Contractor’s Plan definition

Contractor’s Plan means the Contractor’s network or those Covered Services provided by the Contractor to eligible Clients in accordance with the terms and conditions of this Agreement.
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Examples of Contractor’s Plan in a sentence

  • The Contractor shall not initially employ any Subcontractor except as provided in the Contractor’s Plan.

  • In the event the Client Agency determines that any action, inaction or condition at a site is inconsistent with or in violation of a Contractor’s Plan, any applicable OSHA or other requirement, may pose a threat to public safety, human health or the environment, the Client Agency shall take actions necessary to prevent or ▇▇▇▇▇ such threat including, but not limited to, ordering or directing a Contractor to take or refrain from taking certain actions.

  • If the Contractor’s commercial health insurance product is the other insurance, EOHHS shall disenroll the Enrollee from the Contractor’s Plan effective the “TPL effective date” in MMIS.

  • The Contractor shall develop procedures and train its staff to ensure that Enrollees who have other insurance are either (1) not enrolled into the Contractor’s Plan if third party health insurance is identified and verified prior to enrollment, or (2) disenrolled by EOHHS upon third party health insurance verification post enrollment.

  • Accept for enrollment in the Contractor’s Plan, all Members identified by EOHHS at any time without regard to income status, physical or mental condition (such as cognitive, intellectual, mobility, psychiatric, and sensory disabilities as further defined by EOHHS), age, gender, sexual orientation, religion, creed, race, color, physical or mental disability, national origin, ancestry, status as a Member, pre-existing conditions, expected health status, or need for health care services.

  • This Readiness Review shall be conducted prior to enrollment of Members with the Contractor’s Plan, and at other times during the Contract period at the discretion of EOHHS.

  • Provide New Enrollees, with an identification card for the Contractor’s Plan.

  • The Contractor shall, at a minimum, determine whether the assigned Enrollee has received services under the Contractor’s Plan within the previous year under MassHealth or a commercial membership.

  • Such assignment shall be to the most appropriate PCP in accordance with this Contract and EOHHS policies and shall be effective no later than 15 days after the Effective Date of Enrollment in the Contractor’s Plan.

  • EOHHS may, in its discretion, enroll MassHealth Members into the Contractor’s Plan as of the Contract Operational Start Date provided the Contractor and EOHHS agree on a corrective action plan to remedy any deficiencies EOHHS identifies pursuant to this Section.