Common use of Failure to Provide Covered Services Clause in Contracts

Failure to Provide Covered Services. If the Department determines that the Contractor has failed to provide, or arrange to provide, a medically necessary service that the Contractor is required to provide under law or this Contract, the Department may impose a sanction of $5,000.00 to $25,000.00.

Appears in 2 contracts

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

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Failure to Provide Covered Services. If the Department determines that the Contractor has failed to provide, or arrange to provide, a medically necessary service that the Contractor is required to provide under law or this Contract, the Department may (i) impose a sanction of $5,000.00 to $25,000.00, (ii) suspend enrollment of Potential Enrollees with the Contractor, or (iii) impose both sanctions.

Appears in 2 contracts

Samples: Contract for Furnishing Health Services by a Managed Care Organization, Contract for Furnishing Health Services (Wellcare Health Plans, Inc.)

Failure to Provide Covered Services. If the Department determines that the Contractor has failed to provide, or arrange to provide, a medically necessary service that the Contractor is required to provide under law or on this Contract, the Department may (i) impose a sanction of $5,000.00 to $25,000.00, (ii) suspend Enrollment of Potential Enrollees with the Contractor, or (iii) impose both sanctions.

Appears in 1 contract

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

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Failure to Provide Covered Services. If the Department determines that the Contractor has failed to provide, or arrange to provide, a medically necessary service that the Contractor is required to provide under law or this Contract, the Department may (i) impose a sanction of $5,000.00 to $25,000.00, (ii) suspend Enrollment of Potential Enrollees with the Contractor, or (iii) impose both sanctions.

Appears in 1 contract

Samples: Contract for Furnishing Health Services (Amerigroup Corp)

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