Provider-Preventable Conditions. Contractor shall not pay any provider claims nor reimburse a provider for a Provider-Preventable Condition (PPC), in accordance with 42 CFR 438.3(g). Contractor shall report, and require any and all of its subcontracted providers to report, PPCs in the form and frequency required by APL 17-009.
Appears in 3 contracts
Sources: Healthcare Agreement, Contract for Health Care Services, Service Agreement
Provider-Preventable Conditions. Contractor shall not pay any provider claims nor reimburse a provider for a Provider-Preventable Condition (PPC), in accordance with 42 CFR 438.3(g). Contractor shall report, and require any and all of its subcontracted providers Network Providers and Subcontractors to report, PPCs in the form and frequency required by APL 17-17- 009.
Appears in 1 contract
Sources: Service Agreement