Oversight and Program Integrity Clause Samples

The "Oversight and Program Integrity" clause establishes mechanisms to monitor, review, and ensure the proper functioning and compliance of a program or project. Typically, this clause grants the right to conduct audits, request reports, or implement controls to detect and prevent fraud, waste, or abuse. By setting out these oversight procedures, the clause helps maintain accountability and transparency, ultimately safeguarding the integrity of the program and ensuring that objectives are met as intended.
Oversight and Program Integrity. It will be necessary for the exchange to combat waste, fraud and abuse within its financial management system, as well as within the processing of data, information and funds that flow through the exchange. Thus, setting up oversight and program integrity functions will be critical for a properly functioning exchange.
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Oversight and Program Integrity. Also required by Section 1313, each Exchange will need to ensure program integrity related to Federal and State funds utilized to start-up and operate the Exchange. Exchanges will need to ensure that they take steps to prevent waste, fraud, and abuse. The Financial Management core area includes the infrastructure the Exchange must establish for financial management while this core area includes the oversight and program integrity activities the Exchange undertakes to ensure compliance with Federal and State requirements, including annual audits.
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Oversight and Program Integrity. ‌ During the Level I grant period, the Exchange will be able to build staff capacity to ensure its ability to comply with annual auditing requirements imposed under state and federal law. The Exchange will engage external consultants to develop a comprehensive plan to prevent waste, fraud and abuse in Exchange programs with specific milestones for staff implementation of the plan.
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Oversight and Program Integrity. The California Exchange is committed to implementing an effective program to prevent waste, fraud and abuse with funds used to start up and operate the California Exchange. The California Exchange Board adopted integrity as one of its core values, defined as earning the public’s trust through its commitment to accountability, responsiveness, transparency, speed, agility, reliability, and cooperation. Strategies include getting outside expertise to review planning processes and decisions and building checks and oversight into major contracts. Further, the Board adopted conflict of interest standards and policies for designated personnel, consultants and new hires. The California Exchange regularly uses outside expertise in its contracting processes to build an additional level of oversight and monitoring. The California Exchange hired retired annuitants with extensive procurement expertise to set up contracting processes. Major solicitations are reviewed prior to release by partner organizations including the DHCS, MRMIB and the California Health and Human Services Agency. Consumer Assistance -- Providing Assistance to Individuals and Small Businesses, Coverage Appeals, and Complaints‌ In order to deliver on the Affordable Care Act goal of a “no wrong door” service system that provides for a consistent and quality consumer experience at all entry points, the California Exchange is investing resources to develop culturally and linguistically appropriate oral and written communications and targeted strategies for populations with limited access such as persons with disabilities. The CalHEERS design will facilitate eligibility determinations and enrollment through multiple access points including the web, mail, phone and in-person applications. In addition to CalHEERS functionality, during the Level I grant (1.1) period, California has been exploring the most effective strategies to assist Exchange enrollees and potential enrollees, including: (1) Development of a robust Assisters Program, including Navigators, who will provide individualized services to persons who require help navigating the eligibility and enrollment process, and (2) Establishment of a consumer assistance function that supports consumers from the point of enrollment inquiry to post-enrollment problem resolution. During the grant period, the California Exchange released a communications solicitation for development of a marketing, outreach and education campaign and plan, including a proposed...
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Related to Oversight and Program Integrity

  • Information Systems Acquisition Development and Maintenance a. Client Data – Client Data will only be used by State Street for the purposes specified in this Agreement.

  • Information Technology Accessibility Standards Any information technology related products or services purchased, used or maintained through this Grant must be compatible with the principles and goals contained in the Electronic and Information Technology Accessibility Standards adopted by the Architectural and Transportation Barriers Compliance Board under Section 508 of the federal Rehabilitation Act of 1973 (29 U.S.C. §794d), as amended. The federal Electronic and Information Technology Accessibility Standards can be found at: ▇▇▇▇://▇▇▇.▇▇▇▇▇▇-▇▇▇▇▇.▇▇▇/508.htm.

  • Research Analyst Independence The Company acknowledges that the Underwriters’ research analysts and research departments are required to be independent from their respective investment banking divisions and are subject to certain regulations and internal policies, and that such Underwriters’ research analysts may hold views and make statements or investment recommendations and/or publish research reports with respect to the Company and/or the offering that differ from the views of their respective investment banking divisions. The Company hereby waives and releases, to the fullest extent permitted by law, any claims that the Company may have against the Underwriters with respect to any conflict of interest that may arise from the fact that the views expressed by their independent research analysts and research departments may be different from or inconsistent with the views or advice communicated to the Company by such Underwriters’ investment banking divisions. The Company acknowledges that each of the Underwriters is a full service securities firm and as such from time to time, subject to applicable securities laws, may effect transactions for its own account or the account of its customers and hold long or short positions in debt or equity securities of the companies that may be the subject of the transactions contemplated by this Agreement.

  • Alignment with Modernization Foundational Programs and Foundational Capabilities The activities and services that the LPHA has agreed to deliver under this Program Element align with Foundational Programs and Foundational Capabilities and the public health accountability metrics (if applicable), as follows (see Oregon’s Public Health Modernization Manual, (▇▇▇▇://▇▇▇.▇▇▇▇▇▇.▇▇▇/oha/PH/ABOUT/TASKFORCE/Documents/public_health_modernization_man ual.pdf): a. Foundational Programs and Capabilities (As specified in Public Health Modernization Manual) b. The work in this Program Element helps Oregon’s governmental public health system achieve the following Public Health Accountability Metric, Health Outcome Measure: c. The work in this Program Element helps Oregon’s governmental public health system achieve the following Public Health Accountability Metric, Local Public Health Process Measure:

  • Information Management Information and Records