Common use of Expansion to Other Contracting Areas Clause in Contracts

Expansion to Other Contracting Areas. The Contractor may, during the term of this Contract and any renewal thereof, request of the Department the opportunity to offer Covered Services to Potential Enrollees in areas other than the Contracting Area(s) specified in Attachment I. The Contractor must make this request in writing to the Department. The Department will provide an application and instructions for completion within ten (10) business days after receipt of written request. Upon receipt of a completed application from the Contractor, the Department shall review the information in a timely manner and may, at any time, request additional information of the Contractor. It is in the sole discretion of the Department, upon review of the Contractor's application for expansion and assessing the needs of the Potential Enrollee population and other factors as determined by the Department, to grant the Contractor's request for expansion. Should the Department agree to the expansion request, the Department and the Contractor shall agree to execute an amendment to Attachment I of the Contract to reflect the additional Contracting Areas in which the Contractor will provide Covered Services.

Appears in 2 contracts

Samples: Contract for Furnishing Health Services (Amerigroup Corp), Contract for Furnishing Health Services (Wellcare Health Plans, Inc.)

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Expansion to Other Contracting Areas. The Contractor may, during the term of this Contract and any renewal thereof, request of the Department the opportunity to offer Covered Services to Potential Enrollees in areas other than the Contracting Area(s) specified in Attachment I. The Contractor must make this request in writing to the Department. The Department will provide an application and instructions for completion within ten (10) business days after receipt of written request. Upon receipt of a completed application from the Contractor, the Department shall review the information in a timely manner and may, at any time, request additional information of the Contractor. It is in the sole discretion of the Department, upon review of the Contractor's ’s application for expansion and assessing the needs of the Potential Enrollee population and other factors as determined by the Department, to grant the Contractor's ’s request for expansion. Should the Department agree in writing to the expansion request, the Department and the Contractor shall agree to execute Department’s approval letter including an amendment to amended Attachment I shall be incorporated in and become a part of the Contract to reflect the additional Contracting Areas in which the Contractor will provide Covered ServicesContract.

Appears in 1 contract

Samples: Contract for Furnishing Health Services by a Managed Care Organization

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Expansion to Other Contracting Areas. The Contractor may, during the term of this Contract and any renewal thereof, request of the Department the opportunity to offer Covered Services to Potential Enrollees in areas other than the Contracting Area(s) specified in Attachment I. The Contractor must make this request in writing to the Department. The Department will provide an application and instructions for completion within ten (10) business days after receipt of written request. Upon receipt of a completed application from the Contractor, the Department shall review the information in a timely manner and may, at any time, request additional information of the Contractor. It is in the sole discretion of the Department, upon review of the Contractor's application for expansion and assessing the needs of the Potential Enrollee population and other factors as determined by the Department, to grant the Contractor's request for expansion. Should the Department agree in writing to the expansion request, the Department and the Contractor shall agree to execute Department's approval letter including an amendment to amended Attachment I shall be incorporated in and become a part of the Contract to reflect the additional Contracting Areas in which the Contractor will provide Covered ServicesContract.

Appears in 1 contract

Samples: Contract for Furnishing Health Services (Wellcare Health Plans, Inc.)

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