Continuing Services. Covered Services that were previously authorized by the Contractor and are the subject of an internal Appeal or Board of Hearings (BOH) Appeal, if applicable, involving a decision by the Contractor to terminate, suspend, or reduce the previous authorization and which are provided by the Contractor pending the resolution of the internal Appeal or BOH Appeal, if applicable.
Appears in 6 contracts
Sources: Three Way Contract for Capitated Model, Three Way Contract for Capitated Model, Three Way Contract for Capitated Model
Continuing Services. Covered Services that were previously authorized by the Contractor and are the subject of an internal Internal Appeal or Board of Hearings (BOH) BOH Appeal, if applicable, involving a decision by the Contractor to terminate, suspend, or reduce the previous authorization and which are provided by the Contractor pending the resolution of the internal Internal Appeal or BOH Appeal, if applicable. Contract - the participation agreement that EOHHS has with a Contractor, setting forth the terms and conditions pursuant to which an organization may participate in the MassHealth Senior Care Options Program.
Appears in 3 contracts
Sources: Contract for Senior Care Organizations, Contract for Senior Care Organizations, Senior Care Organization Contract