Common use of No Incentives to Limit Medically Necessary Services Clause in Contracts

No Incentives to Limit Medically Necessary Services. Health Plan and Subcontractor shall not structure compensation provided to individuals or entities that conduct utilization management and concurrent review activities so as to provide incentives for the individual or entity to deny, limit, or discontinue Medically Necessary services to any Covered Person.

No Incentives to Limit Medically Necessary Services. Subcontractor and Health Plan and Subcontractor shall not structure compensation provided to individuals or entities that conduct utilization management and concurrent review activities so as to provide incentives for the individual or entity to deny, limit, or discontinue Medically Necessary services to any Covered Person.

No Incentives to Limit Medically Necessary Services. Neither Subcontractor nor Health Plan and Subcontractor shall not structure compensation provided to individuals or entities that conduct utilization management and concurrent review activities so as to provide incentives for the individual or entity to deny, limit, or discontinue Medically Necessary services to any Covered Person.

No Incentives to Limit Medically Necessary Services. Health Plan and Subcontractor shall not structure compensation provided to individuals or entities that conduct utilization management and concurrent review activities so as to provide incentives for the individual or entity to deny, limit, or discontinue Medically Necessary services to any Covered Person. Additionally, Health Plan and Subcontractor will ensure that all behavioral health authorization and utilization management activities are in compliance with 42 U.S.C. 1396u-2(b)(8).

No Incentives to Limit Medically Necessary Services. Neither Health Plan and nor Subcontractor shall not structure compensation provided to individuals or entities that conduct utilization management and concurrent review activities so as to provide incentives for the individual or entity to deny, limit, or discontinue Medically Necessary services to any Covered Person.

No Incentives to Limit Medically Necessary Services. Health Plan and Subcontractor shall not structure compensation provided to individuals or entities that conduct utilization management and concurrent review activities so as to provide incentives for the individual or entity to deny, limit, or discontinue Medically Necessary services to any Covered Person.

No Incentives to Limit Medically Necessary Services. Subcontractor and/or Health Plan and Subcontractor shall not structure compensation provided to individuals or entities that conduct utilization management and concurrent review activities so as to provide incentives for the individual or entity to deny, limit, or discontinue Medically Necessary services to any Covered Person.

No Incentives to Limit Medically Necessary Services. Subcontractor or Health Plan and Subcontractor shall not structure compensation provided to individuals or entities that conduct utilization management and concurrent review activities so as to provide incentives for the individual or entity to deny, limit, or discontinue Medically Necessary services to any Covered PersonCustomer.

No Incentives to Limit Medically Necessary Services. Health Plan and and/or Subcontractor shall not structure compensation provided to individuals or entities that conduct utilization management and concurrent review activities so as to provide incentives for the individual or entity to deny, limit, or discontinue Medically Necessary services to any Covered Person.

No Incentives to Limit Medically Necessary Services. Neither Subcontractor nor Health Plan and Subcontractor shall not structure compensation provided to individuals or entities that conduct utilization management and concurrent review activities so as to provide incentives for the individual or entity to deny, limit, or discontinue Medically Necessary services to any Covered PersonMedicaid Managed Care Member.