General Terms and Conditions Required Under the Act Sample Clauses

General Terms and Conditions Required Under the Act. The following provisions will apply in all instances where Preferred Provider is providing services to Members enrolled in adultBasic (as hereinafter defined) or CHIP (as hereinafter defined) (hereinafter “adultBasic/CHIP Members”). For purposes hereof, “adultBasic” means the adultBasic Insurance Coverage Program in accordance with the Health Investment Insurance Act (Chapter 13 of Act 77 of 2001) (35 P.S. §5701.1301 et seq.) as offered from time-to-time by Blue Shield pursuant to a contract with the PID. Further, for purposes hereof, “CHIP” means the Children’s Health Insurance Program in accordance with Title XXI of the Social Security Act, as amended to include the State Children’s Health Insurance Act (42 U.S.C. §§1397aa et seq.) and the Children’s Health Care Act, Article XXIII of the Insurance Company Law of 1921, as amended via the Act of 1996-68 (40 P.S. §§991.2301 et seq. and the regulations promulgated thereunder) as offered from time-to-time by Blue Shield pursuant to a contract with the PID. Where there is a conflict between the provisions in the Agreement and this Section 5 of Part III of these Regulations, the provisions of this Section 5 of Part III of these Regulations will apply to Preferred Provider’s participation in adultBasic/CHIP Products as available to adultBasic/CHIP Members, as well as Preferred Provider’s provision of services, and Blue Shield’s payment for, Covered Services.