Provider Contract. The MCO’s provider contracts and addenda to provider contracts must abide by all federal regulations and must be consistent with the requirements of this statement of work. The MCO must also comply with the prohibitions on inappropriate physician incentives as specified in Article III, Section 2.8 of this contract. The MCO must resubmit the revised model provider contracts to BMS any time it makes substantive modifications to such agreements. At a minimum the MCO’s provider contracts and addenda must include the following provisions:
Provider Contract. The MCO’s provider contracts and addenda to provider contracts must abide by all federal regulations and must be consistent with the requirements of this statement of work and at a minimum must include the following provisions:
Provider Contract. The JOB shall have veto authority over all managed care, PPO, HMO, Medicare risk and other provider contracts.
Provider Contract. A contract entered into by a Provider and the STAR+PLUS MMP or a First Tier, Downstream or Related Entity for Covered Services. Also called "Network Provider Agreement."
Provider Contract. An agreement between the Managed Care Plan and a health care provider to serve Managed Care Plan enrollees.
Provider Contract. Any written contract between the Contractor and a Provider that requires the Provider to order, refer, provide or render Covered Services under this Contract. The execution of a Provider Contract makes the Provider a Network Provider.
Provider Contract. An agreement between a MMP and a provider which describes the conditions under which the provider agrees to furnish covered services to Enrollees under this Contract. All provider contract templates for Medicaid-funded services between the Contractor and a provider must be approved by DMAS.
Provider Contract. The Joint Committee shall have veto authority over marketing any managed care, PPO, HMO, Medicare risk and other provider contracts to the Medical Providers.
Provider Contract. An agreement between the Contractor and a Provider for the provision of services.
Provider Contract. A contract entered into by the PASSE with any provider of medical, pharmacy, HCBS, LTSS or any other service or benefit authorized under the PASSE program who agrees to furnish covered services to a member.
