Common use of Participating Providers Clause in Contracts

Participating Providers. A) Payment by the Contractor for general hospital emergency department services provided to an Enrollee by a Participating Provider shall be at the rate of payment specified in the contract between the Contractor and the general hospital for emergency services.

Appears in 2 contracts

Samples: Medicaid Advantage Model Contract (Wellcare Health Plans, Inc.), Non Covered Services (Wellcare Health Plans, Inc.)

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Participating Providers. A) Payment by the Contractor for general hospital emergency department services provided to an Enrollee by a Participating Provider shall be at the rate or rates of payment specified in the contract between the Contractor and January 1, 2007 Amendment the general hospital for emergency serviceshospital. Such contracted rate or rates shall be paid without regard to whether such services meet the definition of Emergency Medical Condition.

Appears in 1 contract

Samples: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)

Participating Providers. A) Payment by the Contractor for general hospital emergency department services provided to an Enrollee by a Participating Provider shall be at the rate or rates of payment specified in the contract between the Contractor and Appendix G January 1, 2007 the general hospital for emergency serviceshospital. Such contracted rate or rates shall be paid without regard to whether such services meet the definition of Emergency Medical Condition.

Appears in 1 contract

Samples: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)

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Participating Providers. A) Payment by the Contractor for general hospital emergency department services provided to an Enrollee by a Participating Provider shall be at the rate or rates of payment specified in the contract between the Contractor and the general hospital for emergency serviceshospital. Such contracted rate or rates shall be paid without regard to whether such services meet the definition of Emergency Medical Condition.

Appears in 1 contract

Samples: Wellcare Health Plans, Inc.

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