Adequacy of Providers Sample Clauses

Adequacy of Providers. The Contractor shall maintain appropriate levels, as determined by the Department, of organizational components, including, but not limited to PCPs, Specialty Providers, hospitals and other Health Care Providers necessary for the provision of the services under this Contract. The Contractor shall establish and maintain Provider networks and in-area referral Providers in sufficient numbers, as determined by the Department, to ensure that all Covered Services are available and accessible in a timely manner within the Contractor's Service Area in accordance with § 4 and as approved by the Department. The Contractor shall make available and accessible, as determined by the Department, hospitals, facilities, and professional personnel sufficient to provide the required Core Benefits. The locations of facilities, PCPs, and network Providers must be sufficient in terms of geographic convenience to low-income and rural areas as determined by the Department. The Department’s detailed standards, criteria and requirements for county network submissions and ongoing review are located in the MCO Policy and Procedure Guide. Services to a Medicaid MCO Member shall be provided in the same manner as those services that are provided to the Medicaid Fee-For-Service members or by the other MCOs in the same county or location. The services shall be as accessible to Medicaid MCO Members as they are for non-Medicaid members residing in the same geographic service area. The Contractor shall notify the Department immediately of any changes to the composition of its Provider network and/or subcontractors that adversely affects its ability to make available all Core Benefits in a manner as outlined in § 4 of this Contract and the MCO Policy and Procedure Guide. The Contractor shall have procedures to address changes in its Provider network that negatively affect the ability of Medicaid MCO Members to access all services available within the county or geographic location as determined by the Department. Changes in Provider network composition that are not prior approved by the Department and/or that impair the Medicaid MCO Member's access to services will be considered as grounds for Contract termination or removal from the county or geographical area as determined by the Department. The Contractor understands and agrees that notwithstanding the execution of this Contract, neither the Contractor nor its Subcontractor/network Provider shall provide any services to a Medicaid MCO Membe...
Sample 1See All (4)
AutoNDA by SimpleDocs
Adequacy of Providers. The CCN shall maintain appropriate levels of primary care providers for the provision of services under this Provider Agreement to ensure adequate accessibility for CCN members. The CCN shall also make available and accessible, as determined by DHH, professional personnel sufficient to provide the required enhanced primary care case management services. The locations of primary care providers must be sufficient in terms of geographic convenience to Medicaid/CHIP enrollees.
Sample 1

Related to Adequacy of Providers

  • Adequacy of Financing The Purchaser has available to it sufficient funds to satisfy its obligations under this Agreement.

  • COMPLIANCE OF PROVIDER To ensure that HUB requirements of this contract are complied with, the Department will monitor the Provider’s efforts to involve HUBs during the performance of this contract. This will be accomplished by a review of the monthly State of Texas HUB Subcontracting Plan Prime Contractor Progress Assessment Report (Exhibit H-6) submitted to the Business Opportunity Programs Office by the Provider indicating his/her progress in achieving the HUB contract goal, and by compliance reviews conducted by the Department. The State of Texas HUB Subcontracting Plan Prime Contractor Progress Assessment Report (Exhibit H-6) must be submitted at a minimum monthly to the Business Opportunity Programs Office, in addition to with each invoice to the appropriate agency contact. The Provider shall receive credit toward the HUB goal based on actual payments to the HUB subproviders with the following exceptions and only if the arrangement is consistent with standard industry practice.

  • Adequacy Customer must satisfy itself as to the adequacy, appropriateness and compatibility of the Windcave Solution and/or the Goods for its requirements. Without limiting clause 7.1, Customer acknowledges that it has not relied on any statements or representations on the part of Windcave as to performance or functionality, verbal or otherwise, except as expressly recorded in this Agreement.

  • Maintenance of Properties; Insurance The Borrower will, and will cause each of its Subsidiaries to, (a) keep and maintain all property material to the conduct of its business in good working order and condition, ordinary wear and tear excepted, and (b) maintain, with financially sound and reputable insurance companies, insurance in such amounts and against such risks as are customarily maintained by companies engaged in the same or similar businesses operating in the same or similar locations.

