Healthcare Services. (a)The MA Health Plan must provide the MA Product to all Dual Eligible Members who are qualified to receive such services under the terms of the MA Agreement. The MA Health Plan must pay all eligible Network Providers and out-of-network providers the Cost Sharing Obligations incurred on behalf of Dual Eligible Members. Except as provided in Section 3.03(b), the amount or method of payment for Cost Sharing Obligations included in the agreements with Network Providers or out-of-network providers may differ between agreements.
Appears in 5 contracts
Samples: HHSC Contract, contracts.hhs.texas.gov, contracts.hhs.texas.gov
Healthcare Services. (a)The The MA Health Plan must provide the MA Product to all Dual Eligible Members who are qualified to receive such services under the terms of the MA Agreement. The MA Health Plan must pay all eligible Network Providers and out-of-network providers the Cost Sharing Obligations incurred on behalf of Dual Eligible Members. Except as provided Nothing in Section 3.03(b), this Agreement precludes the amount or method of payment for Cost Sharing Obligations included in the MA Health Plan from entering into agreements with Network Providers or out-of-network providers may differ between agreementsthat vary the amount or method of payment for the Cost Sharing Obligations or from utilizing the MA Health Plan's coordination of benefits procedures.
Appears in 4 contracts
Samples: Agreement Between, Agreement Between, Agreement Between
Healthcare Services. (a)The a) The MA Health Plan must will provide the MA Product to all Dual Eligible Members who are qualified to receive such services under the terms of the MA Agreement. The MA Health Plan must will pay all eligible Network Providers and out-of-network providers the Cost Sharing Obligations incurred on behalf of Dual Eligible Members. Except as provided Nothing in Section 3.03(b), this Agreement precludes the amount or method of payment for Cost Sharing Obligations included in the MA Health Plan from entering into agreements with Network Providers or out-of-network providers may differ between agreementsthat vary the amount or method of payment for the Cost Sharing Obligations or from utilizing the MA Health Plan's coordination of benefits procedures.
Appears in 3 contracts
Samples: Agreement Between, Agreement Between, Agreement Between