Contractor Initiated Termination. i) The Contractor shall have the right to terminate this Agreement in the event that LDSS materially breaches the Agreement or fails to comply with any term or condition of this Agreement that is not cured within twenty (20) days, or to such longer period as the parties may agree, of the Contractor's written request for compliance. The Contractor shall give LDSS written notice specifying the reason for and the effective date of the termination, which shall not be less time than will permit an orderly disenrollment of Enrollees to the Medicaid fee-for-service payment mechanism or transfer to another managed care program, as determined by LDSS, but no more than ninety (90) days. ii) The Contractor shall have the right to terminate this Agreement in the event that its obligations are materially changed by modifications to this Agreement and its Appendices by SDOH or LDSS. In such event, Contractor shall give LDSS and SDOH written notice within thirty (30) days of notification of changes to the Agreement or Appendices specifying the reason and the effective date of termination, which shall not be less time than will permit an orderly disenrollment of Enrollees to the Medicaid fee-for-service program or transfer to another MCO, as determined by the LDSS, but no more than ninety (90) days. iii) The Contractor shall also have the right to terminate this Agreement if the Contractor is unable to provide services pursuant to this Agreement because of a natural disaster and/or an act of God to such a degree that Enrollees cannot obtain reasonable access to services within the Contractor's organization, and, after diligent efforts, the Contractor cannot make other provisions for the delivery of such services. The Contractor shall give LDSS written notice of any such termination that specifies: A) the reason for the termination, with appropriate documentation of the circumstances arising from a natural disaster and/or an act of God that preclude reasonable access to services; B) the Contractor's attempts to make other provision for the delivery of services; and
Appears in 5 contracts
Samples: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.), Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.), Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)
Contractor Initiated Termination. i) The Contractor shall have the right to terminate this Agreement in its entirety or in specified counties of the Contractor’s service area as defined in Appendix M in the event that LDSS DOHMH materially breaches the Agreement or fails to comply with any term or condition of this Agreement that is not cured within twenty (20) days, or to within such longer period as the parties may agree, of the Contractor's written request for compliance. The Contractor shall give LDSS SDOH written notice specifying the reason for and the effective date of the termination, which shall not be less time than will permit an orderly disenrollment transition of Enrollees to the Medicaid fee-for-service payment mechanism or transfer to another managed care program, as determined by LDSSEnrollees, but no more than ninety (90) days.
ii) The Contractor shall have the right to terminate this Agreement in In the event that its the Contractor’s obligations are materially changed by modifications to this Agreement and its Appendices by SDOH or LDSS. DOHMH and the Contractor does not agree to such changes, the Contractor shall have the right to terminate this Agreement in its entirety or in specified counties of the Contractor’s service area as defined in Appendix M. In such event, Contractor shall give LDSS SDOH and SDOH DOHMH written notice within thirty (30) days of notification of changes to the Agreement or Appendices specifying the reason for and the effective date of termination, which shall not be less time than will permit an orderly disenrollment of Enrollees to the Medicaid fee-for-service program or transfer to another MCO, as determined by the LDSSEnrollees, but no more than ninety (90) days.
iii) The Contractor shall also have the right to terminate this Agreement in its entirety or in specified counties of the Contractor’s service area as defined in Appendix M if the Contractor is unable to provide services pursuant to this Agreement because of a natural disaster and/or an act of God to such a degree that Enrollees cannot obtain reasonable access to services within the Contractor's organization, and, after diligent efforts, the Contractor cannot make other provisions for the delivery of such services. The Contractor shall give LDSS SDOH and DOHMH written notice of any such termination that specifies:
A) the reason for the termination, with appropriate documentation of the circumstances arising from a natural disaster and/or an act of God that preclude reasonable access to services;
B) the Contractor's attempts to make other provision for the delivery of services; and
C) the effective date of the termination, which shall not be less time than will permit an orderly transition of Enrollees, but no more than ninety (90) days.
