Provider Contracts a) Contractor shall include in all of its contracts with Participating Providers the requirement for all Covered Services to be provided by duly licensed, certified or accredited Participating Providers consistent with the scope of their license, certification or accreditation and in accordance with applicable laws, rules, regulations, the standards of medical practice in the community, and the terms set forth in agreements entered into by and between Contractor and Participating Providers (“Provider Agreement”).
Provider Contracts. 4.10.1.1 The Contractor shall comply with all DCH procedures for contract review and approval submission. Memoranda of Agreement (MOA) shall not be permitted. Letters of Intent shall only be permitted in accordance with Section 4.8.1.9.
Provider Contracts. The CMHSP is responsible for the development of the service delivery system and the establishment of sufficient administrative capabilities to carry out the requirements and obligations of this contract. The CMHSP may sub-contract for the provision of any of the services specified in this contract including contracts for administrative, financial management and data processing. The CMHSP shall be held solely and fully responsible to execute all provisions of this contract, whether or not said provisions are directly pursued by the CMHSP or pursued by the CMHSP through a sub-contract vendor. The CMHSP shall ensure that all sub-contract arrangements clearly specify the type of services being purchased. Sub-contracts shall ensure that the MDHHS is not a party to the contract and therefore not a party to any employer/employee relationship with the sub- contractor of the CMHSP. Sub-contracts entered into by the CMHSP shall address the following:
Provider Contracts. 7.2.5 HHSC reserves the right and retains the authority to make reasonable inquiry and conduct investigations into provider and Member complaints against HMO or any intermediary entity with whom HMO contracts to deliver health care services under this contract. HHSC may impose appropriate sanctions and contract remedies to ensure HMO compliance with the provisions of this contract.
Provider Contracts. Notice of Nonrenewal or Termination We will provide at least 60 days’ notice of nonrenewal or termination of a health care provider to the health care provider and to the members served by the health care provider. The notice shall include a name and address to which a member or health care provider may direct comments and concerns regarding the nonrenewal or termination. Immediate written notice may be provided without 60 days’ notice when a health care provider's license has been disciplined by a State licensing board.
Provider Contracts. Section 7.2.8.2.1 is added and Section 7.2.9.2 is modified, as follows:
Provider Contracts. The Joint Practice Management Board shall approve, disapprove, or amend all managed care, PPO, HMO, Medicare risk and other provider contracts negotiated by INMD.
Provider Contracts. 52 7.3 PHYSICIAN INCENTIVE PLANS......................................... 55 7.4 PROVIDER MANUAL AND PROVIDER TRAINING............................. 56 7.5
Provider Contracts. Except as otherwise expressly provided in the Service Plan, County may contract with a third person or entity (a “Provider”) for delivery of a particular Service or portion thereof (a “Provider Contract”). County may permit a Provider to subcontract with a third person or entity for delivery of a particular Service or portion thereof and such subcontractors shall also be considered Providers for purposes of this Agreement and the subcontracts shall be considered Provider Contracts for purposes of this Agreement. County shall not permit any person or entity to be a Provider unless the person or entity holds all licenses, certificates, authorizations and other approvals required by applicable law to deliver the Service. The Provider Contract must be in writing and contain all provisions of this Agreement necessary for County to comply with its obligations under this Agreement and applicable to the Provider’s performance under the Provider Contract, including but not limited to, all provisions of this Agreement that expressly require County to require Provider’s compliance with respect thereto. County shall maintain an originally executed copy of each Provider Contract at its office and shall furnish a copy of any Provider Contract to OYA upon request.
Provider Contracts. Contractor shall ensure all Network Provider contracts are tailored to the requirements of this Contract. Contractor shall be responsive to Network Providers with respect to contract negotiation.
