Prohibition. In accordance with 42 CFR 422.208, the Contractor may operate a Physician Incentive Plan only if the Contractor makes no specific payment, directly or indirectly, to a physician or physician group as an inducement to reduce or limit Medically Necessary services furnished to any particular Enrollee. Indirect payments may include offerings of monetary value (such as stock offerings or waivers of debt) measured in the present or future.
Appears in 19 contracts
Samples: Health Contract, medicaid.utah.gov, medicaid.utah.gov
Prohibition. In accordance with 42 CFR 422.208, the Contractor may operate a Physician Incentive Plan only if the Contractor makes no specific payment, directly or indirectly, to a physician or physician group as an inducement to reduce or limit Medically Necessary services Covered Services furnished to any particular Enrollee. Indirect payments may include offerings of monetary value (such as stock offerings or waivers of debt) measured in the present or future.
Appears in 7 contracts
Samples: medicaid.utah.gov, medicaid.utah.gov, medicaid.utah.gov
Prohibition. In accordance with 42 CFR 422.208, the Contractor may operate a Physician Provider Incentive Plan only if the Contractor makes no specific payment, directly or indirectly, to a physician or physician group as an inducement to reduce or limit Medically Necessary services furnished to any particular Enrollee. Indirect payments may include offerings of monetary value (such as stock offerings or waivers of debt) measured in the present or future.
Appears in 6 contracts
Samples: medicaid.utah.gov, medicaid.utah.gov, Health Contract
Prohibition. In accordance with 42 CFR 422.208, the Contractor may operate a Physician Incentive Plan only if the Contractor makes no specific payment, directly or indirectly, to a physician or physician group as an inducement to reduce or limit Medically Necessary services Covered Services furnished to any particular Enrollee. Indirect payments may include offerings of monetary value (such as stock offerings or waivers of debt) measured in the present or future.
Appears in 5 contracts
Samples: medicaid.utah.gov, medicaid.utah.gov, medicaid.utah.gov