CHAMPUS TRICARE PROGRAM MEMBERS Sample Clauses

CHAMPUS TRICARE PROGRAM MEMBERS. PPM agrees and shall require PPM Physicians to agree to care for CHAMPUS Members, and active duty military personnel, without discrimination and in the same manner as care provided to PPM Physicians' other patients. PPM further agrees and shall require PPM Physicians to further agree to comply with all CHAMPUS managed care support policies and procedures and to become CHAMPUS certified. Such CHAMPUS policies and procedures are set forth in the Provider Handbook which is hereby incorporated by reference and made a part of this Agreement. PPM agrees and shall require PPM Physicians to agree to be a member of the HUMANA CHAMPUS Network. PPM Physicians licensed in Family Practice, Internal Medicine and/or Pediatrics are considered Primary Care Managers, (P.C.M.). P.C.M. responsibilities are outlined in the Provider Handbook. PPM agrees and shall require PPM Physicians to agree that medical records related to CHAMPUS Members, and active duty military personnel, under PPM Physicians care shall include a release which designates the Military Hospital Commander, or the referring primary care physician, as the receiving part of the medical record, upon proper request. As of the effective date of this Agreement, PPM agrees and shall require PPM Physicians to agree to accept NOT APPLICABLE percent (N/A%) of CHAMPUS Maximum Fee Schedule, less any applicable Copayment, deductible, or cost-share amount due from the CHAMPUS Member, as payment in full for Covered Services provided to CHAMPUS Members, and active duty military personnel. Further, PPM agrees and shall require PPM Physicians to agree to accept Medicare assignment, less any applicable Copayments, deductibles, and/or cost-share amounts due from CHAMPUS eligible Members for Covered Services provided to CHAMPUS eligible - Members who are also Medicare eligible. 50 PHYSICIAN PRACTICE MANAGEMENT PARTICIPATION AGREEMENT ATTACHMENT E (con't) Notwithstanding the above, PPM agrees and shall require PPM Physicians to agree that in no event shall payment made for health care services provided to CHAMPUS Members, and active duty military personnel, exceed Not Applicable percent (N/A%) of any CHAMPUS allowable (e.g., DRG, CMAC, or outpatient charges). PHYSICIAN PRACTICE MANAGEMENT PARTICIPATION AGREEMENT EXHIBIT E-1 COMMERCIAL CAPITATION TABLES * * This Exhibit E-1 to Attachment E (which consists of 11 pages) of this Agreement has been so omitted pursuant to a request for confidential treatment and has been filed separatel...
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Related to CHAMPUS TRICARE PROGRAM MEMBERS

  • Dependent Care Assistance Program The County offers the option of enrolling in a Dependent Care Assistance Program (DCAP) designed to qualify for tax savings under Section 129 of the Internal Revenue Code, but such savings are not guaranteed. The program allows employees to set aside up to five thousand dollars ($5,000) of annual salary (before taxes) per calendar year to pay for eligible dependent care (child and elder care) expenses. Any unused balance is forfeited and cannot be recovered by the employee.

  • HEALTH CARE PLANS ‌ Notwithstanding the references to the Pacific Blue Cross Plans in this article, the parties agree that Employers, who are not currently providing benefits under the Pacific Blue Cross Plans may continue to provide the benefits through another carrier providing that the overall level of benefits is comparable to the level of benefits under the Pacific Blue Cross Plans.

  • Health Promotion and Health Education Both parties to this Agreement recognize the value and importance of health promotion and health education programs. Such programs can assist employees and their dependents to maintain and enhance their health, and to make appropriate use of the health care system. To work toward these goals:

  • HEALTH PROGRAM 3701 Health examinations required by the Employer shall be provided by the Employer and shall be at the expense of the Employer. 3702 Time off without loss of regular pay shall be allowed at a time determined by the Employer for such medical examinations and laboratory tests, provided that these are performed on the Employer’s premises, or at a facility designated by the Employer. 3703 With the approval of the Employer, a nurse may choose to be examined by a physician of her/his own choice, at her/his own expense, as long as the Employer receives a statement as to the fitness of the nurse from the physician. 3704 Time off for medical and dental examinations and/or treatments may be granted and such time off, including necessary travel time, shall be chargeable against accumulated income protection benefits.

  • Medicaid Program Parties (applicable to any Party providing services and supports paid for under Vermont’s Medicaid program and Vermont’s Global Commitment to Health Waiver):

  • Primary Care Clinic Employees and each of their covered dependents must individually elect a primary care clinic within the network of providers offered by the plan administrator chosen by the employee. Employees and their dependents may elect to change clinics within their clinic’s Benefit Level as often as the plan administrator permits and as outlined above.

  • Dental Care Plan The Welfare Plan will include a Dental Care Plan which will reimburse members for expenses incurred in respect of the coverages summarized in Appendix "1". The Plan will not duplicate benefits provided now or which may be provided in the future by any government program.

  • Extended Health Care Plan (a) The Employer shall pay the monthly premium for regular employees entitled to coverage under a mutually acceptable Extended Health Care Plan.

  • Educational Program a. The educational program of the School (Section 4, Subsection 6 from the original contract and unchanged here) is as follows:

  • Statewide HUB Program Statewide Procurement Division Note: In order for State agencies and institutions of higher education (universities) to be credited for utilizing this business as a HUB, they must award payment under the Certificate/VID Number identified above. Agencies, universities and prime contractors are encouraged to verify the company’s HUB certification prior to issuing a notice of award by accessing the Internet (xxxxx://xxxxx.xxx.xxxxx.xx.xx/tpasscmblsearch/index.jsp) or by contacting the HUB Program at 000-000-0000 or toll-free in Texas at 0-000-000-0000.

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