Common use of Additional Requirements for Communication with Contractor’s Members Clause in Contracts

Additional Requirements for Communication with Contractor’s Members. ‌ The Contractor shall submit all communication materials with its Members to the Division thirty (30) calendar days prior to the planned distribution and the Division must approve these materials before they are released. Communication activities must comply with all relevant Federal and State laws, including, when applicable, the Health Insurance Portability and Accountability Act, the anti- kickback statute, and civil monetary penalties prohibiting inducements to Members. The Contractor may be subject to sanctions if it offers or gives something of value to a Member that the Contractor knows or should know is likely to influence the Member’s selection of a particular Provider, practitioner, or supplier of any item or service for which payment may be made, in whole or in part, by Medicaid. Additionally, the Contractor is prohibited from offering rebates or other cash inducements of any sort to its Members, without prior written approval from the Division. The Contractor may be subject to liquidated damages, a fine, and/ or sanctions if it conducts any communication activity that is not approved in writing by the Division.

Appears in 6 contracts

Samples: Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco), Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco), Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco)

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Additional Requirements for Communication with Contractor’s Members. ‌ The Contractor shall submit all communication materials with its Members to the Division thirty (30) calendar business days prior to the planned distribution and the Division must approve these materials before they are released. Communication activities must comply with all relevant Federal and State laws, including, when applicable, the Health Insurance Portability and Accountability Act, the anti- kickback statute, and civil monetary penalties prohibiting inducements to Members. The Contractor may be subject to sanctions if it offers or gives something of value to a Member that the Contractor knows or should know is likely to influence the Member’s selection of a particular Provider, practitioner, or supplier of any item or service for which payment may be made, in whole or in part, by Medicaid. Additionally, the Contractor is prohibited from offering rebates or other cash inducements of any sort to its Members, without prior written approval from the Division. The Contractor may be subject to liquidated damages, a fine, and/ or sanctions if it conducts any communication activity that is not approved in writing by the Division.

Appears in 2 contracts

Samples: Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco), Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco)

Additional Requirements for Communication with Contractor’s Members. The Contractor shall submit all communication materials with its Members to the Division thirty (30) calendar days prior to the planned distribution and the Division must approve these materials before they are released. Communication activities must comply with all relevant Federal and State laws, including, when applicable, the Health Insurance Portability and Accountability Act, the anti- anti-kickback statute, and civil monetary penalties prohibiting inducements to Members. The Contractor may be subject to sanctions if it offers or gives something of value to a Member that the Contractor knows or should know is likely to influence the Member’s selection of a particular Provider, practitioner, or supplier of any item or service for which payment may be made, in whole or in part, by Medicaid. Additionally, the Contractor is prohibited from offering rebates or other cash inducements of any sort to its Members, without prior written approval from the Division. The Contractor may be subject to liquidated damages, a fine, and/ or and/or sanctions if it conducts any communication activity that is not approved in writing by the Division.

Appears in 2 contracts

Samples: Contract for Administration of the Children’s Health Insurance Program, Contract for Administration of the Children’s Health Insurance Program

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Additional Requirements for Communication with Contractor’s Members. ‌ The Contractor shall submit all communication materials with its Members to the Division thirty (30) calendar business days prior to the planned distribution and the Division must approve these materials before they are released. Communication activities must comply with all relevant Federal and State laws, including, when applicable, the Health Insurance Portability and Accountability Act, the anti- kickback statute, and civil monetary penalties prohibiting inducements to Members. The Contractor may be subject to sanctions if it offers or gives something of value to a Member that the Contractor knows or should know is likely to influence the Member’s selection of a particular Provider, practitioner, or supplier of any item or service for which payment may be made, in whole or in part, by Medicaid. Additionally, the Contractor is prohibited from offering rebates or other cash inducements of any sort to its Members, without prior written approval from the Division. The Contractor may be subject to liquidated damages, a fine, and/ or sanctions if it conducts any communication activity that is not approved in writing by the Division.

Appears in 1 contract

Samples: Contract

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