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The organization exercises due diligence to prevent and detect inappropriate conduct by the Medicaid provider
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The organization promotes an organizational culture that encourages ethical conduct and is committed to compliance with the law.
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The compliance program is reasonably designed, implemented, and enforced so that the program is generally effective in preventing  and detecting improper conduct.
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Failure to prevent or detect specific offenses does not necessarily mean that the program is not generally effective in preventing and detecting such conduct.