Continuation of Treatment. The Provider agrees that in the event of MCO or IPA/ACO insolvency or termination of this contract for any reason, the Provider shall continue, until medically appropriate discharge or transfer, or completion of a course of treatment, whichever occurs first, to provide services pursuant to the subscriber contract or Medicaid Managed Care contract, to an enrollee confined in an inpatient facility, provided the confinement or course of treatment was commenced during the paid premium period. For purposes of this clause, the term “Provider” shall include the IPA/ACO and the IPA/ACO’s contracted Providers if this Agreement is between the MCO and an IPA/ACO. This provision shall survive termination of this Agreement.
Continuation of Treatment. CONTRACTOR shall provide justification for treatment to Clients who have been on methadone maintenance for a period of two (2) years, and annually thereafter as per Title 9, Section 10410. Justification shall be provided by the Medical Director or program physician and noted in Clients files. Without said justification the medical director or program physician shall discontinue a Client’s maintenance services.
Continuation of Treatment. If this Agreement is terminated and Facility is treating a Member with recognized Special Circumstances, Cigna-HealthSpring will continue to reimburse Facility in accordance with this Agreement for the continued provision of Covered Services to that Member for a period of up to ninety (90) days for a Member of Special Circumstances (or six (6) months in the case of a Member of Special Circumstances with a terminal medical condition). During this time, Facility may not seek payment from the Member for any amount for which the Member would not be responsible if the Facility or Facility location, as applicable, were still a Participating Provider. This section will not apply if the Agreement is terminated immediately by Cigna-HealthSpring. This section shall survive termination of the Agreement for any reason.
Continuation of Treatment. Upon termination of this Agreement, except in the case of adverse reasons on the part of the Provider, Provider shall continue to provide Covered Services pursuant to all of the terms and conditions set forth in the Agreement and the Provider Manual to Members who are under the care of Provider at the time of termination for those specific conditions for which Member is under the care of Provider, and in accordance with the limitations and mandated time period applicable by Law to Health Plan to preserve the continuity of care for those Members. As required by Law, in the event of Xxxxxx Permanente insolvency or other cessation of operations, Provider shall continue to provide Covered Services through the period for which dues or premiums have been paid, or if a Member is confined in a Facility on the date of insolvency or other cessation of operations, until the Member can be discharged in accord with an appropriate professional standard of care or Member’s benefits expire.
Continuation of Treatment. Corner Clinic may use and/or disclose your PHI to ensure continuation of care by checking on your progress or notifying you of received test results.
Continuation of Treatment. Provider agrees that, except as otherwise required by statute or regulation, in the event of HMO or IPA insolvency or termination of this contract for any reason, during the period covered by the paid enrollee premium services pursuant to the subscriber or county Medicaid Managed Care contract to an enrollee confined in an inpatient facility on the effective date of insolvency or other event causing termination, or receiving a course of treatment in progress, shall continue until medically appropriate discharge or transfer, or completion of the course of treatment, whichever first occurs. For purposes of this clause the term Provider shall include IPA and IPA's contracted providers if this Agreement is between HMO and an IPA. This provision shall survive termination of this agreement.
Continuation of Treatment. CONTRACTOR shall provide justification for 23 treatment to ParticipantsClients who have been on methadone maintenance for a period of two (2) years, 24 and annually thereafter. Justification shall be provided by the Medical Director and noted in 25 ParticipantsClients files. CONTRACTOR shall ensure that no Maintenance ParticipantClient is enrolled 26 for more than one (1) year from admission date on COUNTY funding and that no Detoxification 27 ParticipantClient is enrolled for more than one (1) detox episode per fiscal year, unless approved by 28 ADMINISTRATOR. CONTRACTOR shall provide ADMINISTRATOR with written updates for each 29 Maintenance Participant every sixty (60) calendar days from date of admission regarding progress toward 30 employment or obtainment of a third party payor(s) for a projected transition from COUNTY funding. 31 COUNTY funding is designed to be a short-term stabilizer with the ParticipantClient progressing to 32 longer-term self- sustainment. Only those ParticipantsClients with special circumstances as approved by 33 ADMINISTRATOR will be allowed to remain on Maintenance funding for up to two (2) years of their 34 admission unless otherwise approved by ADMINISTRATOR.
Continuation of Treatment. The Partners and the Partnership understand that the Prepayment Transactions will not result in the recognition of any income, gain or loss by the Partnership and agree that the income tax return for the Partnership and for each of the Partners for the period including the closing of the Prepayment Transactions will be filed in a manner consistent with this understanding.
Continuation of Treatment. CONTRACTOR shall provide justification for 22 treatment to Clients who have been on methadone maintenance for a period of two (2) years, and 23 annually thereafter. Justification shall be provided by the Medical Director and noted in Clients’ files. 24 CONTRACTOR shall ensure that no Maintenance Client is enrolled for more than one (1) year from 25 admission date on COUNTY funding and that no Detoxification Client is enrolled for more than one (1) 26 detox episode per fiscal year, unless approved by ADMINISTRATOR. COUNTY funding is designed 27 to be a short-term stabilizer with the Client progressing to longer-term self- sustainment. Only those 28 Clients with special circumstances will be allowed to remain on Maintenance funding for up to two (2) 29 years of their admission unless otherwise approved by ADMINISTRATOR.
