Common use of Department’s Responsibility Clause in Contracts

Department’s Responsibility. The Department will provide the PH-MCO with immediate notice via electronic transmission or access to Medicheck listings or upon request if a Provider with whom the PH-MCO has entered into an agreement is subsequently suspended or terminated from participation in the Medicaid or Medicare Programs. Upon notification from the Department that a Provider with whom the PH-MCO has entered into an agreement is suspended or terminated from participation in the Medicaid or Medicare Programs, the PH-MCO must immediately act to terminate the Provider from participation. Terminations for loss of licensure and criminal convictions must coincide with the MA effective date of the action.

Department’s Responsibility. The Department will provide the PH-MCO with immediate notice via electronic transmission or access to Medicheck listings or upon request if a Provider with whom the PH-MCO has entered into an agreement Provider Agreement is subsequently suspended or terminated from participation in the Medicaid MA or Medicare Programs. Upon notification from the Department that a Network Provider with whom the PH-MCO has entered into an agreement is suspended or terminated from participation in the Medicaid MA or Medicare Programs, the PH-MCO must immediately act to terminate the Provider from participationits Network. Terminations for loss of licensure and criminal convictions must coincide with the MA effective date of the action.