Appears in 2 contracts
Samples: Hiv Special Needs Plan Model Contract, Hiv Special Needs Plan Model Contract
Contractor Initiated Termination. i) The Contractor shall have the right to terminate this Agreement in its entirety, for the Contractor’s MMC or FHPlus product, or for any or all products in specified counties of the Contractor’s service area, in the event that LDSS SDOH materially breaches the Agreement or fails to comply with any term or condition of this Agreement that is not cured within twenty (20) days, or to within such longer period as the parties may agree, of the Contractor's ’s written request for compliance. The Contractor shall give LDSS SDOH written notice specifying the reason for and the effective date of the termination, which shall not be less time than will permit an orderly disenrollment transition of Enrollees to the Medicaid fee-for-service payment mechanism or transfer to another managed care program, as determined by LDSSEnrollees, but no more than ninety (90) days.
ii) The Contractor shall have the right to terminate this Agreement Agreement, in its entirety, for the Contractor’s MMC or FHPlus product, or for any or all products in specified counties of the Contractor’s service area in the event that its obligations are materially changed by modifications to this Agreement and its Appendices by SDOH or LDSSSDOH. In such event, Contractor shall give LDSS and SDOH written notice within thirty (30) days of notification of changes to the Agreement or Appendices specifying the reason and the effective date of termination, which shall not be less time than will permit an orderly disenrollment transition of Enrollees to the Medicaid fee-for-service program or transfer to another MCO, as determined by the LDSSEnrollees, but no more than ninety (90) days.
iii) The Contractor shall also have the right to terminate this Agreement in its entirety, for either the Contractor’s MMC or FHPlus product, or for either or both products in specified counties of the Contractor’s service area, if the Contractor is unable to provide services pursuant to this Agreement because of a natural disaster and/or an act of God to such a degree that Enrollees cannot obtain reasonable access to services within the Contractor's ’s organization, and, after diligent efforts, the Contractor cannot make other provisions for the delivery of such services. The Contractor shall give LDSS SDOH written notice of any such termination that specifies:
A) the reason for the termination, with appropriate documentation of the circumstances arising from a natural disaster and/or an act of God that preclude reasonable access to services;
B) the Contractor's ’s attempts to make other provision for the delivery of services; and
C) the effective date of the termination, which shall not be less time than will permit an orderly transition of Enrollees, but no more than ninety (90) days.
Appears in 2 contracts
Samples: Medicaid Managed Care Contract, Medicaid Managed Care Contract
Contractor Initiated Termination. i) The Contractor shall have the right to terminate this Agreement in the event that LDSS SDOH materially breaches the Agreement or fails to comply with any term or condition of this Agreement that is not cured within twenty (20) days, or to such longer period as the parties may agree, of the Contractor's written request for compliance. The Contractor shall give LDSS SDOH written notice specifying the reason for and the effective date of the termination, which shall not be less time than will permit an orderly disenrollment of Enrollees to from the Contractor's Medicaid fee-for-service payment mechanism or transfer to another managed care program, as determined by LDSS, but no more than ninety (90) daysAdvantage Product.
ii) The Contractor shall have the right to terminate this Agreement in the event that its obligations are materially changed by modifications to this Agreement and its Appendices by SDOH or LDSSSDOH. In such event, Contractor shall give LDSS and SDOH written notice within thirty (30) days of notification of changes to the Agreement or Appendices specifying the reason and the effective date of termination, which shall not be less time than will permit an orderly disenrollment of Enrollees to from the Contractor's Medicaid fee-for-service program or transfer to another MCO, as determined by the LDSS, but no more than ninety (90) daysAdvantage Product.
iii) The Contractor shall also have the right to terminate this Agreement in its entirety or in specified counties of the Contractor's service area if the Contractor is unable to provide services the Medicaid Advantage Benefit Package pursuant to this Agreement because of a natural disaster and/or an act of God to such a degree that Enrollees cannot obtain reasonable access to services Medicaid Only Covered Services within the Contractor's organization, and, after diligent efforts, the Contractor cannot make other provisions for the delivery of such services. The Contractor shall give LDSS SDOH written notice of any such termination that specifies:
A) the reason for the termination, with appropriate documentation of the circumstances arising from a natural disaster and/or an act of God that preclude reasonable access to services;
B) the Contractor's attempts to make other provision for the delivery of servicesMedicaid Only Covered Services; and
C) the effective date of the termination, which shall not be less time than will permit an orderly disenrollment of Enrollees from the Contractor's Medicaid Advantage Product.
