Common use of Provider Contract Clause in Contracts

Provider Contract. The MCO’s provider contracts and addenda to provider contracts must abide by all federal regulations and must be consistent with the requirements of this statement of work. The MCO must also comply with the prohibitions on inappropriate physician incentives as specified in Article III, Section 2.8 of this contract. The MCO must resubmit the revised model provider contracts to BMS any time it makes substantive modifications to such agreements. At a minimum the MCO’s 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; 2. Physicians will maintain adequate malpractice insurance with minimum coverage requirements of $1 million per individual episode and $1 million in the aggregate;

Provider Contract. The MCO’s provider contracts and addenda to provider contracts must abide by all federal regulations and must be consistent with the requirements of this statement of work. The MCO must also comply with the prohibitions on inappropriate physician incentives as specified in Article III, Section 2.8 of this contract. The MCO must resubmit the revised model provider contracts to BMS any time it makes substantive modifications to such agreements. At a minimum the MCO’s provider contracts and addenda must include the following provisions: 1. Enrollees will be held harmless for the costs of all MedicaidMedicaid and WVCHIP-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 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; 2. Physicians will maintain adequate malpractice insurance with minimum coverage requirements of $1 million per individual episode and $1 million in the aggregate;

Provider Contract. The MCO’s provider contracts and addenda to provider contracts must abide by all federal regulations and must be consistent with the requirements of this statement of work. The MCO must also comply with the prohibitions on inappropriate physician incentives as specified in Article III, Section 2.8 of this contract. The MCO must resubmit the revised model provider contracts to BMS the Department any time it makes substantive modifications to such agreements. At a minimum the MCO’s 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; 2. Physicians will maintain adequate malpractice insurance with minimum coverage requirements of $1 million per individual episode and $1 million in the aggregate;