments of MA funds. The protocol is available on the Department’s Web site at ▇▇▇.▇▇▇.▇▇▇▇▇.▇▇.▇▇/ under “Fraud and Abuse.”
Appears in 1 contract
Sources: Grant Agreement
Audit Protocol. The PH-MCO must inform all Network Providers of the Pennsylvania Medical Assistance MA Provider Self Audit Protocol which allows Providers to voluntarily disclose overpayments or improper payments of MA funds. This includes, but is not limited to inclusion in the provider handbooks. The PH-MCO must provide written documentation that this action has been completed. The protocol is available on the Department’s Web site at ▇▇▇.▇▇▇.▇▇▇▇▇.▇▇.▇▇/ under “Fraud and Abuse.”
Appears in 1 contract
Sources: Healthchoices Agreement
Audit Protocol. The PH-MCO must inform all Network Providers of the Pennsylvania Medical Assistance MA Provider Self Audit Protocol which allows Providers to voluntarily disclose overpayments Overpayments or improper payments of MA funds. This includes but is not limited to inclusion in the Provider handbooks. The PH-MCO must provide written documentation that this action has been completed. The protocol is available on the Department’s Web site at ▇▇▇.▇▇://▇▇▇.▇▇▇▇▇.▇▇.▇▇/ under “Fraud and ▇/about/Fraud-And- Abuse/Pages/default.aspx.”
Appears in 1 contract
Sources: Healthcare Agreements