Appears in 1 contract
Samples: Medicaid Advantage Contract Attestation (Wellcare Health Plans, Inc.)
Contractor Initiated Termination. i) The Contractor shall have the right to terminate this Agreement in the event that LDSS materially breaches the Agreement or fails to comply with any term or condition of this Agreement that is not cured within twenty (20) days, or to such longer period as the parties may agree, of the Contractor's written request for compliance. The Contractor shall give LDSS written notice specifying the reason for and the effective date of the termination, which shall not be less time than will permit an orderly disenrollment of Enrollees to the Medicaid fee-for-service payment mechanism or transfer to another managed care program, as determined by LDSS, but no more than ninety (90) days.
ii) The Contractor shall have the right to terminate this Agreement in the event that its obligations are materially changed by modifications to this Agreement and its Appendices by SDOH or LDSS. In such event, Contractor shall give LDSS and SDOH written notice within thirty (30) days of notification of changes to the Agreement or Appendices specifying the reason and the effective date of termination, which shall not be less time than will permit an orderly disenrollment of Enrollees to the Medicaid fee-for-service program or transfer to another MCO, as determined by the LDSS, but no more than ninety (90) days.
iii) The Contractor shall also a so have the right to terminate this Agreement if the Contractor is unable to provide services pursuant to this Agreement because of a natural disaster and/or an act of God to such a degree that Enrollees cannot obtain reasonable access to services within the Contractor's organization, and, after diligent efforts, the Contractor cannot make other provisions for the delivery of such services. The Contractor shall give LDSS written notice of any such termination that specifies:
A) the reason for the termination, with appropriate documentation of the circumstances arising from a natural disaster and/or an act of God that preclude reasonable access to services;
B) the Contractor's attempts to make other provision for the delivery of services; and
Appears in 1 contract
Samples: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)
Contractor Initiated Termination. i) The Contractor shall have the right to terminate this Agreement in its entirety, for the Contractor’s MMC or FHPlus product, or for any or all products in specified counties of the Contractor’s service area, in the event that LDSS SDOH materially breaches the Agreement or fails to comply with any term or condition of this Agreement that is not cured within twenty (20) days, or to within such longer period as the parties may agree, of the Contractor's ’s written request for compliance. The Contractor shall give LDSS SDOH written notice specifying the reason for and the effective date of the termination, which shall not be less time than will permit an orderly disenrollment transition of Enrollees to the Medicaid fee-for-service payment mechanism or transfer to another managed care program, as determined by LDSSEnrollees, but no more than ninety (90) days.
ii) The Contractor shall have the right to terminate this Agreement Agreement, in its entirety, for the Contractor’s MMC or FHPlus product, or for any or all products in specified counties of the Contractor’s service area in the event that its obligations are materially changed by modifications to this Agreement and its Appendices by SDOH or LDSSSDOH. In such event, Contractor shall give LDSS and SDOH written notice within thirty (30) days of notification of changes to the Agreement or Appendices specifying the reason and the effective date of termination, which shall not be less time than will permit an orderly disenrollment transition of Enrollees to the Medicaid fee-for-service program or transfer to another MCO, as determined by the LDSSEnrollees, but no more than ninety (90) days.
