Records Reports and Inspections. (a) Participating Provider shall provide DPW, its designated representatives and/or federal agencies access to evaluate through inspection or other means the quality, appropriateness, and timeliness of services performed under this Agreement. (b) Participating Provider shall maintain all books and records relating to the provision of services to Members enrolled in the Medical Assistance product and related expenditures, including reports to DPW and source information used in preparation of said reports. Such records shall include, but not be limited to, financial statement, records relating to quality of care, medical records and prescription files. Participating Provider shall comply with all standards of practice and medical record keeping, including, but not limited to, State law and regulation and accepted medical practice. (c) Avesis and Participating Provider shall, at their own expense, make all records available for audit, review or evaluation by the State, its designated representatives or Federal agencies. Access shall be provided either on-site, during normal business hours, or through mail. During the contract and record retention period, these records shall be available at Sponsor’s chosen location, subject to approval by the Commonwealth. Avesis and Participating Provider shall fully cooperate with any and all reviews and/or audits by State or Federal agencies or their agents by assuring that appropriate employees and involved parties are available for interviews relating to reviews or audits. All records to be sent by mail shall be sent to the requesting entity in the form of accurate, legible paper copies, unless otherwise indicated, within fifteen (15) calendar days of such request and at no expense to the requesting entity. Such requests made by the Commonwealth shall not be unreasonable. (d) Participating Provider shall maintain books, records, documents and other evidence pertaining to all revenues, expenditures and other financial activity pursuant to this Agreement, as well as to all required programmatic activity and data pursuant to this Agreement. Records other than medical records may be kept in an original paper state or preserved on micromedia or electronic format. Medical records shall be maintained in accordance with State laws and regulations. These books, records, documents and other evidence shall be available for review, audit or evaluation by authorized Commonwealth personnel or their representatives during the contract period and ten
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Sources: Provider Agreement, Provider Agreement