CMS Agreement definition
Examples of CMS Agreement in a sentence
The amount put aside by the Claims Processor will be released to the Settlement Program Claimant upon entry of a CMS Agreement that meets the requirements of this Section 17.2.1, including all applicable release requirements, or proof of settlement with CMS on a case-by-case basis, whichever occurs first.
A copy of the CMS Agreement shall be made available to Medical Group concurrent with the execution of this Agreement.
Medical Group shall comply with all requirements in the CMS Agreement which are applicable to Medical Group as a subcontractor of PacifiCare as a result of this Agreement.
Without limiting the foregoing, Medical Group shall ensure that all provisions of the CMS Agreement which are applicable to Medical Group’s Participating Providers as a subcontractor of PacifiCare are included in Medical Group’s subcontracts with its Participating Providers.
KDHE- DHCF is aware of this process with respect to the reporting CMS Basic Rebates and CMS CPI Rebates under the terms of the CMS Agreement and agrees to use the reconciliation statements to accurately report to CMS the CMS Basic Rebates, CMS CPI Rebates, and State Supplemental Rebates for each CONTRACTOR Product for which a discount has been paid under this Agreement, to the extent required under applicable federal or state law.
No CMS Agreement shall be executed unless it encompasses the releases and other provisions set forth in this Section 17.2.1. HOC shall have an opportunity to review the CMS Agreement and may object to any settlement that fails to meet these requirements.
In the event the CMS Agreement is terminated or not renewed, the provisions of this Agreement relating to the Secure Horizons Health Plan shall automatically terminate unless otherwise agreed by CMS and PacifiCare.
Further, prior to executing any settlement or repayment agreement with CMS (the “CMS Agreement”), the SOC shall provide HOC with a copy of any proposed CMS Agreement.
Manufacturer’s obligation for CMS rebates will continue for the duration of the Manufacturer’s CMS Agreement.
HOC shall have an opportunity to review the CMS Agreement and may object to any settlement that fails to meet these requirements.