SPECIFIC PLAN OFFERINGS Sample Clauses

SPECIFIC PLAN OFFERINGS. MAO shall operate two (2) Dual Eligible Special Needs Plans under CMS contract number H0321. MAO shall enroll individuals into offered Plan Benefit Packages (PBPs) in accordance with federal and state guidelines, and the terms of this Agreement. A Dual Eligible Member’s eligibility for each particular plan benefit package (PBP) is described below: 4.6.1. H0321-002 (HIDE SNP status) is a Dual Eligible Subset plan open to only those individuals eligible to enroll pursuant to the following eligibility requirements: 4.6.1.1. The individual must be currently enrolled in the AHCCCS Complete Care (ACC) companion program in accordance with paragraph 4.1.1; 4.6.1.2. The individual must live within the appropriate county that corresponds with the specific service area of their AHCCCS Complete Care (ACC) companion program enrollment in accordance with paragraph 4.1.2; 4.6.1.3. The individual must be entitled to participate in Medicare; and 4.6.1.4. The individual must reside within the CMS-approved service area county for this PBP in accordance with paragraph 4.5.1. 4.6.2. H0321-004 (FIDE SNP status) is a Dual Eligible Subset plan open to only those individuals eligible to enroll pursuant to the following eligibility requirements: 4.6.2.1. The individual must be currently enrolled in the ALTCS Elderly and Physically Disabled (E-PD) companion program in accordance with paragraph 4.3.1; 4.6.2.2. The individual must live within the appropriate county that corresponds with the specific service area of their ALTCS Elderly and Physically Disabled (E-PD) companion program enrollment in accordance with paragraph 4.3.2; 4.6.2.3. The individual must be entitled to participate in Medicare; and
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SPECIFIC PLAN OFFERINGS. MAO shall operate one (1) Dual Eligible Special Needs Plans under CMS contract number H5587. MAO shall enroll individuals into offered Plan Benefit Packages (PBPs) in accordance with federal and state guidelines, and the terms of this Agreement. A Full Benefit Dual Eligible Member’s eligibility for each particular plan benefit package (PBP) is described below: 4.6.1. H5587-002 (HIDE SNP status) is a Dual Eligible Subset plan open to only those individuals eligible to enroll pursuant to the following eligibility requirements: 4.6.1.1. The individual must be currently enrolled in the AHCCCS Complete Care (ACC) companion program in accordance with paragraph 4.1.1 and Attachment 7; Participant Health Choice Arizona, Inc. d/b/a Health Choice Pathway AHCCCS AGREEMENT # YH23-0010-03 4.6.1.2. The individual must live within the appropriate county that corresponds with the specific service area of their AHCCCS Complete Care (ACC) companion program enrollment in accordance with paragraph 4.1.2; 4.6.1.3. The individual must be entitled to participate in Medicare; and 4.6.1.4. The individual must reside within the CMS-approved service area county for this PBP in accordance with paragraph 4.5.1. Participant Health Choice Arizona, Inc. d/b/a Health Choice Pathway AHCCCS AGREEMENT # YH23-0010-03 5. NAME OF MAO: Health Choice Arizona, Inc. d/b/a Health Choice Pathway 6. ARIZONA SYSTEM HEALTH CARE COST CONTAINMENT [ THIS PAGE INTENTIONALLY LEFT BLANK ] ATTACHMENT 1: CHART OF DELIVERABLES Area Timeframe Report When Due Agreement Section Agreement Paragraph Reference/ Policy Send To Submitted Via MEDICARE ADVANTAGE ORGANIZATION AGREEMENT BETWEEN AHCCCS AND ATTACHMENT 2 – AHCCCS COVERED SERVICES – PHYSICAL HEALTH SERVICES (pages 40-42) MEDICARE ADVANTAGE ORGANIZATION AGREEMENT BETWEEN AHCCCS AND MEDICARE ADVANTAGE ORGANIZATION AGREEMENT BETWEEN AHCCCS AND MEDICARE ADVANTAGE ORGANIZATION AGREEMENT BETWEEN AHCCCS AND ATTACHMENT 3 – AHCCCS COVERED SERVICES - BEHAVIORAL HEALTH SERVICES (pages 43-45) Title XIX Title XIX MEDICARE ADVANTAGE ORGANIZATION AGREEMENT BETWEEN AHCCCS AND Title XIX Title XIX MEDICARE ADVANTAGE ORGANIZATION AGREEMENT BETWEEN AHCCCS AND Title XIX Title XIX MEDICARE ADVANTAGE ORGANIZATION AGREEMENT BETWEEN AHCCCS AND ATTACHMENT 4 – ALTCS ELDERLY and PHYSICALLY DISABLED COVERED MLTSS (pages 46- 48) ALTERNATIVE RESIDENTIAL SETTINGS MEDICARE ADVANTAGE ORGANIZATION AGREEMENT BETWEEN AHCCCS AND HOSPICE SERVICES HOME AND COMMUNITY BASED SERVICES MEDICARE ADVANTAGE ...
