Hospital and health system — vendor and medical-staff agreements (42 CFR 1001.1901; OIG compliance guidance)

Exclusion screening record. Vendor represents that, at contract execution and monthly thereafter, Hospital may obtain a dated read of the HHS-OIG List of Excluded Individuals/Entities, the SAM.gov Exclusions public extract and the exclusion list of each state in which services are furnished, for Vendor's exact legal name and, for each individual furnishing services, the individual's NPI. The record shall state, for each source: the source's own file date or the read time, the official key (UEI, NPI, EIN, CIK or CCN) or the exact printed name used, the rows returned verbatim, and any source that was not read or did not answer. The record shall carry a SHA-256 of its canonical content and shall conform to the Alpha Covenant Receipt Format v1 (an open specification, CC BY 4.0, at https://alphacovenantholdings.com/spec), so that any party may recompute the hash and re-run the read. The record is evidence of what the files printed on a date; it is not a representation by the record's producer about the party's eligibility, identity or compliance, which remain the responsibility of the party and the reviewing officer. Vendor shall notify Hospital within five business days of any exclusion, debarment or proposed debarment of Vendor or of any individual it furnishes.