iii) The Contractor shall also have the right to terminate this Agreement in its entirety, for either the Contractor’s MMC or FHPlus product, or for xxxx xx or both products in specified counties of the Contractor’s service area, if the Contractor is unable to provide services pursuant to this Agreement because of a natural disaster and/or an act of God to such a degree that Enrollees cannot obtain reasonable access to services within the Contractor's ’s organization, and, after diligent efforts, the Contractor cannot make other provisions for the delivery of such services. The Contractor shall give LDSS SDOH written notice of any such termination that specifies:
A) the reason for the termination, with appropriate documentation documentatio n of the circumstances arising from a natural disaster and/or an act of God that preclude reasonable access to services;
B) the Contractor's ’s attempts to make other provision for the delivery of services; and
C) the effective date of the termination, which shall not be less time than will permit an orderly transition of Enrollees, but no more than ninety (90) days.
Appears in 1 contract
Samples: Medicaid Managed Care Contract
Contractor Initiated Termination. i) The Contractor shall have the right to terminate this Agreement in the event that LDSS SDOH materially breaches the Agreement or fails to comply with any term or condition of this Agreement that is not cured within twenty (20) days, or to within such longer period as the parties may agree, of the Contractor's written request for compliance. The Contractor shall give LDSS SDOH written notice specifying the reason for and the effective date of the termination, which shall not be less time than will permit an orderly disenrollment of Enrollees to the Medicaid fee-for-service payment mechanism or transfer to another managed care program, as determined by LDSS, but no more than ninety (90) days.
ii) The Contractor shall have the right to terminate this Agreement in the event that its obligations are materially changed by modifications to this Agreement and its Appendices by SDOH or LDSSSDOH. In FHPlus - Section 2 (AGREEMENT TERM, AMENDMENTS, EXTENSIONS, AND GENERAL AGREEMENT ADMINISTRATION PROVISIONS) October 1, 2001 2-5 such event, Contractor shall give LDSS and SDOH written notice within thirty (30) days of notification of changes to the Agreement or Appendices specifying the reason and the effective date of termination, which shall not be less time than will permit an orderly disenrollment of Enrollees to the Medicaid fee-for-service program or transfer to another MCO, as determined by the LDSS, but no more than ninety (90) days.
iii) The Contractor shall also have the right to terminate this Agreement if the Contractor is unable to provide services pursuant to this Agreement because of a natural disaster and/or an act of God to such a degree that Enrollees cannot obtain reasonable access to services within the Contractor's organization, and, after diligent efforts, the Contractor cannot make other provisions for the delivery of such services. The Contractor shall give LDSS SDOH written notice of any such termination that specifies:
A) the reason for the termination, with appropriate documentation of the circumstances arising from a natural disaster and/or an act of God that preclude reasonable access to services;
B) the Contractor's attempts to make other provision for the delivery of services; and
C) the effective date of the termination, which shall not be less time than will permit an orderly disenrollment of Enrollees or transfer to another MCO, but no more than ninety (90) days.
Appears in 1 contract
Samples: Consultant Services Agreement (Wellcare Health Plans, Inc.)
Contractor Initiated Termination. i) The Contractor shall have the right to terminate this Agreement in the event that LDSS materially breaches the Agreement or fails to comply with any term or condition of this Agreement that is not cured within twenty (20) days, or to such longer period as the parties may agree, of the Contractor's written request for compliance. The Contractor shall give LDSS written notice specifying the reason for and the effective date of the termination, which shall not be less time than will permit an orderly disenrollment of Enrollees to the Medicaid fee-for-service payment mechanism or transfer to another managed care program, as determined by LDSS, but no more than ninety (90) days.
ii) The Contractor shall have the right to terminate this Agreement in the event that its obligations are materially changed by modifications to this Agreement and its it Appendices by SDOH or LDSS. In such event, Contractor shall give LDSS and SDOH written notice within thirty (30) days of notification of changes to the Agreement or Appendices specifying the reason and the effective date of termination, which shall not be less time than will permit an orderly disenrollment of Enrollees to the Medicaid fee-for-service program or transfer to another MCO, as determined by the LDSS, but no more than ninety (90) days.
