Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate credentialing to Provider, Subcontractor and/or Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Health Plan’s and the State Contract’s credentialing requirements.
Appears in 7 contracts
Samples: United Behavioral Health, Alaska State, Alaska State
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or and Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Subcontractor’s, Health Plan’s and the State Contract’s credentialing requirements.
Appears in 5 contracts
Samples: Downstream Provider, Behavioral Health Individual Participating Provider Agreement, Downstream Provider
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate and/or Subcontractor delegates credentialing to Provider, Subcontractor and/or Health Plan and/or Subcontractor will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Health Plan’s and/or Subcontractor’s and the State Contract’s credentialing requirements.
Appears in 5 contracts
Samples: www.uhchearing.com, learn.optumrx.com, professionals.optumrx.com
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Health Plan’s and the State Contract’s credentialing requirements.
Appears in 4 contracts
Samples: learn.optumrx.com, public.providerexpress.com, www.uhchearing.com
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or and Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Health Plan’s and the State Contract’s credentialing requirements.
Appears in 3 contracts
Samples: learn.optumrx.com, public.providerexpress.com, www.uhchearing.com
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Subcontractor’s, Health Plan’s and the State Contract’s credentialing requirements.
Appears in 3 contracts
Samples: learn.optumrx.com, learn.optumrx.com, www.uhchearing.com
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate has delegated credentialing to ProviderProvider in accordance with the terms of the applicable State Contract and the contract between Subcontractor and Health Plan, Subcontractor and/or Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Health Plan’s and the applicable State Contract’s credentialing requirements.
Appears in 3 contracts
Samples: www.uhchearing.com, professionals.optumrx.com, learn.optumrx.com
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection selection, retention and retention exclusion of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Subcontractor’s and Health Plan’s and the applicable State Contract’s credentialing requirements.
Appears in 2 contracts
Samples: learn.optumrx.com, learn.optumrx.com
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Subcontractor and/or Health Plan’s and the State Contract’s credentialing requirements.
Appears in 2 contracts
Samples: learn.optumrx.com, learn.optumrx.com
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or Health Plan or Subcontractor will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Health Plan’s and the State Contract’s credentialing requirements.
Appears in 2 contracts
Samples: Downstream Provider, Downstream Provider
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or and Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Subcontractor’s, Health Plan’s and the State Contract’s credentialing requirements.
Appears in 2 contracts
Samples: www.uhchearing.com, learn.optumrx.com
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, C.F.R. § 438.214 which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Subcontractor’s or Health Plan’s and the State Contract’s credentialing requirements.
Appears in 2 contracts
Samples: www.uhchearing.com, public.providerexpress.com
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, includes but is not limited to the selection and retention of providers, credentialing and recredentialing requirements requirements, and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or Health Plan and/or Subcontractor will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Health Plan’s and the State Contract’s credentialing requirements.
Appears in 1 contract
Samples: learn.optumrx.com
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or or Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Health Plan’s and the State Contract’s credentialing requirements.
Appears in 1 contract
Samples: professionals.optumrx.com
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Subcontractor’s, Health Plan’s and the State Contract’s credentialing requirements.
Appears in 1 contract
Samples: Downstream Provider
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Health PlanSubcontractor’s and the State Contract’s credentialing requirements.
Appears in 1 contract
Samples: learn.optumrx.com
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate and/or Subcontractor delegates credentialing to Provider, Subcontractor and/or Health Plan and/or Subcontractor (as applicable) will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Health PlanPlan and/or Subcontractor’s and the State Contract’s credentialing requirements.
Appears in 1 contract
Samples: Downstream Provider
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Subcontractor’s and/or Health Plan’s and the State Contract’s credentialing requirements.
Appears in 1 contract
Samples: Downstream Provider