Amendments to Managed Care Plans Clause Samples
The "Amendments to Managed Care Plans" clause establishes the procedures and requirements for making changes to existing managed care agreements. Typically, this clause outlines how amendments must be proposed, documented, and approved—often requiring written consent from all parties involved. For example, it may specify that any modifications to coverage, provider networks, or payment terms must be formally agreed upon in writing. The core function of this clause is to ensure that all parties are aware of and consent to any changes, thereby preventing misunderstandings and maintaining contractual clarity.
Amendments to Managed Care Plans. PacifiCare may amend or change any or all provisions of the Managed Care Plans by providing thirty (30) calendar days’ prior written notice to Medical Group. Such amendment shall be binding upon Medical Group at the end of the thirty (30) calendar-day period and shall not require the consent of Medical Group.
Amendments to Managed Care Plans. PacifiCare may by notice amend or change any or all provisions of the Managed Care Plans by providing forty-five (45) business days’ prior written notice to Medical Group unless the amendment is material or it impacts Medical Group and is not made in order to comply with a change in State or Federal Law or Accreditation Standard, in which case the provisions of Section 11 of this Amendment, below. Any notice amendment pursuant to the terms of this Section shall be binding upon Medical Group at the end of the forty-five (45) business day period and shall not require the consent of Medical Group.
Amendments to Managed Care Plans. Health Plan may amend or change any or all provisions of the Managed Care Plans by providing thirty (30) calendar days prior written notice to Medical Group. Such amendment shall be binding upon Medical Group at the end of the thirty (30) calendar day period. However, Health Plan shall obtain Medical Group's written consent to the terms governing Medical Group's provision of Covered Services under a Managed Care Plan, if the Managed Care Plan is not, at the time of its addition to this Agreement, one of the Product Attachments to this Agreement.
Amendments to Managed Care Plans. PacifiCare may amend or change any or all provisions of the Managed Care Plans by providing thirty (30) calendar days’ prior written notice to Medical Group. Such amendment shall be binding upon Medical Group at the end of the thirty (30) calendar-day period. In the event Medical Group believes that the change has a material adverse economic effect upon Medical Group as reasonably demonstrated by Medical Group to PacifiCare, Medical Group shall provide PacifiCare with notice of objection within the thirty (30) calendar day notice period. In such event, Medical Group and PacifiCare shall seek to agree to a resolution, which satisfactorily addresses the effect on Medical Group’s material duty or responsibility, and reimburses the material economic detriment caused to Medical Group. Until a resolution is reached, Medical Group shall implement the amendment and any reimbursement determined to be due to Medical Group will be made retroactive to the effective date of the change.
Amendments to Managed Care Plans. PacifiCare may by notice amend or change any or all provisions of the Managed Care Plans by providing forty-five (45) business days’ prior written notice to Medical Group unless either PacifiCare or Medical Group reasonably determines that the amendment is material and is not made in order to comply with a change in State or Federal Law or Accreditation Standard, in which case the provisions of Section 7.8.5, below, shall apply. Any notice amendment pursuant to the terms of this Section shall be binding upon Medical Group at the end of the forty-five (45) business day period.