iii) The Contractor shall also have the right to terminate this Agreement if the Contractor is unable to provide services pursuant to this Agreement because of a natural disaster and/or an act of God to such a degree that Enrollees cannot obtain reasonable access to services within the Contractor's organization, and, after diligent efforts, the Contractor cannot make other provisions for the delivery of such services. The Contractor shall give LDSS written notice of any such termination that specifies:
A) the reason for the termination, with appropriate documentation of the circumstances arising from a natural disaster and/or an act of God that preclude reasonable access to services;
B) the Contractor's attempts to make other provision for the delivery of services; and
Appears in 1 contract
Samples: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)
Contractor Initiated Termination. i) The Contractor shall have the right to terminate this Agreement in its entirety, for either the Contractor's MMC or FHPlus product, or for either or both products in specified counties of the Contractor's service area, in the event that LDSS SDOH materially breaches the Agreement or fails to comply with any term or condition of this Agreement that is not cured within twenty (20) days, or to within such longer period as the parties may agree, of the Contractor's written request for compliance. The Contractor shall give LDSS SDOH written notice specifying the reason for and the effective date of the termination, which shall not be less time than will permit an orderly disenrollment transition of Enrollees to the Medicaid fee-for-service payment mechanism or transfer to another managed care program, as determined by LDSSEnrollees, but no more than ninety (90) days.
ii) The Contractor shall have the right to terminate this Agreement Agreement, in its entirety, for either the Contractor's MMC or FHPlus product, or for either or both products in specified counties of the Contractor's service area in the event that its obligations are materially changed by modifications to this Agreement and its Appendices by SDOH or LDSSSDOH. In such event, Contractor shall give LDSS and SDOH written notice within thirty (30) days of notification of changes to the Agreement or Appendices specifying the reason and the effective date of termination, which shall not be less time than will permit an orderly disenrollment transition of Enrollees to the Medicaid fee-for-service program or transfer to another MCO, as determined by the LDSSEnrollees, but no more than ninety (90) days.
iii) The Contractor shall also have the right to terminate this Agreement in its entirety, for either the Contractor's MMC or FHPlus product, or for either or both products in specified counties of the Contractor's service area, if the Contractor is unable to provide services pursuant to this Agreement because of a natural disaster and/or an act of God to such a degree that Enrollees cannot obtain reasonable access to services within the Contractor's organization, and, after diligent efforts, the Contractor cannot make other provisions for the delivery of such services. The Contractor shall give LDSS SDOH written notice of any such termination that specifies:: SECTION 2 (AGREEMENT TERM, AMENDMENTS, EXTENSIONS, AND GENERAL CONTRACT ADMINISTRATION PROVISIONS) October 1, 2005
A) the reason for the termination, with appropriate documentation of the circumstances arising from a natural disaster and/or an act of God that preclude reasonable access to services;
B) the Contractor's attempts to make other provision for the delivery of services; and
C) the effective date of the termination, which shall not be less time than will permit an orderly transition of Enrollees, but no more than ninety (90)days.
Appears in 1 contract
Samples: Medicaid Managed Care Contract (Wellcare Health Plans, Inc.)
Contractor Initiated Termination. i) The Contractor shall have the right to terminate this Agreement in its entirety, for either the Contractor's MMC or FHPIus product if applicable, or for either or both products in specified counties of the Contractor's service area as identified in Appendix M, in the event that LDSS DOHMH materially breaches the Agreement or fails to comply with any term or condition of this Agreement that is not cured within twenty (20) days, or to within such longer period as the parties may agree, of the Contractor's written request for compliance. The Contractor shall give LDSS DOHMH written notice specifying the reason for and the effective date of the termination, which shall not be less time than will permit an orderly disenrollment transition of Enrollees to the Medicaid fee-for-service payment mechanism or transfer to another managed care program, as determined by LDSSEnrollees, but no more than ninety (90) days.
