Common use of PROVIDER STANDARDS Clause in Contracts

PROVIDER STANDARDS. A. The Provider shall comply with and not violate the corporate practice of medicine doctrine. B. All services rendered by the Provider shall be consistent with customary standards of professional practice in amount, duration, scope and quality. C. The Provider, and its employees and agents who are providing services under this Agreement, shall be qualified, licensed and/or certified in their respective disciplines as required by the Commonwealth of Pennsylvania. D. The Provider, and its employees and agents who are providing services under this Agreement, shall at all times be enrolled as Pennsylvania Department of Human Services Medical Assistance (Medicaid) providers and as U.S. Social Security Administration Medicare providers in good standing, in order to participate in the CRDP and to be paid for services provided under the terms of this Agreement. The Provider shall notify the Department in writing within 15 calendar days of the Provider’s preclusion or exclusion from participation in the Medicaid or Medicare programs. The Provider agrees that if precluded or excluded, voluntarily or involuntarily, from Medicaid or Medicare Programs, this Agreement shall terminate immediately as of the date of such preclusion or exclusion. The Provider further agrees to notify the CRDP in writing of any misdemeanor or felony conviction relating to a Medicaid or Medicare practice offense by the Provider or any of its owners, agents, or employees within 15 calendar days of conviction. Likewise, the Provider shall notify the CRDP in writing of any professional licensing board action against any health care professional employed or utilized by the Provider in providing services to CRDP patients under this Agreement within 15 calendar days of action. E. The Provider agrees that, in the event it refers patients to other providers, it shall refer Medicaid or Medicare-enrolled patients only to Medicaid or Medicare-enrolled providers.