Common use of AUTHORITY OF THE STATE Clause in Contracts

AUTHORITY OF THE STATE. The State is the ultimate authority under this contract to: A. Establish, define, or determine the reasonableness, the necessity and the level and scope of covered benefits under the managed care program administered in this contract or coverage for such benefits, or the eligibility of enrollees or providers to participate in the managed care program, or any aspect of reimbursement to providers, or of operations. B. Establish or interpret policy and its application related to the above.

AUTHORITY OF THE STATE. The State is the ultimate authority under this contract to: A. Establish, define, or determine the reasonableness, the necessity and the level and scope of Medicaid covered benefits under the managed care program administered in this contract or coverage for such Medicaid benefits, or the Medicaid eligibility of enrollees or providers to participate in the managed care programprogram for Medicaid services, or any aspect of reimbursement to providers, or of operationsoperations pertinent to Medicaid services. B. Establish or interpret policy and its application related to the above.