ii) The Contractor shall have the right to terminate this Agreement Agreement, in its entirety, for either the Contractor's MMC or FHPIus product if applicable, or for either or both products in specified counties of the Contractor's service area as identified in Appendix M, in the event that its obligations are materially changed by modifications to this Agreement and its Appendices by SDOH or LDSSDOHMH. In such event, Contractor shall give LDSS DOHMH and SDOH written notice within thirty (30) days of notification of changes to the Agreement or Appendices specifying the reason and the effective date of termination, which shall not be less time than will permit an orderly disenrollment transition of Enrollees to the Medicaid fee-for-service program or transfer to another MCO, as determined by the LDSSEnrollees, but no more than ninety (90) days.
iii) The Contractor shall also have the right to terminate this Agreement in its entirety, for either the Contractor's MMC or FHPIus product if applicable, or for either or both products in specified counties of the Contractor's service area as identified in Appendix M, if the Contractor is unable to provide services pursuant to this Agreement because of a natural disaster and/or an act of God to such a degree that Enrollees cannot obtain reasonable access to services within the Contractor's organization, and, after diligent efforts, the Contractor cannot make other provisions for the delivery of such services. The Contractor shall give LDSS SDOH and DOHMH written notice of any such termination that specifies:
A) the reason for the termination, with appropriate documentation of the circumstances arising from a natural disaster and/or an act of God that preclude reasonable access to services;
B) the Contractor's attempts to make other provision for the delivery of services; and
C) the effective date of the termination, which shall not be less time than will permit an orderly transition of Enrollees, but no more than ninety (90) days.
Appears in 1 contract
Samples: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)
Contractor Initiated Termination. i) The Contractor shall have the right to terminate this Agreement in its entirety, for either the Contractor's MMC or FHPlus product, or for either or both products in specified counties of the Contractor's service area, in the event that LDSS SDOH materially breaches the Agreement or fails to comply with any term or condition of this Agreement that is not cured within twenty (20) days, or to within such longer period as the parties may agree, of the Contractor's written request for compliance. The Contractor shall give LDSS SDOH written notice specifying the reason for and the effective date of the termination, which shall not be less time than will permit an orderly disenrollment transition of Enrollees to the Medicaid fee-for-service payment mechanism or transfer to another managed care program, as determined by LDSSEnrollees, but no more than ninety (90) days.
ii) The Contractor shall have the right to terminate this Agreement Agreement, in its entirety, for either the Contractor's MMC or FHPlus product, or for either or both products in specified counties of the Contractor's service area in the event that its obligations are materially changed by modifications to this Agreement and its Appendices by SDOH or LDSSSDOH. In such event, Contractor shall give LDSS and SDOH written notice within thirty (30) days of notification of changes to the Agreement or Appendices specifying the reason and the effective date of termination, which shall not be less time than will permit an orderly disenrollment transition of Enrollees to the Medicaid fee-for-service program or transfer to another MCO, as determined by the LDSSEnrollees, but no more than ninety (90) days.
iii) The Contractor shall also have the right to terminate this Agreement in its entirety, for either the Contractor's MMC or FHPlus product, or for either or both products in specified counties of the Contractor's service area, if the Contractor is unable to provide services pursuant to this Agreement because of a natural disaster and/or an act of God to such a degree that Enrollees cannot obtain reasonable access to services within the Contractor's organization, and, after diligent efforts, the Contractor cannot make other provisions for the delivery of such services. The Contractor shall give LDSS SDOH written notice of any such termination that specifies:
A) the reason for the termination, with appropriate documentation of the circumstances arising from a natural disaster and/or an act of God that preclude reasonable access to services;
B) the Contractor's attempts to make other provision for the delivery of services; and
C) the effective date of the termination, which shall not be less time than will permit an orderly transition of Enrollees, but no more than ninety (90) days.
Appears in 1 contract
Samples: Contract Modification (Wellcare Health Plans, Inc.)
