Common use of Carve-Out of Select Drugs Clause in Contracts

Carve-Out of Select Drugs. Exhibit 3 of this Contract contains the list of drugs and agents excluded from the Contractor’s capitation rate. These are referred to as “carved-out” drugs. The State’s fiscal agent pays claims for carved-out drugs on a fee-for-service basis for the Contractor’s members. While these drugs are not the financial responsibility of the Contractor, the Contractor shall ensure coordination of all Medicaid covered drugs and implement strategies to prevent duplication and fragmentation of care across the healthcare delivery system.

Appears in 17 contracts

Samples: Professional Services, Contract, Contract for Providing Risk Based Managed Care Services

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Carve-Out of Select Drugs. Exhibit 3 of this Contract contains the list of drugs and agents excluded from the Contractor’s capitation rate. These are referred to as “carved-carved out” drugs. The State’s fiscal agent pays claims for carved-out drugs on a fee-for-service basis for the Contractor’s members. While these drugs are not the financial responsibility of the Contractor, the Contractor shall ensure coordination of all Medicaid covered drugs and implement strategies to prevent duplication and fragmentation of care across the healthcare delivery system.

Appears in 11 contracts

Samples: Professional Services, Professional Services, Professional Services

Carve-Out of Select Drugs. Exhibit 3 6 of this Contract contains the list of drugs and agents excluded from the Contractor’s capitation rate. These are referred to as “carved-carved out” drugs. The State’s fiscal agent pays claims for carved-out drugs on a fee-for-service basis for the Contractor’s members. While these drugs are not the financial responsibility of the Contractor, the Contractor shall ensure coordination of all Medicaid covered drugs and implement strategies to prevent duplication and fragmentation of care across the healthcare delivery system.

Appears in 7 contracts

Samples: Contract, Contract for Providing Risk Based Managed Care Services, Contract

Carve-Out of Select Drugs. Exhibit 3 of this Contract contains the list of drugs and agents excluded from the Contractor’s capitation rate. These are referred to as “carved-carved out” drugs. The State’s fiscal agent pays claims for carved-out drugs on a fee-for-service servic e basis for the Contractor’s members. While these drugs are not the financial responsibility of the Contractor, the Contractor shall ensure coordination of all Medicaid covered drugs and implement strategies to prevent duplication and fragmentation of care across the healthcare delivery system.

Appears in 4 contracts

Samples: Contract, Contract, Contract Amendment

Carve-Out of Select Drugs. Exhibit 3 of this Contract contract contains the list of drugs and agents excluded from the Contractor’s capitation rate. These are referred to as “carved-carved out” drugs. The State’s fiscal agent pays claims for carved-out drugs on a fee-for-service basis for the Contractor’s members. While these drugs are not the financial responsibility of the Contractor, the Contractor shall ensure coordination of all Medicaid covered drugs and implement strategies to prevent duplication and fragmentation of care across the healthcare delivery system.

Appears in 4 contracts

Samples: Contract #0000000000000000000018225, Contract, Contract

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Carve-Out of Select Drugs. Exhibit 3 A of this Contract contains the list of drugs and agents excluded from the Contractor’s capitation rate. These are referred to as “carved-out” drugs. The State’s fiscal agent pays claims for carved-out drugs on a fee-for-service basis for the Contractor’s members. While these drugs are not the financial responsibility of the Contractor, the Contractor shall ensure coordination of all Medicaid covered drugs and implement strategies to prevent duplication and fragmentation of care across the healthcare delivery system.

Appears in 3 contracts

Samples: Amendment to Contract, Contract, Contract

Carve-Out of Select Drugs. Exhibit 3 6 of this Contract contains the list of drugs and agents excluded from the Contractor’s capitation rate. These are referred to as “carved-carved out” drugs. The State’s fiscal agent pays claims for carved-out drugs on a fee-for-service servic e basis for the Contractor’s members. While these drugs are not the financial responsibility of the Contractor, the Contractor shall ensure coordination of all Medicaid covered drugs and implement strategies to prevent duplication and fragmentation of care across the healthcare delivery system.

Appears in 3 contracts

Samples: Contract Amendment, Contract Amendment, Contract

Carve-Out of Select Drugs. Exhibit 3 of this Contract contains the list of drugs and agents excluded from the Contractor’s capitation rate. These are referred to as “carved-out” drugs. The State’s fiscal agent pays claims for carved-out drugs on a fee-for-service servic e basis for the Contractor’s members. While these drugs are not the financial responsibility of the Contractor, the Contractor shall ensure coordination of all Medicaid covered drugs and implement strategies to prevent duplication and fragmentation of care across the healthcare delivery system.

Appears in 3 contracts

Samples: Professional Services, Professional Services, Professional Services

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