Medicaid Provider Contract Clause Samples

Medicaid Provider Contract. At a minimum the MCO’s Medicaid provider contracts and addenda must include the following provisions: 1. Enrollees will be held harmless for the costs of all Medicaid-covered services provided except for applicable cost-sharing obligations. The Contract must state that the providers must inform enrollees of the costs for non-covered services prior to rendering such services. The provider Contract must state that the MCO’s enrollees may not be held liable for the MCO’s debts in the event of the MCO’s insolvency; providers may not balance- bill. 2. Physicians will maintain adequate malpractice insurance with minimum coverage requirements of $1 million per individual episode and $1 million in the aggregate;