Contractor Initiated Termination. i) The Contractor shall have the right to terminate this Agreement in its entirety, or for the Contractor’s MMC product in specified counties of the Contractor’s service area, in the event that LDSS SDOH materially breaches the Agreement or fails to comply with any term or condition of this Agreement that is not cured within twenty (20) days, or to within such longer period as the parties may agree, of the Contractor's written request for compliance. The Contractor shall give LDSS SDOH written notice specifying the reason for and the effective date of the termination, which shall not be less time than will permit an orderly disenrollment transition of Enrollees to the Medicaid fee-for-service payment mechanism or transfer to another managed care program, as determined by LDSSEnrollees, but no more than ninety (90) days.
ii) The Contractor shall have the right to terminate this Agreement Agreement, in its entirety, or for the Contractor’s MMC product in specified counties of the Contractor’s service area in the event that its obligations are materially changed by modifications to this Agreement and its Appendices by SDOH or LDSSSDOH. In such event, Contractor shall give LDSS and SDOH written notice within thirty (30) days of notification of changes to the Agreement or Appendices specifying the reason and the effective date of termination, which shall not be less time than will permit an orderly disenrollment transition of Enrollees to the Medicaid fee-for-service program or transfer to another MCO, as determined by the LDSSEnrollees, but no more than ninety (90) days.
iii) The Contractor shall also have the right to terminate this Agreement in its entirety, or for the Contractor’s MMC product in specified counties of the Contractor’s service area, if the Contractor is unable to provide services pursuant to this Agreement because of a natural disaster and/or an act of God to such a degree that Enrollees cannot obtain reasonable access to services within the Contractor's organization, and, after diligent efforts, the Contractor cannot make other provisions for the delivery of such services. The Contractor shall give LDSS SDOH written notice of any such termination that specifies:
A) the reason for the termination, with appropriate documentation of the circumstances arising from a natural disaster and/or an act of God that preclude reasonable access to services;
B) the Contractor's attempts to make other provision for the delivery of services; and
C) the effective date of the termination, which shall not be less time than will permit an orderly transition of Enrollees, but no more than ninety (90) days.
Appears in 1 contract
Samples: Primary Care Partial Capitation Provider (Pcpcp) Medicaid Managed Care Model Contract
Contractor Initiated Termination. i) The Contractor shall have the right to terminate this Agreement in the event that LDSS materially breaches the Agreement or fails to comply with any term or condition of this Agreement that is not cured within twenty (20) days, or to such longer period as the parties may agree, of the Contractor's written request for compliance. The Contractor shall give LDSS written notice specifying the reason for and the effective date of the termination, which shall not be less time than will permit an orderly disenrollment of Enrollees to the Medicaid fee-for-service payment mechanism or transfer to another managed care program, as determined by LDSS, but no more than ninety (90) days.
ii) The Contractor shall have the right to terminate this Agreement in the event that its obligations are materially changed by modifications to this Agreement and its Appendices by SDOH or LDSS. In such event, Contractor shall give LDSS and SDOH written notice within thirty (30) days of notification of changes to the Agreement or Appendices specifying the reason and the effective date of termination, which shall not be less time than will permit an orderly disenrollment of Enrollees to the Medicaid fee-for-service program or transfer to another MCO, as determined by the LDSS, but no more than ninety (90) days.
iii) The Contractor shall also have the right to terminate this Agreement if the Contractor is unable to provide services pursuant to this Agreement because of a natural disaster and/or an act of God to such a degree that Enrollees cannot obtain reasonable access to services within the Contractor's organization, and, after diligent efforts, the Contractor cannot make other provisions for the delivery of such services. The Contractor shall give LDSS written notice of any such termination that specifies:
A) the reason for the termination, with appropriate documentation of the circumstances arising from a natural disaster and/or an act of God that preclude reasonable access to services;
B) the Contractor's attempts to make other provision for the delivery of services; and
Appears in 1 contract
