Current Documents. The contract between the parties to this Contract shall include, in addition to this document, existing Medicaid Provider Publications addressed to HMOs, the terms of the most recent HMO Certification Application issued by this Department for Medicaid/BadgerCare HMO Contracts, any Questions and Answers released pursuant to said HMO Certification Application by this Department, and an HMO's signed application. The terms of the HMO Certification Application are also part of this Contract even if the HMO had a Medicaid/BadgerCare HMO Contract in the prior contract period and consequently did not have to answer all the questions in the HMO Certification Application. In the event of any conflict in provisions among these documents, the terms of this Contract shall prevail. The provisions in any Question and Answer Document shall prevail over the HMO Certification Application. And the HMO Certification Application terms shall prevail over any conflict with an HMO's actual signed application. In addition, the Contract shall incorporate the following Addenda: I. Subcontracts and Memoranda of Understanding II. Policy Guidelines for Mental Health/Substance Abuse and Community Human Service Programs III. Risk-Sharing for Inpatient Hospital Services (if the HMO has elected to risk-share with the Department) HMO Contract for January 1, 2002 - December 31, 2003 -103- IV. Contract Specified Reporting Requirements V. Standard Enrollee Handbook Language VI. COB Report Format
Appears in 1 contract
Sources: Contract for Medicaid/Badgercare Hmo Services (Centene Corp)
Current Documents. The contract between the parties to this Contract shall include, in addition to this document, existing Medicaid Provider Publications addressed to HMOs, the terms of the most recent HMO Certification Application issued by this Department for Medicaid/BadgerCare HMO Contracts, any Questions and Answers released pursuant to said HMO Certification Application by this Department, and an HMO's signed application. The terms of the HMO Certification Application are also part of this Contract even if the HMO had a Medicaid/BadgerCare HMO Contract in the prior contract period and consequently did not have to answer all the questions in the HMO Certification Application. In the event of any conflict in provisions among these documents, the terms of this Contract shall prevail. The provisions in any Question and Answer Document shall prevail over the HMO Certification Application. And the HMO Certification Application terms shall prevail over any conflict with an HMO's actual signed application. In addition, the Contract shall incorporate the following Addenda:
I. Subcontracts and Memoranda of Understanding
II. Policy Guidelines for Mental Health/Substance Abuse and Community Human Service Programs
III. Risk-Sharing for Inpatient Hospital Services (if the HMO has elected to risk-share with the Department) HMO Contract for January 1, 2002 - December 31, 2003 -103-)
IV. Contract Specified Reporting Requirements Requirements
V. Standard Enrollee Handbook Language Language
VI. COB Report Format
VII. Actuarial Basis
Appears in 1 contract
Sources: Contract for Medicaid/Badgercare Hmo Services (Centene Corp)