Neighborhood Regulatory Compliance Monitoring Certification As the undersigned, you certify to the best of your belief and knowledge that you and your subcontractors, as applicable, comply with the following regulatory requirements: Employment Practices and Equal Opportunity Laws.Relating to all state and federal laws relating to civil rights, fair employment practices and equal opportunity, including but not limited to Title VI of the Civil Rights Act of 1964 as amended as it pertains to employment practices; Section 504 of Title V of the Vocational Rehabilitation Act of 1973 as amended; Federal Executive Orders 11625, 11375 relative to Equal Employment Opportunity and any implementing rules and regulations prescribed by Secretary of Labor of the United States in Title 20, Code of Federal Regulations, Part 741 pursuant to the provisions of Executive Order 11758 and the Federal Rehabilitation Act of 1973, Stat. 53-1147, the Federal "Hatch Act," as amended, and all applicable provisions of Public Law 101-336, Americans with Disabilities Act. Title VI of the Civil Rights Act of 1964.Prohibiting exclusion from participation in, denying benefits of, or otherwise subjecting any individual to discrimination under any program or activity which receives Federal financial assistance from the U.S. Department of Health and Human Services (DHHS). Section 504 of the Rehabilitation Act of 1973. Prohibiting discrimination against handicapped persons in providing health, welfare, or other social services or benefits. Environmental Tobacco Smoke. State and federal laws relative to environmental tobacco smoke and a smoke free environment, including the Pro-Children Act of 1994. Fraud and Abuse. State and federal laws relative to the prevention of fraud and abuse, including but not limited to Sections 1124, 1126(b)(1), 1126(b)(2), 1126(b)(3), 1128, 1156, 1892, 1902(a)(68), and 1903(i)(2) of the Social Security Act, and Section 40-8.2-2 of the General Laws of Rhode Island. False Claims Act. State and Federal False Claims Act and applicable state laws regarding false claims, including but not limited to, section 1902(a)(68) of the Social Security Act and Section 6032 of the Deficit Reduction Act of 2005 (DRA) separately. Debarment and Suspension of Individuals and Entities. Sections 1128 and 1156 of the Social Security Act which prohibit the participation of individuals and entities who have been excluded from federal contracting, as it relates to Contractor’s employees, consultants, subcontractors, and governing individuals, including any individual with a direct or indirect controlling interest of any percentage in the Contractor. Ongoing Monitoring. Contractor will conduct ongoing monthly screenings of employees, consultants, subcontractors, and governing individuals, including any individual with a direct or indirect controlling interest of any percentage in the Contractor or anyone else performing services on behalf of the Contractor, against the LEIE/SAM databases to ensure that individuals are not excluded from participation in state and federal health care programs. Contractor will notify Neighborhood immediately of any identified excluded individuals. Ownership and Controlling Interest. The requirements of 42 C.F.R. §455.104 to 106 and 1128 and 1156 of the Social Security Act, governing individuals and entities with ownership and controlling interests in the Contractor. Disclosures by Contractor. The requirement to provide notice of any and all relationships where employees, consultants, subcontractors, and governing individuals including any individual with a direct or indirect controlling interest of any percentage in the Contractor, who has been; (a) convicted of a criminal offense as described in Sections 1128(a) and 1182(b0(1),(2), or (3) or the Social Security Act or (b) has had civil monetary penalties or assessments imposed under Section 1129A of the Social Security Act. Lobbying. According to its Agreement with Neighborhood, appropriate lobbying efforts conduct requirements. a. No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a member of congress, an officer or employee of Congress, or an employee of a member of Congress in connection with the awarding of any federal contract, the making of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan or cooperative agreement. b. If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a member of congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit standard Form-lll, a disclosure form to report lobbying in accordance with its instructions. American Recovery and Reinvestment Act (ARRA). The supplemental terms and conditions required by ARRA. These can be found at http://www.purchasing.ri.gov/documents/ARRA1.pdf in a document published by the State of Rhode Island and Providence Plantations entitled Supplemental Terms and Conditions for Contracts and Subawards Funded in Whole or in Part by the American Recovery and Reinvestment Act of 2009, PUB.L.NO 111-5.Clinical Laboratory Improvement Amendments (CLIA) of 1988. If applicable to the services the undersigned will provide for Neighborhood, appropriate certifications as governed by the CLIA of 1988. Patient Protection and Affordability Care Act (PPACA). General compliance with the obligations of the PPACA, and specifically such provisions requiring notice to Neighborhood and subsequent recoupment for claims paid under suspected or determined fraudulent conditions. Confidentiality and Security of Information. Maintain the confidentiality of all information relating to Covered Members and shall comply with all applicable state and federal laws and regulations regarding confidentiality, including but not limited to the Health Insurance Portability and Accountability Act (HIPAA) of 1996 (Public Law 104-191), Chapter 40-6-12 , Chapter 38-2-2 and Chapter 5-37-3 of the Rhode Island General Laws, 42 C.F.R.§502(e), 504(c), and 4.10 and 42 U.S.C. Section 1320d, et. seq., the Health Information Technology for Economic and Clinical Health Act (HITECH), the Rhode Island Confidentiality of Health Care Information Act, and RI General Laws section 5-37.3 et seq. Provider Preventable Conditions. The guidelines for the Centers for Medicare and Medicaid (CMS) and Section 2702 of the Patient Protection and Affordable Care Act of 2010 (The Affordable Care Act), governing notice to Neighborhood and claims payment adjustments and recoupment’s for Provider Preventable Conditions and Hospital Acquired Conditions. Signature*Printed Name* First Last Title* Tax Identification Number* Tax Entity Name* Date* MM slash DD slash YYYY CAPTCHA