Referral Requirements. (i) If a beneficiary or prospective beneficiary of a program or activity that receives direct Federal financial assistance from HUD objects to the religious character of an organization that carries out the program or activity, that organization must promptly undertake reasonable efforts to identify and refer the beneficiary or prospective beneficiary to an alternative provider to which the beneficiary or prospective beneficiary has no such objection.
Referral Requirements. 4.11.3.1 The Contractor may require that Members obtain a Referral from their PCP prior to accessing non-emergency specialized services.
Referral Requirements. Upline and its Agents shall be subject to any and all requirements relating to Referrals which are set forth in this Agreement and the Producer Guide. Upline shall assist Aetna with communicating with Referring Agents and with the oversight and management of any Referring Agents. In addition, Upline shall provide contracting and other support for Referring Agents, which includes Upline providing assistance to Referring Agents in data reporting and issue resolution. Agent may only submit Referrals to Aetna for Medicare Advantage Plans for individuals who meet the following qualifications: the Referred individual must (i) have both Medicare Parts A and B; (ii) live in the product service area; (iii) be otherwise qualified to enroll in a Medicare Advantage plan; (iv) have a relationship with Upline or Referring Agent (typically as a current client); (v) have expressed interest in a Medicare Advantage plan; and (vi) understand that he/she must contact Aetna directly by telephone or website to answer any questions about the Medicare Advantage Plans available to beneficiary and/or enroll in the plan. Agent may only submit Referrals to Aetna for Part D Plans for individuals who meet the following qualifications: the Referred individual must (i) be entitled to Medicare benefits under Part A or enrolled in Medicare Part B; (ii) live in the product service area; (iii) be otherwise qualified to enroll in a Medicare Part D plan; (iv) have a relationship with Upline or Referring Agent (typically as a current client); (v) have expressed interest in a Medicare Part D plan; and (vi) understand that he/she must contact Aetna directly by telephone or website to answer any questions about the Part D Plan and/or enroll in the plan.
Referral Requirements. To qualify as a “Referral”, an individual must not be an Existing Customer of Indiagosolar. Notwithstanding the forgoing or anything to the contrary herein, Indiagosolar shall make the determination as to whether and pursuant to what terms it will enter into a Sales Contract with any Referral.
Referral Requirements. The parties shall adhere to the following referral requirements:
Referral Requirements. If required under Member's Comprehensive Medica Medical Benefit Contract, Dentist shall provide Dental Services only upon receiving an appropriate referral from the primary care physician.
Referral Requirements. A. Benefits for services rendered by Contracting Physicians other than the Primary Care Physician are only provided when prior written referral by a Primary Care Physician is obtained for the specified Covered Service.
Referral Requirements. 5.2.0 Provider Referrals: Group agrees to the following:
Referral Requirements. For all populations covered under this Contract, the Contractor shall:
Referral Requirements. The BHO may not require the Indian Health Care Provider to make referrals to the BHO’s participating network providers if the Indian Health Care Provider determines that such referrals would conflict with federal law or referral requirements applicable to Contract Health Services, or best interests of the patient. Commented [GAR((10]: HCA advising to have this language removed and put in the contract or MOU. The BHO will honor the tribal assessments and referrals without requiring a referral by a BHO-network provider.
