Common use of Subcontracts and Provider Agreements Clause in Contracts

Subcontracts and Provider Agreements. i. The CHC-MCO must require all Network Providers and all subcontractors take actions as are necessary to permit the CHC- MCO to comply with the Fraud, Waste and Abuse requirements in this agreement. ii. To the extent that the CHC-MCO delegates oversight responsibilities to a third party such as a Pharmacy Benefit Manager, the CHC-MCO must require that such third party complies with sections V.X.4.a – 4.b. above. iii. The CHC-MCO will require, via its Provider Agreement that Network Providers comply with MA regulations and any enforcement actions initiated by the Department under its regulations, including termination and restitution actions.