Amerigroup False Claims Act – No Place Like Home

Please read and acknowledge the following statements regarding the False Claims Act information:

claims

I have been given access to, reviewed, and understand the Federal & State False Claims Acts.

I understand the penalties for violating the Federal & State False Claims Acts.

I understand the given activities that violate the Federal & State False Claims Acts.

I understand the whistleblower protections provided by the False Claims Act.

I acknowledge that if I have questions about, or do not understand, the False Claims Acts that I am responsible for seeking clarification by contacting NPLH management or Amerigroup directly.

Electronically sign your request

First Name *

Last Name *

Date of Birth *

Last 4 Digits of SSN *

Agreement *

I acknowledge that I have read and agree with all above terms.

Email (optional)

If you would like to receive an email confirmation; enter your email here.

reCAPTCHA