MEDICARE ADVANTAGE REQUIREMENTS Sample Clauses

MEDICARE ADVANTAGE REQUIREMENTS. The following provisions shall only apply to services rendered to Subscribers who are Medicare Advantage members enrolled in the Medicare Advantage PPO Program and/or Medicare Advantage DHMO Program ("Medicare Advantage Program"), as applicable (hereinafter, the "MA Members"). In case of conflict between the Agreement and these terms, these terms shall control as to the Medicare Advantage Program only, provided that to the extent Dentist is required by law or by the Agreement to comply with other laws, regulations or requirements by accrediting agencies, the broadest obligation shall control. These provisions may be supplemented by Medicare Advantage Plan’s (the “MA Plan”) policies, procedures and provider manual provisions, as the same may be updated from time to time. To the extent that any greater rights or obligations between the parties are created in these provisions than are in the Agreement, such rights and obligations shall only apply to Covered Services provided under the Medicare Advantage Program. If there is any conflict between the Agreement and Medicare Advantage laws, regulations or guidelines, the Medicare Advantage laws, regulations and guidelines shall control to the extent applicable.
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MEDICARE ADVANTAGE REQUIREMENTS. Provider agrees to comply with the requirements set forth in this addendum for Medicare Members.
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MEDICARE ADVANTAGE REQUIREMENTS. Agent and HNE agree to be bound by the Medicare Advantage Requirements attached and incorporated herein as Exhibit B, as subject to change from time to time.
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MEDICARE ADVANTAGE REQUIREMENTS. Except as provided herein, all other provisions of the Agreement between IPA and Group not inconsistent herein shall remain in full force and effect. The following provisions shall supersede and replace any inconsistent provisions of the Agreement with regards to Medicare Advantage/I-SNP services to ensure compliance with required CMS provisions, and shall continue concurrently with the term of the Agreement.
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MEDICARE ADVANTAGE REQUIREMENTS. In accordance with federal regulations and official guidance applicable to Medicare Advantage (“MA”) plans, (including, but not limited to, 42 CFR 422.504 and the Medicare Managed Care Manual), all “first tier” entities that contract with an MA organization, as well as any “downstream entity” (defined to mean “any party that enters into an acceptable written agreement below the level of arrangement between the MA organization and the first tier entity”) or “related entity” (as defined by 42 CFR 422.500), must agree to certain terms and conditions. Accordingly, to the extent applicable, the following terms and conditions are hereby incorporated by reference into the Agreement:
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MEDICARE ADVANTAGE REQUIREMENTS. Agent and SelectHealth agree to be bound by the Medicare Advantage Requirements attached hereto as Exhibit C.
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Related to MEDICARE ADVANTAGE REQUIREMENTS

  • DBE Requirements A. Notice is hereby given to the CONSULTANT and any SUB-CONSULTANT, and both agree, that failure to carry out the requirements set forth in 49 CFR Sec. 26.13(b) shall constitute a breach of this Contract and, after notification and failure to promptly cure such breach, may result in termination of this Contract or such remedy as INDOT deems appropriate. The referenced section requires the following assurance to be included in all subsequent contracts between the CONSULTANT and any SUB-CONSULTANT: The CONSULTANT, sub recipient or SUB-CONSULTANT shall not discriminate on the basis of race, color, national origin, or sex in the performance of this Contract. The CONSULTANT shall carry out applicable requirements of 49 CFR Part 26 in the award and administration of DOT-assisted contracts. Failure by the CONSULTANT to carry out these requirements is a material breach of this Contract, which may result in the termination of this Contract or such other remedy, as INDOT, as the recipient, deems appropriate.

  • Age Requirements If you are a sole proprietor, and you are not old enough to enter into a contract on your own behalf (which is commonly but not always 18 years old), but you are 13 years old or older, your Representative must be your parent or legal guardian. If you are a legal entity that is owned, directly or indirectly, by an individual who is not old enough to enter into a contract on their own behalf, but the individual is 13 years old or older, your Representative must obtain the consent of either your board or an authorised officer. The approving board, authorised officer, parent or legal guardian is responsible to Stripe and is legally bound to this Agreement as if it had agreed to this Agreement itself. You must not use the Services if you are under 13 years of age.

