Downstream Entity. Any party that enters into an acceptable written arrangement below the level of the arrangement between Medica and Agent or Agency. These written arrangements continue down to the level of the ultimate provider of both health and administrative services.
Downstream Entity. Any party that enters into an agreement below the level of the arrangement between Newco and Delegated Entity for the provision of administrative or health care services related to Newco’s agreement with a Delegated Entity. These written arrangements continue down to the level of the ultimate provider of health and/or administrative services.
Downstream Entity. Any party that enters into an acceptable written arrangement below the level of the arrangement between a STAR+PLUS MMP and a First Tier Entity. These written arrangements continue down to the level of the ultimate Provider of both health and administrative services.
Downstream Entity. Any party that enters into a written arrangement, acceptable to CMS, with persons or entities involved with the Medicare Advantage benefit, below the level of the arrangement between Customer and Producer, a first tier entity. These written arrangements continue down to the level of the ultimate provider of both health and administrative services.
Downstream Entity. The term “Downstream Entity” shall mean any party that enters into an acceptable written arrangement below the level of the arrangement between HPSM and a First Tier Entity. These written arrangements continue down to the level of the ultimate provider of health and/or administrative services.
Downstream Entity any party that enters into a written arrangement, acceptable to CMS, with persons or entities involved with the MA benefit, below the level of the arrangement between an MA organization (or applicant) and a first tier entity. These written arrangements continue down to the level of the ultimate provider of both health and administrative services.
Downstream Entity has the same definition that in 42 CFR §§ 422.2 and 423.4, which, at the time of execution of this Blue Cross MA HMO Amendment, means any party that enters into a written arrangement, acceptable to CMS, with persons or entities involved with the MA benefit, below the level of the arrangement between BlueLincs HMO and a First-Tier Entity, such as Hospital. These written arrangements continue down to the level of the ultimate provider of both health and administrative services.
Downstream Entity. An entity with an indirect contract with Delegator, meaning the contract exists between a First Tier Entity and a Subcontractor or, additionally between that Subcontractor and another Subcontractor down the stream for the performance of Covered Services or any delegated service or function.
Downstream Entity. Any part compliant with local, federal regulations (including CMS, and ASES) that enters into a written arrangement with persons or entities involved with Triple S below the level of the arrangement between the Plan and a first tier entity. These written arrangements continue down to the level of the ultimate provider of both health and administrative services.
Downstream Entity. It is a party who enters into a written agreement with the Delegated Entity, which is acceptable for CMS to provide services. The agreement falls below the level of agreement that reaches Triple-S with a Delegated Entity (First Tear Entity).
