42 CFR 434.6 - General requirements for all contracts and subcontracts.
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(1) Include provisions that define a sound and complete procurement contract, as required by 45 CFR part 74.
(5) Provide that the agency and HHS may evaluate through inspection or other means, the quality, appropriateness and timeliness of services performed under the contract.
(6) Specify procedures and criteria for terminating the contract, including a requirement that the contractor promptly supply all information necessary for the reimbursement of any outstanding Medicaid claims.
(7) Provide that the contractor maintains an appropriate record system for services to enrolled beneficiaries.
(8) Provide that the contractor safeguards information about beneficiaries as required by part 431, subpart F of this chapter.
(9) Specify any activities to be performed by the contractor that are related to third party liability requirements in part 433, subpart D of this chapter.
(i) No payment will be made by the contractor to a provider for provider-preventable conditions, as identified in the State plan.
(ii) The contractor will require that all providers agree to comply with the reporting requirements in § 447.26(d) of this subchapter as a condition of payment from the contractor.
(iii) The contractor will comply with such reporting requirements to the extent the contractor directly furnishes services.
(b) Subcontracts. All subcontracts must be in writing and fulfill the requirements of this part that are appropriate to the service or activity delegated under the subcontract.
(c) Continued responsibility of contractor. No subcontract terminates the legal responsibility of the contractor to the agency to assure that all activities under the contract are carried out.
Title 42 published on 2013-10-01
no entries appear in the Federal Register after this date.