  • Maintenance of Profitability Seller shall not permit, for any Test Period, Net Income for such Test Period, before income taxes for such Test Period and distributions made during such Test Period, to be less than $1.00.

  • Maintenance of Properties, Etc Maintain and preserve, and cause each of its Subsidiaries to maintain and preserve, all of its properties that are used or useful in the conduct of its business in good working order and condition, ordinary wear and tear excepted.

  • Maintenance of Fidelity Bond and Errors and Omissions Insurance The Company shall maintain with responsible companies, at its own expense, a blanket Fidelity Bond and an Errors and Omissions Insurance Policy, with broad coverage on all officers, employees or other persons acting in any capacity requiring such persons to handle funds, money, documents or papers relating to the Mortgage Loans ("Company Employees"). Any such Fidelity Bond and Errors and Omissions Insurance Policy shall be in the form of the Mortgage Banker's Blanket Bond and shall protect and insure the Company against losses, including forgery, theft, embezzlement, fraud, errors and omissions and negligent acts of such Company Employees. Such Fidelity Bond and Errors and Omissions Insurance Policy also shall protect and insure the Company against losses in connection with the release or satisfaction of a Mortgage Loan without having obtained payment in full of the indebtedness secured thereby. No provision of this Section 4.12 requiring such Fidelity Bond and Errors and Omissions Insurance Policy shall diminish or relieve the Company from its duties and obligations as set forth in this Agreement. The minimum coverage under any such Fidelity Bond and Errors and Omissions Insurance Policy shall be acceptable to Xxxxxx Mae or Xxxxxxx Mac. Upon the request of any Purchaser, the Company shall cause to be delivered to such Purchaser a certificate of insurance for such Fidelity Bond and Errors and Omissions Insurance Policy and a statement from the surety and the insurer that such Fidelity Bond and Errors and Omissions Insurance Policy shall in no event be terminated or materially modified without 30 days' prior written notice to the Purchaser.

  • Maintenance of Properties and Insurance (a) The Company shall cause all properties used or held for use in the conduct of its business or the business of any Subsidiary to be maintained and kept in good condition, repair and working order (ordinary wear and tear excepted) and supplied with all necessary equipment and shall cause to be made all necessary repairs, renewals, replacements, betterments and improvements thereof, all as in the judgment of the Company may be necessary so that the business carried on in connection therewith may be properly and advantageously conducted at all times; provided, however, that nothing in this Section shall prevent the Company from discontinuing the operation or maintenance of any such property, or disposing of it, if such discontinuance or disposal is, in the judgment of the Company, desirable in the conduct of its business and not disadvantageous in any material respect to the Holders. (b) The Company shall provide or cause to be provided, for itself and each of its Subsidiaries, insurance (including appropriate self-insurance) against loss or damage of the kinds that, in the reasonable, good faith opinion of the Company, are adequate and appropriate for the conduct of the business of the Company and such Subsidiaries in a prudent manner, with reputable insurers or with the government of the United States or an agency or instrumentality thereof, in such amounts, with such deductibles, and by such methods as shall be customary, in the reasonable, good faith opinion of the Company, for corporations similarly situated in the industry.

  • Maintenance of Insurance Policies The Servicer shall, in accordance with its customary practices, policies and procedures, require that each Obligor shall have obtained physical damage insurance covering the Financed Vehicle as of the execution of the related Receivable. The Servicer shall, in accordance with its customary practices, policies and procedures, track such physical damage insurance with respect to each Receivable.

  • Maintenance of Properties (a) Maintain, preserve and protect all of its material properties and equipment necessary in the operation of its business in good working order and condition, ordinary wear and tear excepted; (b) make all necessary repairs thereto and renewals and replacements thereof except where the failure to do so could not reasonably be expected to have a Material Adverse Effect; and (c) use the standard of care typical in the industry in the operation and maintenance of its facilities.

Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!