Common Contracts

5 similar Community Healthchoices Agreement contracts

Contract
Community Healthchoices Agreement • July 20th, 2021
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COMMUNITY HEALTHCHOICES AGREEMENT
Community Healthchoices Agreement • September 7th, 2017
COMMUNITY HEALTHCHOICES AGREEMENT
Community Healthchoices Agreement • April 5th, 2016
COMMUNITY HEALTHCHOICES AGREEMENT
Community Healthchoices Agreement • March 1st, 2016
COMMUNITY HEALTHCHOICES AGREEMENT‌‌
Community Healthchoices Agreement • November 16th, 2015

Abuse — Any practices that are inconsistent with sound fiscal, business, or medical practices, and result in unnecessary costs to the Medical Assistance Program, or in reimbursement for services that are not Medically Necessary or that fail to meet professionally recognized standards or agreement obligations (including the RFP, agreement, and the requirements of state or federal regulations) for healthcare in a managed care setting. The Abuse can be committed by the CHC-MCO, subcontractor, Provider, State employee, or a Participant, among others. Abuse also includes Participant practices that result in unnecessary cost to the Medical Assistance Program, the CHC-MCO, a subcontractor, or Provider.

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