Common use of Qualified Providers Clause in Contracts

Qualified Providers. Provider shall exclude any physician or other provider from performing services in connection with this Agreement if such provider has been suspended or terminated from participation in Medicaid or Government Programs or any other government-sponsored program, including Medicare or the Medicaid program in any state. Provider is prohibited from using any individual or entity (“Offshore Entity”) (including, but not limited to, any employee, contractor, subcontractor, agent, representative or other individual or entity) to perform any services for Plans if the individual or entity is physically located outside of one of the fifty United States or one of the United States Territories (i.e., American Samoa, Guam, Northern Marianas, Puerto Rico, and Virgin Islands), unless Company, in its sole discretion and judgment, agrees in advance and in writing to the use of such Offshore Entity. Provider further agrees that Company has the right to audit any Offshore Entity prior to the provision of services for Plans.

Qualified Providers. Provider shall exclude any physician or other provider from performing services in connection with this Agreement agreement if such provider has been suspended or terminated from participation in Medicaid or Government Programs or any other government-sponsored program, including Medicare or the Medicaid program in any state. Provider is prohibited from using any individual or entity (“Offshore Entity”) (including, but not limited to, any employee, contractor, subcontractor, agent, representative or other individual or entity) to perform any services for Plans if the individual or entity is physically located outside of one of the fifty United States or one of the United States Territories (i.e., American Samoa, Guam, Northern Marianas, Puerto Rico, and Virgin Islands.), unless Company, in its sole discretion and judgment, agrees in advance and in writing to the use of such Offshore Entity. Provider further agrees that Company has the right to audit any Offshore Entity prior to the provision of services for Plans.

Qualified Providers. Provider Facility shall exclude any physician or other provider from performing services in connection with this Agreement agreement if such provider has been suspended or terminated from participation in Medicaid or Government Programs or any other government-sponsored program, including Medicare or the Medicaid program in any state. Provider Facility is prohibited from using any individual or entity (“Offshore Entity”) (including, but not limited to, any employee, contractor, subcontractor, agent, representative or other individual or entity) to perform any services for Plans if the individual or entity is physically located outside of one of the fifty United States or one of the United States Territories (i.e., American Samoa, Guam, Northern Marianas, Puerto Rico, and Virgin Islands), unless Company, in its sole discretion and judgment, agrees in advance and in writing to the use of such Offshore Entity. Provider Facility further agrees that Company has the right to audit any Offshore Entity prior to the provision of services for Plans.

Qualified Providers. Provider Hospital shall exclude any physician or other provider from performing services in connection with this Agreement agreement if such provider has been suspended or terminated from participation in Medicaid or Government Programs or any other government-sponsored program, including Medicare or the Medicaid program in any state. Provider Hospital is prohibited from using any individual or entity (“Offshore Entity”) (including, but not limited to, any employee, contractor, subcontractor, agent, representative or other individual or entity) to perform any services for Plans if the individual or entity is physically located outside of one of the fifty United States or one of the United States Territories (i.e., American Samoa, Guam, Northern Marianas, Puerto Rico, and Virgin Islands.), unless Company, in its sole discretion and judgment, agrees in advance and in writing to the use of such Offshore Entity. Provider Hospital further agrees that Company has the right to audit any Offshore Entity prior to the provision of services for Plans.