INSERT NEW SECTION H Clause Samples

INSERT NEW SECTION H. 11.1.1 The Contractor shall ensure The Contractor and each through its contracts, provider (whether or not the subcontracts and in any other provider participates in the appropriate manner that Contractor's provider network) neither Enrollees nor the through which the Contractor District are held liable for furnishes or arranges for the Contractor's debts in the furnishing of items or event of Contractor's services covered under the insolvency. contract to an enrolled individual shall comply with the requirements of 1932(b)(6) of the Social Security Act, 42 U.S.C. 1396u-2(b)(6), that an enrolled individual or the individual's family or caregiver may not be held liable or be subject to collection efforts for: . debts or other obligations of the Contractor or any provider participating in the Contractor's provider network in the event of insolvency; . the cost of items and services covered under the contract in the event that the -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- POHC-2002-D-0003 PAGE 20 OF 23 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- CONTRACT MODIFICATION - M0001 DCHFP SUMMARY SHEET -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- CONTRACT SECTION CHANGED FROM CHANGED TO -------------------------------------------------------------------------------- Contractor fails to receive payment from DC; . the cost of items and services covered under the contract if a provider participating in the Contractor's provider network fails to receive payments from the Contractor; or . payments to a provider that furnishes items and services covered under the contract to an enrolled individual under a contractual, referral, or other arrangement with the Contractor in excess of the amount that would be owed by the enrolled individual if the Contractor had furnished such items or services directly. --------------------------------------------------------------------------------
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INSERT NEW SECTION H. If more than one MCO is claiming payment for a newborn, MAA will only pay the MCO that demonstrates services rendered to the newborn. The MCO must submit written notification to MAA of the following information: . Newborn's name; . Newborn's Medicaid number; . Newborn's Date of birth; . Date of service; . Diagnosis treatment; . Provider of service; and . Provider's address and telephone number.
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Related to INSERT NEW SECTION H

  • Modification to Article IV, Section 7 of the DPA Article IV, Section 7 of the DPA (Advertising Limitations) is amended by deleting the stricken text as follows: Provider is prohibited from using, disclosing, or selling Student Data to (a) inform, influence, or enable Targeted Advertising; or (b) develop a profile of a student, family member/guardian or group, for any purpose other than providing the Service to LEA. This section does not prohibit Provider from using Student Data (i) for adaptive learning or customized student learning (including generating personalized learning recommendations); or (ii) to make product recommendations to teachers or LEA employees; or (iii) to notify account holders about new education product updates, features, or services or from otherwise using Student Data as permitted in this DPA and its accompanying exhibits.

  • Modification to Article III, Section 2 of the DPA Article III, Section 2 of the DPA (Annual Notification of Rights.) is amended as follows:

  • Modification to Article V, Section 4 of the DPA Article V, Section 4 of the DPA (Data Breach.) is amended with the following additions: (6) For purposes of defining an unauthorized disclosure or security breach, this definition specifically includes meanings assigned by Texas law, including applicable provisions in the Texas Education Code and Texas Business and Commerce Code.

  • PLEASE READ THIS NEXT SECTION CAREFULLY Although there will be circumstances when it is appropriate to seek parental consent, children’s data protection and privacy rights are their own. The law considers that children of average maturity will, from the age of around 12, have sufficient awareness of their own privacy to make certain choices relating to their personal data themselves. Parents’ views remain important, but sometimes the law will require us to give more weight to the decision the child makes about his or her own privacy. For most purposes, it will not in fact be necessary or practical for us to obtain consent from you (or your child) for the use we make of your (or your child’s) personal data. The law recognises this but also requires that, as far as possible, we set out clearly what these uses will be. Please also see our 'Privacy Notice' which is available on the School's website.

  • Modification to Article VII, Section 4 of the DPA Article VI, Section 4 of the DPA (Annual Notification of Rights.) is amended as follows: