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Deficit
Reduction Act (DRA) of 2005
Section
6032
Education
Requirements
Effective January 1, 2007, Section 6032 of the Deficit
Reduction Act (DRA) requires providers receiving annual Medicaid payments of
five million or more to educate employees, contractors, and agents about
Federal and state fraud, false claims laws and the whistleblower protections
available under those laws. Compliance with Section 6032 of the DRA is a
condition of receiving Medicaid payments.
As a contractor with the State Medicaid Agency, the Agency for
Health Care Administration (AHCA), the VISTA entities are required to comply
with the Section 6032 provisions of the DRA which is to provide guidance about
its procedures for detecting fraud, waste, and abuse.
VISTA, through its parent entity Coventry Health Care, Inc.,
has developed a policy which describes the required provisions of State and
Federal laws which prohibit filing false claims and making false statements.
VISTA will be adding information regarding the DRA to its Provider Manual. In
addition, Providers can find more information regarding the DRA on the VISTA
website at www.vistahealthplan.com.,
or you may contact Darcey Gartner, Compliance, at
darcey.gartner@vistahealthplan.com with questions.
False Claims Policy and Procedure
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