Compliance Plan Verification

By signing below I am verifying the following:

I have completed the Achieve Beyond Compliance Training. I have reviewed and understand the Achieve Beyond Compliance Plan, which includes the Code of Conduct, Compliance Policies and Procedures, and DRA Policy and Procedures. I agree to comply with the obligations listed in the Compliance Plan and Code of Conduct. I specifically agree to discharge my responsibilities to the best of my ability and in a manner consistent with applicable laws, rules, regulations, and Achieve Beyond policies and procedures, and to inform the Compliance Officer (Joseph Matuza), a Member of the Compliance Committee, the appropriate Program Manager, a Provider Relations Manager or the CEO (Julia Matuza) if I learn of inappropriate conduct by anyone in connection with Achieve Beyond.

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Compliance Plan Verification

Adopted By Achieve Beyond February 15, 2006

Revised: April 2017, April 2018