Common use of Provider Discrimination Prohibited Clause in Contracts

Provider Discrimination Prohibited. ACDE may not, with respect to Provider participation, compensation or indemnification under this Agreement, discriminate against Provider to the extent that the Provider is acting within the scope of his, her or its license or certification under applicable State law, solely on the basis of that license or certification. Without limiting the foregoing, ACDE shall not discriminate against Provider for serving high-risk populations or specializing in conditions that require costly treatment. Nothing herein shall be construed to: (i) require ACDE to contract with Provider if not necessary to meet the needs of Members; (ii) preclude ACDE from using different reimbursement amounts for different specialties or for different practitioners in the same specialty; or

Appears in 3 contracts

Sources: Physician Provider Agreement, Provider Services Agreement, Physician Provider Agreement