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SPECIFIC PLAN OFFERINGS. MAO shall operate one (1) Dual Eligible Special Needs Plan under CMS contract number H5587. MAO shall enroll individuals into offered Plan Benefit Packages (PBPs) in accordance with federal and state guidelines, and the terms of this Agreement. A Dual Eligible Member’s eligibility for each particular plan benefit package (PBP) is described below: 4.6.1. H5587-002 (HIDE SNP status) is a Dual Eligible Subset plan open to only those individuals eligible to enroll pursuant to the following eligibility requirements: 4.6.1.1. The individual must be currently enrolled in the AHCCCS Complete Care (ACC) companion program in accordance with paragraph 4.1.1; 4.6.1.2. The individual must live within the appropriate county that corresponds with the specific service area of their AHCCCS Complete Care (ACC) companion program enrollment in accordance with paragraph 4.1.2; 4.6.1.3. The individual must be entitled to participate in Medicare; and 4.6.1.4. The individual must reside within the CMS-approved service area county for this PBP in accordance with paragraph 4.5.1. 4.6.2. H55287-002 (HIDE SNP status) is a Dual Eligible Subset plan open to only those individuals eligible to enroll pursuant to the following eligibility requirements: 4.6.2.1. The individual must be currently enrolled in the Integrated RBHA companion program in accordance with paragraph 4.2.1; 4.6.2.2. The individual must live within the appropriate county that corresponds with the specific service area of their Integrated RBHA companion program enrollment in accordance with paragraph 4.2.2; 4.6.2.3. The individual must be entitled to participate in Medicare; and
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SPECIFIC PLAN OFFERINGS. MA-PD SNP Health Plan shall operate two Dual Eligible Special Needs Plans under Hxxxx. MA-PD SNP Health Plan shall enroll individuals into these plans in accordance with federal and state guidelines. Eligibility for each particular plan is described below: 4.7.1. Hxxxx is a Dual Eligible Subset plan open to all individuals eligible to enroll pursuant to the following eligibility requirements: 4.7.1.1. The individual must be enrolled in at least one of the programs defined in Section 4 (AHCCCS Acute Program, ALTCS Developmentally Disabled, Children’s Rehabilitative Services, or Integrated RBHA Maricopa County); 4.7.1.2. The individual must live within the appropriate county that corresponds with the specific service area of the program in which they are enrolled as found in section 4; 4.7.1.3. The individual must be entitled to participate in Medicare; and 4.7.1.4. The individual must reside within the CMS-approved service area for this plan as described in Section 4.6.1. 4.7.2. Hxxxx is a Dual Eligible Subset plan open to all individuals eligible to enroll pursuant to the following: 4.7.2.1. The individual must be a Medicaid recipient currently enrolled with Arizona Physicians IPA, Inc. in one of the Arizona Long-Term Care System (ALTCS) programs defined in Section 4.3 and 4.5 (ALTCS Developmentally Disabled, or ALTCS Elderly and Physically Disabled); 4.7.2.2. The individual must live within the appropriate county that corresponds with the specific ALTCS service area of the program in which they are enrolled as found in section 4; 4.7.2.3. The individual must be entitled to participate in Medicare; and 4.7.2.4. The individual must reside within the CMS-approved service area for this plan as described in Section 4.6.2.
