Common use of Qualified Providers Clause in Contracts

Qualified Providers. Facility shall exclude any physician or other provider from performing services in connection with this agreement if such provider has been suspended or terminated from participation in Government Programs or any other government-sponsored program, including Medicare or the Medicaid program in any state. Facility is prohibited from using any individual or entity (“Offshore Entity”) (including, but not limited to, any employee, contractor, subcontractor, agent, representative or other individual or entity) to perform any services for Plans if the individual or entity is physically located outside of one of the fifty United States or one of the United States Territories (i.e., American Samoa, Guam, Northern Marianas, Puerto Rico, and Virgin Islands), unless Company, in its sole discretion and judgment, agrees in advance and in writing to the use of such Offshore Entity. Facility further agrees that Company has the right to audit any Offshore Entity prior to the provision of services for Plans.

Appears in 1 contract

Sources: Medicaid Facility Services Agreement

Qualified Providers. Facility Provider shall exclude any physician or other provider from performing services in connection with this agreement if such provider has been suspended or terminated from participation in Government Programs or any other government-sponsored program, including Medicare or the Medicaid program in any state. Facility Provider is prohibited from using any individual or entity (“Offshore Entity”) (including, but not limited to, any employee, contractor, subcontractor, agent, representative or other individual or entity) to perform any services for Plans if the individual or entity is physically located outside of one of the fifty United States or one of the United States Territories (i.e., American Samoa, Guam, Northern Marianas, Puerto Rico, and Virgin Islands.), unless Company, in its sole discretion and judgment, agrees in advance and in writing to the use of such Offshore Entity. Facility Provider further agrees that Company has the right to audit any Offshore Entity prior to the provision of services for Plans.

Appears in 1 contract

Sources: Ancillary Agreement

Qualified Providers. Facility Hospital shall exclude any physician or other provider from performing services in connection with this agreement if such provider has been suspended or terminated from participation in Government Programs or any other government-sponsored program, including Medicare or the Medicaid program in any state. Facility Hospital is prohibited from using any individual or entity (“Offshore Entity”) (including, but not limited to, any employee, contractor, subcontractor, agent, representative or other individual or entity) to perform any services for Plans if the individual or entity is physically located outside of one of the fifty United States or one of the United States Territories (i.e., American Samoa, Guam, Northern Marianas, Puerto Rico, and Virgin Islands.), unless Company, in its sole discretion and judgment, agrees in advance and in writing to the use of such Offshore Entity. Facility Hospital further agrees that Company has the right to audit any Offshore Entity prior to the provision of services for Plans.

Appears in 1 contract

Sources: Hospital Services Agreement

Qualified Providers. Facility Provider shall exclude any physician or other provider from performing services in connection with this agreement Agreement if such provider has been suspended or terminated from participation in Medicaid or Government Programs or any other government-sponsored program, including Medicare or the Medicaid program in any state. Facility Provider is prohibited from using any individual or entity (“Offshore Entity”) (including, but not limited to, any employee, contractor, subcontractor, agent, representative or other individual or entity) to perform any services for Plans if the individual or entity is physically located outside of one of the fifty United States or one of the United States Territories (i.e., American Samoa, Guam, Northern Marianas, Puerto Rico, and Virgin Islands), unless Company, in its sole discretion and judgment, agrees in advance and in writing to the use of such Offshore Entity. Facility Provider further agrees that Company has the right to audit any Offshore Entity prior to the provision of services for Plans.

Appears in 1 contract

Sources: Provider/Network Participation Agreement