Failure to Provide Services. The MCO shall be subject to one of the remedies listed in section 5.6 or section 5.7 if: a) the MCO fails substantially to provide Medically Necessary items and services that are required to be provided to an Enrollee covered under this Contract; and b) the failure has adversely affected or has a substantial likelihood of adversely affecting the Enrollee.
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Failure to Provide Services. The MCO shall be subject to one of the remedies listed in section 5.6 sections 5.4.3 or section 5.7 if: a) 5.4.4 if the MCO fails substantially to provide Medically Necessary items and services that are required to be provided to an Enrollee covered under this Contract; and b) , if the failure has adversely affected or has a substantial likelihood of adversely affecting the Enrollee.
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Samples: www.publicrecordmedia.org, www.publicrecordmedia.org, www.publicrecordmedia.org
Failure to Provide Services. The MCO shall be subject to one of the remedies listed in section 5.6 5.5 or section 5.7 5.6 if: a) the MCO fails substantially to provide Medically Necessary items and services that are required to be provided to an Enrollee covered under this Contract; and b) the failure has adversely affected or has a substantial likelihood of adversely affecting the Enrollee.. [SSA §1903(m)(3)(B); 42 CFR §438.700(b)(1)]
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Failure to Provide Services. The MCO shall be subject to one of the remedies listed in section 5.6 or section 5.7 if: a) 5.4.3. If the MCO fails substantially to provide Medically Necessary items and services that are required to be provided to an Enrollee covered under this Contract; , and b) if the failure has adversely affected or has a substantial likelihood of adversely affecting the Enrollee.
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Failure to Provide Services. The MCO shall be subject to one of the remedies listed in section 5.5 or 5.6 or section 5.7 if: if a) the MCO fails substantially to provide Medically Necessary items and services that are required to be provided to an Enrollee covered under this Contract; , and b) the failure has adversely affected or has a substantial likelihood of adversely affecting the Enrollee.. [SSA §1903(m)(3)(B); 42 CFR §438.700(b)(1)]
Appears in 2 contracts
Failure to Provide Services. The MCO shall be subject to one of the remedies listed in section 5.6 or section 5.7 if: a) 5.4.3 if the MCO fails substantially to provide Medically Necessary items and services that are required to be provided to an Enrollee covered under this Contract; , and b) if the failure has adversely affected or has a substantial likelihood of adversely affecting the Enrollee.
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Samples: www.publicrecordmedia.org
Failure to Provide Services. The MCO shall be subject to one of the remedies listed in section 5.6 or section 5.7 if: a) 5.4.3 if the MCO fails substantially to provide Medically Necessary items and services that are required to be provided to an Enrollee covered under this Contract; , and b) if the failure has adversely affected or has a substantial likelihood of adversely affecting the Enrollee.. Section 20.2 to 20.2.8 87
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Samples: www.publicrecordmedia.org
Failure to Provide Services. The MCO shall be subject to one of the remedies listed in section 5.6 or section 5.7 if: a) the MCO fails substantially to provide Medically Necessary items and services that are required to be provided to an Enrollee covered under this Contract; and b) the failure has adversely affected or has a substantial likelihood of adversely affecting the Enrollee.. [SSA §1903(m)(3)(B); 42 CFR §438.700(b)(1)]
Appears in 1 contract
Samples: mn.gov
Failure to Provide Services. The MCO shall be subject to one of the remedies listed in section 5.6 5.4.3 or section 5.7 if: a) 5.4.4 if the MCO fails substantially to provide Medically Necessary items and services that are required to be provided to an Enrollee covered under this Contract; , and b) if the failure has adversely affected or has a substantial likelihood of adversely affecting the Enrollee.
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Samples: www.publicrecordmedia.org
Failure to Provide Services. The MCO shall be subject to one of the remedies listed in section 5.6 or section 5.7 if: a) 5.4.1 if the MCO fails substantially to provide Medically Necessary items and services that are required to be provided to an Enrollee covered under this Contract; , and b) if the failure has adversely affected or has a substantial likelihood of adversely affecting the Enrollee.
Appears in 1 contract
Samples: www.publicrecordmedia.org
Failure to Provide Services. The MCO shall be subject to one of the remedies listed in section 5.6 or section 5.7 if: a) the MCO fails substantially to provide Medically Necessary items and services that are required to be provided to an Enrollee covered under this Contract; and b) the failure has adversely affected or has a substantial likelihood of adversely affecting the Enrollee.. [SSA §1903(m)(3)(B); 42 CFR §438.700(b)(1)]
Appears in 1 contract
Samples: mn.gov
Failure to Provide Services. The MCO shall be subject to one of the remedies listed in section 5.6 or section 5.7 if: if a) the MCO fails substantially to provide Medically Necessary items and services that are required to be provided to an Enrollee covered under this Contract; , and b) the failure has adversely affected or has a substantial likelihood of adversely affecting the Enrollee.. [SSA §1903(m)(3)(B); 42 CFR §438.700(b)(1)]
Appears in 1 contract
Samples: mn.gov