Transition of Covered Persons. In the event of transitioning Covered Persons from other Medicaid managed care contractors and their provider, Provider shall work with Subcontractor and Health Plan to ensure quality-driven health outcomes for such Covered Persons to the extent required by the State Contract or otherwise required by law.
Appears in 10 contracts
Samples: Downstream Provider, Alaska State, www.uhchearing.com
Transition of Covered Persons. In the event of transitioning Covered Persons from other Medicaid managed care contractors and their provider, Subcontractor shall, and shall require Provider shall to work with Subcontractor and Health Plan United to ensure quality-driven health outcomes for such Covered Persons to the extent required by the State Contract or otherwise required by law.
Appears in 7 contracts
Samples: Behavioral Health Services Agreement, Dental Services Agreement, Administrative Services Agreement
Transition of Covered Persons. In the event of transitioning Covered Persons from other Medicaid managed care contractors and their provider, Provider shall work with Subcontractor and Health Plan United to ensure quality-driven health outcomes for such Covered Persons to the extent required by the State Contract or otherwise required by law.
Appears in 7 contracts
Samples: Downstream Provider, www.uhchearing.com, www.uhchearing.com
Transition of Covered Persons. In the event of transitioning Covered Persons to or from other Medicaid managed care contractors and their providerproviders, Provider shall work with Subcontractor and Health Plan and Subcontractor to ensure quality-driven health outcomes for such Covered Persons to the extent required by the applicable State Contract or otherwise required by law, and shall cooperate in all aspects with providers of other health plans to assure maximum health outcomes for Covered Persons.
Appears in 4 contracts
Samples: Downstream Provider, Downstream Provider, Downstream Provider
Transition of Covered Persons. In the event of transitioning Covered Persons from other Medicaid managed care contractors and their provider, Provider shall work with Subcontractor and Health Plan to ensure quality-driven health outcomes for such Covered Persons to the extent required by the State Contract or of otherwise required by law.
Appears in 4 contracts
Samples: learn.optumrx.com, learn.optumrx.com, learn.optumrx.com
Transition of Covered Persons. In the event of transitioning Covered Persons from other Medicaid managed care contractors and their provider, Provider shall work with Subcontractor and Health Plan and other managed care contractors to ensure quality-driven health outcomes for such Covered Persons to the extent required by the State Contract or otherwise required by law. In addition, Covered Persons may be immediately transferred to another Provider if the Covered Person’s health or safety is in jeopardy.
Appears in 3 contracts
Samples: public.providerexpress.com, www.uhchearing.com, learn.optumrx.com
Transition of Covered Persons. In the event of transitioning Covered Persons from other Medicaid managed care contractors and their provider, Provider shall work with Subcontractor and Health Plan and Subcontractor to ensure quality-driven health outcomes for such Covered Persons to the extent required by the State Contract or otherwise required by law.
Appears in 3 contracts
Samples: learn.optumrx.com, learn.optumrx.com, learn.optumrx.com
Transition of Covered Persons. In the event of transitioning Covered Persons from other Medicaid managed care contractors and their provider, Provider shall work with Subcontractor and Health Plan United to ensure quality-driven health outcomes for such Covered Persons to the extent required by the State Contract or of otherwise required by law.
Appears in 2 contracts
Samples: www.uhchearing.com, www-prd.uhcprovider.com
Transition of Covered Persons. In the event of transitioning Covered Persons from other Medicaid managed care contractors and their provideror from fee-for-service care, Provider shall work with Subcontractor and Health Plan to ensure quality-driven health outcomes and care coordination for such Covered Persons to the extent required by the State Contract or otherwise required by law.
Appears in 2 contracts
Samples: United Behavioral Health, www.uhcprovider.com
Transition of Covered Persons. In the event of transitioning Covered Persons from other Medicaid managed care contractors and their provider, Provider shall work with Subcontractor and and/or Health Plan to ensure quality-driven health outcomes for such Covered Persons to the extent required by the State Contract or otherwise required by law.
Appears in 2 contracts
Samples: Downstream Provider, learn.optumrx.com
Transition of Covered Persons. In the event of transitioning Covered Persons from other Medicaid managed care contractors and their provider, Provider shall work with Subcontractor and Health Plan to ensure quality-driven health outcomes for such Covered Persons Medicaid Managed Care Members to the extent required by the State Contract or otherwise required by law.
Appears in 1 contract
Samples: learn.optumrx.com
Transition of Covered Persons. In the event of transitioning Covered Persons from other Medicaid managed care contractors and their provider, Provider shall work with Subcontractor and Health Plan to ensure quality-driven health outcomes for such Covered Persons to the extent required by the State District of Columbia Contract or otherwise required by law.
Appears in 1 contract
Samples: public.providerexpress.com
Transition of Covered Persons. In the event of transitioning Covered Persons from other Medicaid managed care contractors and their provideror from fee-for-service care, Provider shall work with Subcontractor and Health Plan United to ensure quality-driven health outcomes and care coordination for such Covered Persons to the extent required by the State Contract or otherwise required by law.
Appears in 1 contract
Samples: learn.optumrx.com
Transition of Covered Persons. In the event of transitioning Covered Persons from other Medicaid managed care contractors and their provider, Provider shall work with Subcontractor and Health Plan and/or Subcontractor to ensure quality-driven health outcomes for such Covered Persons to the extent required by the State Contract or otherwise required by law.
Appears in 1 contract
Samples: Downstream Provider