Remedial Action. a. ACO may take remedial action against the Participant or Preferred Provider including, but not limited to, imposition of a corrective action plan (“CAP”), reduction of payments, elimination of payments, offset of payments, denied access to ACO data systems, and termination of the ACO’s Participant Agreement or this Program Addendum with the Participant or Preferred Provider to address material noncompliance with the terms of the Program or program integrity issues identified by ACO, the Green Mountain Care Board or DVHA.
Appears in 3 contracts
Samples: Preferred Provider Agreement, Preferred Provider Agreement, Preferred Provider Agreement
Remedial Action. a. ACO may take remedial action against the a Participant or Preferred Provider (including, but not limited to, imposition of a corrective action plan (“CAP”), reduction of payments, elimination of payments, offset of payments, denied access to ACO data systems, and termination of the ACO’s Participant Agreement or this Program Addendum with the Participant or Preferred Provider Provider) to address material noncompliance with the terms of the Program or program integrity issues identified by ACO, the Green Mountain Care Board or DVHACMS.
Appears in 3 contracts
Samples: Preferred Provider Agreement, Preferred Provider Agreement, Preferred Provider Agreement
Remedial Action. a. ACO may take remedial action against the Participant or Preferred Provider including, but not limited to, imposition of a corrective action plan (“CAP”), reduction of payments, elimination of payments, offset of payments, denied access to ACO data systems, and termination of the ACO’s Participant Agreement or this Program Addendum with the Participant or Preferred Provider to address material noncompliance with the terms of the Program or program integrity issues identified by ACO, the Green Mountain Care Board or DVHABCBSVT.
Appears in 3 contracts
Samples: Preferred Provider Agreement, Preferred Provider Agreement, Preferred Provider Agreement
Remedial Action. a. ACO may take remedial action against the Participant or Preferred Provider Affiliate including, but not limited to, imposition of a corrective action plan (“CAP”), reduction of payments, elimination of payments, offset of payments, denied access to ACO data systems, and termination of the ACO’s Participant Agreement or this Program Addendum with the Participant or Preferred Provider Affiliate to address material noncompliance with the terms of the Program or program integrity issues identified by ACO, the Green Mountain Care Board ACO or DVHA.
Appears in 2 contracts
Samples: gmcboard.vermont.gov, gmcboard.vermont.gov
Remedial Action. a. ACO may take remedial action against the Participant or Preferred Provider Affiliate (including, but not limited to, imposition of a corrective action plan (“CAP”), reduction of payments, elimination of payments, offset of payments, denied access to ACO data systems, and termination of the ACO’s Participant Agreement or this Program Addendum with the Participant or Preferred Provider Affiliate) to address material noncompliance with the terms of the Program or program integrity issues identified by ACO, the Green Mountain Care Board ACO or DVHACMS.
Appears in 2 contracts
Samples: gmcboard.vermont.gov, gmcboard.vermont.gov
Remedial Action. a. ACO may take remedial action against the Participant or Preferred Provider Affiliate including, but not limited to, imposition of a corrective action plan (“CAP”), reduction of payments, elimination of payments, offset of payments, denied access to ACO data systems, and termination of the ACO’s Participant Agreement or this Program Addendum with the Participant or Preferred Provider Affiliate to address material noncompliance with the terms of the Program or program integrity issues identified by ACO, the Green Mountain Care Board ACO or DVHABCBSVT.
Appears in 1 contract
Samples: gmcboard.vermont.gov
Remedial Action. a. 3.2.a ACO may take remedial action against the Participant or Preferred Provider including, but not limited to, imposition of a corrective action plan (“CAP”), reduction of payments, elimination of payments, offset of payments, denied access to ACO data systems, and termination of the ACO’s Participant Agreement or this ACO Program Addendum with the Participant or Preferred Provider to address material noncompliance with the terms of the Program or program integrity issues identified by ACO, the Green Mountain Care Board ACO or DVHABCBSVT.
Appears in 1 contract
Samples: Preferred Provider Agreement