Contracting Area definition

Contracting Area means the area(s) from which the Contractor may enroll Potential Enrollees as set forth in Attachment I.
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Contracting Area means the area in which the Integrated Care Program is operational, consisting of those geographic areas as set forth in Attachment IV.
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Contracting Area means those geographic areas as set forth in Attachment II.
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Examples of Contracting Area in a sentence

  • Routine delivery at term outside the Contracting Area, however, shall not be covered if the Enrollee is outside the Contracting Area against medical advice unless the Enrollee is outside of the Contracting Area due to circumstances beyond her control.

  • The Contractor must educate the Enrollee of the medical and financial implications of leaving the Contracting Area and the importance of staying near the treating Provider throughout the last month of pregnancy.

  • However, the Contractor warrants that at no time will the compensation paid by the Department for services rendered under this Contract exceed the rate the Contractor charges for the rendering of a similar benefit package of services to others in the Contracting Area.

  • Initial enrollment of Potential Enrollees in the Contracting Area will be phased according to a schedule set by the Department in order to ensure the smooth transition to the Integrated Care Program without disruption of care.

  • If Contractor does not satisfy the PCP requirements set forth above, Contractor may demonstrate compliance with these requirements by demonstrating that (i) Contractor’s full time equivalent PCP ratios exceed ninety percent (90%) of the requirements set forth above, and (ii) that Covered Services are being provided in the Contracting Area in a manner which is timely and otherwise satisfactory.

  • An Enrollee whose enrollment ends due to the loss of Medicaid Program coverage, but whose Medicaid Program coverage is reinstated within two (2) calendar months, will be automatically re- enrolled with the MCO with which the Enrollee was previously enrolled as long as the Enrollee’s eligibility status is still valid for participation in the Integrated Care Program and, subject to Section 4.13.1.3, the Enrollee resides in the Contracting Area.

  • All Potential Enrollees who live in the Contracting Area shall be required to become an Enrollee in a plan participating in the Integrated Care Program, except those Potential Enrollees who, pursuant to federal law, are subject only to voluntary enrollment.

  • Termination of coverage shall take effect at 11:59 p.m. on the last day of the month prior to the month in which the Department determines that the Enrollee no longer resides in the Contracting Area.

  • In any Contracting Area in which the Contractor does not satisfy the full-time equivalent provider requirements set forth above, the Contractor may demonstrate compliance with these requirements by demonstrating that (i) the Contractor's full time equivalent Physician ratios exceed ninety percent (90%) of the requirements set forth above, and (ii) that Covered Services are being provided in such Contracting Area in a manner which is timely and otherwise satisfactory.

  • Termination may be retroactive if the Department is able to determine the month in which the Enrollee moved from the Contracting Area.

Related to Contracting Area

  • Operating Area means those areas on-shore in India in which company or its affiliated company may from time to time be entitled to execute such services/operations.

  • Contracting Party shall have the meaning designated in the preamble to Section 5.2 hereof.

  • Contracting Parties has the meaning set forth in Section 10.15.

  • Landing area means that part of a movement area intended for the landing or take-off of aircraft;

  • Contracting unit means a municipality or any board, commission, committee, authority or agency, and which has administrative jurisdiction over any district other than a school district, project, or facility, included or operating in whole or in part, within the territorial boundaries of any county or municipality which exercise functions which are appropriate for the exercise by one or more units of local government, and which has statutory power to make purchases and enter into contracts or agreements for the performance of any work or the furnishing or hiring of any materials or supplies usually required, the costs or contract price of which is to be paid with or out of public funds.