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SPECIFIC PLAN OFFERINGS. MA-PD SNP Health Plan shall operate a Dual Eligible Special Needs Plans under H5985. MA-PD SNP Health Plan shall enroll individuals into this plan in accordance with federal and state guidelines. Eligibility is described below: 4.2.1. H5985 is a Dual Eligible Subset plan open to all individuals eligible to enroll pursuant to the following eligibility requirements: 4.2.1.1. The individual must be enrolled in at least one of the programs defined in Section 4 (AHCCCS Acute Program, ALTCS Developmentally Disabled, Children’s Rehabilitative Services, Integrated RBHA Maricopa County, or ALTCS Elderly and Physically Disabled); 4.2.1.2. The individual must live within the appropriate county that corresponds with the specific service area of the program in which they are enrolled as found in section 4; 4.2.1.3. The individual must be entitled to participate in Medicare; and 4.2.1.4. The individual must reside within the CMS-approved service area for this plan as described in Section 4.1.2.
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SPECIFIC PLAN OFFERINGS. MAO shall operate one (1) Dual Eligible Special Needs Plan under CMS contract number H8845. MAO shall enroll individuals into offered Plan Benefit Packages (PBPs) in accordance with federal and state guidelines, and the terms of this Agreement. A Dual Eligible Member’s eligibility for each particular plan benefit package (PBP) is described below: 4.6.1. H8845-001 (HIDE SNP status) is a Dual Eligible Subset plan open to only those individuals eligible to enroll pursuant to the following eligibility requirements: 4.6.1.1. The individual must be currently enrolled in the AHCCCS Complete Care (ACC) companion program in accordance with paragraph 4.1.1; 4.6.1.2. The individual must live within the appropriate county that corresponds with the specific service area of their AHCCCS Complete Care (ACC) companion program enrollment in accordance with paragraph 4.1.2; 4.6.1.3. The individual must be entitled to participate in Medicare; and 4.6.1.4. The individual must reside within the CMS-approved service area county for this PBP in accordance with paragraph 4.5.1.
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Related to SPECIFIC PLAN OFFERINGS

  • Underwritten Offerings If the Company at any time proposes to register any of its securities under the Securities Act, as contemplated by Section 8 hereof, and such securities are to be distributed by or through one or more underwriters, the Company will, if requested by any Holder of Option Securities as provided in Section 8.1 and subject to the provisions of this Section 8.4, arrange for such underwriters to include all of the Option Securities to be offered and sold by such holder among the securities to be distributed by such underwriters. In the event that the managing underwriter of any underwritten offering informs the Company and the Holder or Holders of Option Securities requesting the inclusion of their securities in such offering in writing of its belief that the number of securities requested to be sold in such offering exceeds the number which can be sold in such offering, then the Company will include in such offering only securities proposed to be sold by Company for its own account and decrease the number of Option Securities so proposed to be sold and requested to be included in such offering (pro rata on the basis of the percentage of the securities, by number of shares, of the Company requested to be included in the offering by the Holder or Holders of such Option Securities and all other holders of the Company's securities proposing to include shares in such offering) to the extent necessary to reduce the number of securities to be included in such offering to the level recommended by the managing underwriter. The holder or holders of Option Securities to be distributed by such underwriters shall be parties to the underwriting agreement between the Company and such underwriters and any necessary or appropriate customary agreements, shall execute appropriate powers of attorney, and may at their option, require that any or all of the representations and warranties by, and the other agreements on the part of, the Company to and for the benefit of such underwriters shall also be made to and for the benefit of such Holder or Holders of Option Securities and that any or all of the conditions precedent to the obligations of such underwriters under such underwriting agreement be conditions precedent to the obligations of such Holder or Holders of Option Securities. Any such Holder of Option Securities shall not be required to make any representations or warranties to or agreement with the Company or the underwriters other than representatives, warranties and agreements regarding such Holder, such Holder's Option Securities and such holder's intended method of distribution and any other representation required by law.