  • Proof of Compliance with Workers’ Compensation Coverage Requirements An XXXXX form is NOT acceptable proof of workers’ compensation coverage. In order to provide proof of compliance with the requirements of the Workers’ Compensation Law pertaining to workers’ compensation coverage, a contractor shall:

  • ON SITE REQUIREMENTS While on Purchaser’s premises, Contractor, its agents, employees, or subcontractors shall comply, in all respects, with Purchaser’s physical, fire, access, safety, and other security requirements.

  • Food Service Waste Reduction Requirements Contractor shall comply with the Food Service Waste Reduction Ordinance, as set forth in San Francisco Environment Code Chapter 16, including but not limited to the remedies for noncompliance provided therein.

  • HIPAA Requirements The Parties agree that the provisions under HIPAA Rules that are required by law to be incorporated into this Amendment are hereby incorporated into this Agreement.

  • Training Requirements Grantee shall:

  • Credentialing Requirements Registry Operator, through the facilitation of the CZDA Provider, will request each user to provide it with information sufficient to correctly identify and locate the user. Such user information will include, without limitation, company name, contact name, address, telephone number, facsimile number, email address and IP address.

  • Compliance with Legal Requirements The grant and exercise of the Option, and any other obligations of the Company under this Agreement shall be subject to all applicable federal and state laws, rules and regulations and to such approvals by any regulatory or governmental agency as may be required. The Committee, in its sole discretion, may postpone the issuance or delivery of Shares as the Committee may consider appropriate and may require Participant to make such representations and furnish such information as it may consider appropriate in connection with the issuance or delivery of the Shares in compliance with applicable laws, rules and regulations.

  • Health Requirements This is an active trip that requires you to make a realistic assessment of your health. To enjoy the trips as intended, a minimum level of fitness is required. All Participants are expected to be in active good health, to be comfortable traveling as part of a group, and to be ready to experience cultural differences with grace. Air Journey will require prior notice if any participant has any physical or other condition or disability that would prevent them from participating in active elements of any trip and/or could create a hazard to him or herself or to other members of the group. Air Journey may require guests to produce a doctor’s certificate certifying that they are fit to participate. Any physical condition requiring special attention, diet, or treatment should be reported in writing when the reservation is made. We will make reasonable efforts to accommodate Participants with special needs; however, we cannot accommodate wheelchairs. . Walking and climbing stairs are required in many hotels and airports, and are part of many excursions. If you require a slower pace, extra assistance, or the use of a cane or walking stick, arrangements will be made for private touring at each destination, if necessary, at the discretion of our Journey staff. Any extra cost for such arrangements will be the responsibility of the Participant. If you would like to forego some of the scheduled sightseeing to rejuvenate and relax, please feel free to do so at any time. Acting reasonably, if Air Journey is unable to properly accommodate the need of the person(s) concerned or believes that health and safety may be compromised, Air Journey reserves the right to refuse participation. Air Journey also reserves the right to remove from the trip, at the participant’s own expense, anyone whose physical condition or conduct negatively impacts the enjoyment of the other guests or disrupts the tour. Malaria and other diseases may be present in some of the countries featured in this itinerary; proof of yellow fever inoculation may be required. For the latest recommendations on specific health precautions for the areas you will visit, consult your physician and the Centers for Disease Control. The participant represents that neither he nor she nor anyone traveling with him or her has any physical or other condition or disability that could create a hazard to himself or herself or other members of the tour. Itinerary Changes The itinerary and Journey leaders are subject to modification and change by Air Journey. Every reasonable effort will be made to operate the Journey as planned; however, should unforeseen world events and conditions require our itinerary to be altered, Air Journey reserves the right to do so for the safety and best interest of the group without prior notification or consultation. The operation of these flights is subject to the foreign governments involved granting landing rights for the flight. If the air carrier cannot obtain these rights for any particular flight leg of the Journey, that flight leg will be canceled and alternative arrangements may be made, at the discretion of Air Journey. Every effort will be made to operate tours as planned but alterations may occur after the final itinerary has been issued.

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