Common use of Department Policies and Procedures Clause in Contracts

Department Policies and Procedures. The Contractor shall comply with the applicable policies and procedures of the Department, specifically including without limitation the policies and procedures for MCO services, and all policies and procedures applicable to each category of Covered Services as required by the terms of this Contract. In no instance may the limitations or exclusions imposed by the Contractor with respect to Covered Services be more stringent than those specified in the applicable Department’s policies and procedures without the approval of the Department. The Department shall provide reasonable prior written notice to Contractor of any material changes to its policies and procedures, or any changes to its policies and procedures that materially alter the terms of this Contract.

Appears in 12 contracts

Samples: Managed Care Contract (Wellcare Health Plans, Inc.), Medicaid Managed Care Contract, Medicaid Managed Care Contract

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Department Policies and Procedures. The Contractor shall comply with the applicable policies and procedures of the Department, specifically including without limitation the policies and procedures for MCO services, and all policies and procedures applicable to each category of Covered Services as required by the terms of this Contract. In no instance may the limitations or exclusions imposed by the Contractor with respect to Covered Services be more stringent than those specified in the applicable Department’s policies and procedures without the approval of the Departmentprocedures. The Department shall provide reasonable prior written notice to Contractor of any material changes to its policies and procedures, or any changes to its policies and procedures that materially alter the terms of this Contract.

Appears in 1 contract

Samples: Medicaid Managed Care Contract

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Department Policies and Procedures. The Contractor shall comply with the applicable policies and procedures of the Department, specifically including without limitation the policies and procedures for MCO services, and all policies and procedures applicable to each category of Covered Services Benefits and the services related to the delivery of those Covered Benefits as required by the terms of this Contract. In no instance may the Contractor impose limitations or exclusions imposed by the Contractor with respect to Covered Services be Benefits and related services that are more stringent than those specified in the applicable Department’s policies applicable MCO Policies and procedures without the approval of the DepartmentProcedures. The Department shall use best efforts to provide reasonable prior written notice to Contractor of any applicable material changes to its policies and procedures, or any changes to its policies and procedures that materially alter the terms of this Contract.

Appears in 1 contract

Samples: Contract for Medical Services

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