  • Piggyback Underwritten Offerings In the case of a registration pursuant to Section 2.2 which involves an underwritten offering, the Company shall enter into an underwriting agreement in connection therewith and all of the Participating Holders’ Registrable Securities to be included in such registration shall be subject to such underwriting agreement. Any Participating Holder may, at its option, require that any or all of the representations and warranties by, and the other agreements on the part of, the Company to and for the benefit of such underwriters shall also be made to and for the benefit of such Participating Holder and that any or all of the conditions precedent to the obligations of such underwriters under such underwriting agreement be conditions precedent to the obligations of such Participating Holder; provided, however, that the Company shall not be required to make any representations or warranties with respect to written information specifically provided by a Participating Holder for inclusion in the registration statement. Each such Participating Holder shall not be required to make any representations or warranties to or agreements with the Company or the underwriters other than representations, warranties or agreements regarding such Participating Holder, its ownership of and title to the Registrable Securities, any written information specifically provided by such Participating Holder for inclusion in the registration statement and its intended method of distribution; and any liability of such Participating Holder to any underwriter or other Person under such underwriting agreement shall be limited to the amount of the net proceeds received by such Participating Holder upon the sale of the Registrable Securities pursuant to the registration statement and shall be limited to liability for written information specifically provided by such Participating Holder.

  • Reduction of Underwritten Offering If the managing Underwriter or Underwriters in an Underwritten Registration pursuant to a Demand Registration, in good faith, advises the Company, the Demanding Holders and the Requesting Holders (if any) in writing that the dollar amount or number of Registrable Securities that the Demanding Holders and the Requesting Holders (if any) desire to sell, taken together with all other Common Stock or other equity securities that the Company desires to sell and the Common Stock, if any, as to which a Registration has been requested pursuant to separate written contractual piggy-back registration rights held by any other stockholders who desire to sell, exceeds the maximum dollar amount or maximum number of equity securities that can be sold in the Underwritten Offering without adversely affecting the proposed offering price, the timing, the distribution method, or the probability of success of such offering (such maximum dollar amount or maximum number of such securities, as applicable, the “Maximum Number of Securities”), then the Company shall include in such Underwritten Offering, as follows: (i) first, the Registrable Securities of the Demanding Holders and the Requesting Holders (if any) (pro rata based on the respective number of Registrable Securities that each Demanding Holder and Requesting Holder (if any) has requested be included in such Underwritten Registration and the aggregate number of Registrable Securities that the Demanding Holders and Requesting Holders have requested be included in such Underwritten Registration (such proportion is referred to herein as “Pro Rata”)) that can be sold without exceeding the Maximum Number of Securities; (ii) second, to the extent that the Maximum Number of Securities has not been reached under the foregoing clause (i), the Registrable Securities of Holders (Pro Rata, based on the respective number of Registrable Securities that each Holder has so requested) exercising their rights to register their Registrable Securities pursuant to subsection 2.2.1 hereof, without exceeding the Maximum Number of Securities; and (iii) third, to the extent that the Maximum Number of Securities has not been reached under the foregoing clauses (i) and (ii), the Common Stock or other equity securities that the Company desires to sell, which can be sold without exceeding the Maximum Number of Securities; and (iv) fourth, to the extent that the Maximum Number of Securities has not been reached under the foregoing clauses (i), (ii) and (iii), the Common Stock or other equity securities of other persons or entities that the Company is obligated to register in a Registration pursuant to separate written contractual arrangements with such persons and that can be sold without exceeding the Maximum Number of Securities.

  • Participation in Underwritten Offerings No Person may participate in any underwritten offerings hereunder unless such Person (a) agrees to sell such Person’s securities on the basis provided in any underwriting arrangements approved by the Persons entitled hereunder to approve such arrangements and (b) completes and executes all questionnaires, powers of attorney, indemnities, underwriting agreements and other documents reasonably required under the terms of such underwriting arrangements and these registration rights provided for in this Article II.

  • Requirements for Participation in Underwritten Offerings No person may participate in any Underwritten Offering for equity securities of the Company pursuant to a Registration initiated by the Company hereunder unless such person (i) agrees to sell such person’s securities on the basis provided in any underwriting arrangements approved by the Company and (ii) completes and executes all customary questionnaires, powers of attorney, indemnities, lock-up agreements, underwriting agreements and other customary documents as may be reasonably required under the terms of such underwriting arrangements.