18 BCN's Program to Prevent and Detect Fraud and Abuse Our program consists of the following elements: Credentialing of out-of-panel providers according to BCN's credentialing policy Requirement for employees and contractors to be eligible for participation in Medicaid programs (DHHS OIG) and federal procurement activities (EPLS) Requirement for employees and contractors to disclose any conflict of interest in providing and paying for OHP services Grievance and Appeal procedures for BCN OHP members and their representatives Complaint and appeal procedures for providers
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