Common use of Prohibition Clause in Contracts

Prohibition. In accordance with 42 CFR 422.208, the Contractor may operate a Physician Incentive Plan only if the Contractor makes no specific payment, directly or indirectly, to a physician or physician group as an inducement to reduce or limit Medically Necessary services furnished to any particular Enrollee. Indirect payments may include offerings of monetary value (such as stock offerings or waivers of debt) measured in the present or future.

Appears in 19 contracts

Samples: Health Contract, Health Contract, Health Contract

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Prohibition. In accordance with 42 CFR 422.208, the Contractor may operate a Physician Incentive Plan only if the Contractor makes no specific payment, directly or indirectly, to a physician or physician group as an inducement to reduce or limit Medically Necessary services Covered Services furnished to any particular Enrollee. Indirect payments may include offerings of monetary value (such as stock offerings or waivers of debt) measured in the present or future.

Appears in 7 contracts

Samples: medicaid.utah.gov, medicaid.utah.gov, medicaid.utah.gov

Prohibition. In accordance with 42 CFR 422.208, the Contractor may operate a Physician Provider Incentive Plan only if the Contractor makes no specific payment, directly or indirectly, to a physician or physician group as an inducement to reduce or limit Medically Necessary services furnished to any particular Enrollee. Indirect payments may include offerings of monetary value (such as stock offerings or waivers of debt) measured in the present or future.

Appears in 6 contracts

Samples: Health Contract, Health Contract, medicaid.utah.gov

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Prohibition. In accordance with 42 CFR 422.208, the Contractor may operate a Physician Incentive Plan only if the Contractor makes no specific payment, directly or indirectly, to a physician or physician group as an inducement to reduce or limit Medically Necessary services Covered Services furnished to any particular Enrollee. Indirect payments may include offerings of monetary value (such as stock offerings or waivers of debt) measured in the present or future.

Appears in 5 contracts

Samples: medicaid.utah.gov, medicaid.utah.gov, medicaid.utah.gov

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