Facility Representations. Throughout the term of this Agreement, Facility represents and warrants that Facility shall: 4.1 Maintain all appropriate license(s) and certification(s) mandated by government regulatory agencies; 4.2 Maintain accreditation by applicable accrediting agency; 4.3 Maintain compliance with all applicable federal and state laws and regulations related to this Agreement and the Services to be provided hereunder, including, without limitation, statutes and regulations related to fraud, abuse, discrimination, disabilities, confidentiality, false claims, and prohibition of kickbacks; 4.4 Establish and maintain an ongoing quality assurance/assessment program which includes, but is not limited to, appropriate credentialing of employees and subcontractors; 4.5 Ensure that all health care personnel employed by, associated or contracted with Facility who treat Patients are and will remain throughout the term of this Agreement appropriately licensed and/or certified as required by state law and supervised, and qualified by education, training and experience to perform their professional duties; and will act within the scope of their licensure or certification; and 4.6 Warrant that this Agreement has been executed by its duly authorized representative and that executing this Agreement and performing its obligations hereunder shall not cause Facility to violate any term or covenant of any other agreement or arrangement now existing or hereinafter executed; and notify Health Plan promptly of any (i) modification, restriction, suspension, or revocation of Facility's license(s) and/or certification(s); (ii) imposition of sanctions against Facility under the Medicaid program, Medicare program, or any other governmental program; or (iii) other disciplinary action of any kind against Facility, which is either initiated, in progress, or completed as of the Commencement Date of this Agreement and at all times during the term of this Agreement.
Appears in 1 contract
Sources: Professional Services
Facility Representations. Throughout If a facility, then throughout the term of this Agreement, Facility Provider represents and warrants that Facility shallProvider shall comply with all of the following regards all licensed facilities covered under this Agreement:
4.1 (a) Maintain all appropriate license(s) and certification(s) mandated by government governmental regulatory agencies;
4.2 (b) Maintain accreditation by the Joint Commission on Accreditation of Healthcare Organizations (“Joint Commission”) or another applicable accrediting agencyagency recognized by IHN CCO;
4.3 (c) Maintain compliance with all applicable federal and state laws and regulations related to this Agreement and the Services services to be provided hereunder, including, without limitation, statutes and regulations related to fraud, abuse, discrimination, disabilities, confidentiality, false claims, and prohibition of kickbacks;
4.4 (d) Establish and maintain an ongoing quality assurance/assessment program which includes, but is not limited to, appropriate credentialing of employees and subcontractorssubcontractors and shall supply to IHN CCO the relevant documentation, including, but not limited to, internal quality assurance/assessment protocols, state licenses and certifications, federal agency certifications, and/or registrations upon request;
4.5 (e) Ensure that all ancillary health care personnel employed by, associated or contracted with Facility a facility who treat Patients treats Members are and will remain throughout the term of this Agreement appropriately licensed and/or certified as required by state law and supervised, and qualified by education, training and experience to perform their professional duties; and will act within the scope of their licensure or certification, as the case may be;
(f) Maintain credentialing, privileging, and re-appointment procedures in accordance with its medical staff’s by-laws, regulations, and policies, if any; andmeet the querying and reporting requirements of the National Practitioner Data Bank and Healthcare Integrity and Protection Data Bank (“HIPDB”); and fulfill all applicable state and Federal standards;
4.6 (g) Warrant that this Agreement has been executed by its duly authorized representative and that executing this Agreement and performing its obligations hereunder shall not cause Facility Provider to violate any term or covenant of any other agreement or arrangement now existing or hereinafter executed; and notify Health Plan and
(h) Notify IHN CCO promptly of any (i) modification, restriction, suspension, or revocation of Facility's Provider’s license(s) and/or certification(s); (ii) imposition of sanctions against Facility Provider under the Medicaid program, Medicare program, or any other governmental program; or (iii) other disciplinary action, or criminal or professional liability action of any kind against FacilityProvider, which is either initiated, in progress, or completed as of the Commencement Effective Date of this Agreement and at all times during the term of this Agreement.
Appears in 1 contract
Sources: Behavioral Health Provider Agreement