Government Healthcare Programs Sample Clauses

Government Healthcare Programs. Subject to the period under which licensure by the CDPH has been in suspense, the Hospital is qualified for participation in Government Healthcare Programs. Seller receives payment under the Government Healthcare Programs for services rendered to qualified beneficiaries.
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Government Healthcare Programs. The Hospital is qualified for participation in Government Healthcare Programs. Upon reactivation of the Borrower’s general acute care hospital license with the CDPH and reopening of the Hospital, the Borrower will receive payment under the Government Healthcare Programs for services rendered to qualified beneficiaries. To the Borrower’s knowledge, no member of the medical staff of the Hospital has been excluded from participation in any Government Healthcare Program.
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Government Healthcare Programs. The Hospital is qualified for participation in Government Healthcare Programs. To the Borrower’s knowledge, no member of the medical staff of the Hospital has been excluded from participation in any Government Healthcare Program.
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Government Healthcare Programs. To the extent required in connection with their respective businesses, each of the Company and its subsidiaries has the requisite supplier number or other authorization to bxxx any Program in which the Company or such subsidiary participates; except as otherwise disclosed in the Registration Statement, the Time of Sale Prospectus and the Prospectus, or as would not result in a Material Adverse Change to the operations of the Company and its subsidiaries as a whole, neither the Company nor any of its subsidiaries is subject to any pending or, to the Company’s knowledge, threatened or contemplated action which could reasonably be expected to result either in a revocation or suspension of any supplier number or authorization or in the Company’s or any subsidiary’s exclusion from any Programs in which the Company or such subsidiary participates; except as would not result in a Material Adverse Change to the operations of the Company and its subsidiaries as a whole, the Company’s and each of its subsidiaries’ business practices have been structured in a manner reasonably designed to comply with the federal or state laws governing all Programs in which the Company or such subsidiary participates, including, without limitation, all applicable Health Care Laws; except as would not result in a Material Adverse Change to the operations of the Company and its subsidiaries as a whole, the Company and its subsidiaries have taken reasonable actions designed to ensure that they do not: (i) violate any applicable Health Care Laws or (ii) allow any individual with an ownership or control interest (as defined in 42 U.S.C. § 1320a-3(a)(3)) in the Company or any of its subsidiary or have any officer, director or managing employee (as defined in 42 U.S.C. § 1320a-5(b)) of the Company or any of its subsidiaries who would be a person excluded, suspended or debarred from participation in any Program in which the Company or such subsidiary participates; and, except as would not result in a Material Adverse Change to the operations of the Company and its subsidiaries as a whole, the Company and its subsidiaries have structured their respective businesses practices in a manner reasonably designed to comply with all applicable Health Care Laws, including, without limitation, the federal and state laws regarding physician ownership of (or financial relationship with), and referral to, entities providing healthcare-related goods or services, and with laws requiring disclosure of financ...
Sample 1
Government Healthcare Programs. 25 4.15 Medical Staff; Physician Relations ........................................................................25 4.16
Sample 1
Government Healthcare Programs. Except as set forth on Section 2.21 of the Company Disclosure Schedule, the Clinical Entities do not participate in Government Healthcare Programs. To the extent the Clinical Entities are or have been participating in a Government Healthcare Program, the Clinical Entities and the Clinical Providers have filed all claims or other reports required to be filed with respect to the Government Healthcare Programs, and such claims or reports are accurate in all material respects. The Clinical Entities and the Clinical Providers have paid all actually known and undisputed refunds, overpayments, discounts or adjustments which have become due pursuant to such claims, and no Clinical Entity or any Clinical Provider has any liability to any Government Healthcare Program with respect thereto. Section 2.21 of the Company Disclosure Schedule lists all National Provider Identifiers and provider numbers for each of the applicable Group Companies.
Sample 1
Government Healthcare Programs. Hospital is qualified for participation in Government Healthcare Programs. District receives payment under the Government Healthcare Programs for services rendered to qualified beneficiaries. Neither the District or Hospital’s respective officers, directors, employees or, to District’s knowledge, agents, are excluded from participation in any Government Healthcare Program or to District’s knowledge, have engaged in any activities which are cause for civil penalties or mandatory or permissive exclusion from any Government Healthcare Program. Neither Hospital nor District is a party to any corporate integrity agreements, deferred prosecution agreements, monitoring agreements, consent decrees, settlement orders, plans of correction or similar agreements imposed by any Government Entity.
Sample 1
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Related to Government Healthcare Programs

  • GOVERNMENT DATA PRACTICES Supplier and Sourcewell must comply with the Minnesota Government Data Practices Act, Minnesota Statutes Chapter 13, as it applies to all data provided by or provided to Sourcewell under this Contract and as it applies to all data created, collected, received, maintained, or disseminated by the Supplier under this Contract.

  • XXXXXXXX ANTI-KICKBACK ACT (a) The Sub-Recipient hereby agrees that, unless exempt under Federal law, it will incorporate or cause to be incorporated into any contract for construction work, or modification thereof, the following clause: i. Contractor. The contractor shall comply with 18 U.S.C. § 874, 40 U.S.C. § 3145, and the requirements of 29 C.F.R. pt. 3 as may be applicable, which are incorporated by reference into this contract.

  • COVERED HEALTHCARE SERVICES This section describes covered healthcare services. This plan covers services only if they meet all of the following requirements: • Listed as a covered healthcare service in this section. The fact that a provider has prescribed or recommended a service, or that it is the only available treatment for an illness or injury does not mean it is a covered healthcare service under this plan. • Medically necessary, consistent with our medical policies and related guidelines at the time the services are provided. • Not listed in Exclusions Section. • Received while a member is enrolled in the plan. • Consistent with applicable state or federal law. We review medical necessity in accordance with our medical policies and related guidelines. Our medical policies can be found on our website. Our medical policies are written to help administer benefits for the purpose of claims payment. They are made available to you for informational purposes and are subject to change. Medical policies are not meant to be used as a guide for your medical treatment. Your medical treatment remains a decision made by you with your physician. If you have questions about our medical policies, please call Customer Service. When a new service or drug becomes available, when possible, we will review it within six (6) months of one of the events described below to determine whether the new service or drug will be covered: • the assignment of an American Medical Association (AMA) Current Procedural Terminology (CPT) code in the annual CPT publication; • final Food and Drug Administration (FDA) approval; • the assignment of processing codes other than CPT codes or approval by governing or regulatory bodies other than the FDA; • submission to us of a claim meeting the criteria above; and • generally, the first date an FDA approved prescription drug is available in pharmacies (for prescription drug coverage only). During the review period, new services and drugs are not covered. For all covered healthcare services, please see the Summary of Medical Benefits and the Summary of Pharmacy Benefits to determine the amount that you pay and any benefit limits.

  • Clinical Management for Behavioral Health Services (CMBHS) System 1. request access to CMBHS via the CMBHS Helpline at (000) 000-0000. 2. use the CMBHS time frames specified by System Agency. 3. use System Agency-specified functionality of the CMBHS in its entirety. 4. submit all bills and reports to System Agency through the CMBHS, unless otherwise instructed.

  • Office of Justice Programs The Provider must report suspected fraud, waste and abuse to the OAG’s Office of the Inspector General at 000-000-0000.

  • Health Promotion and Health Education Both parties to this Agreement recognize the value and importance of health promotion and health education programs. Such programs can assist employees and their dependents to maintain and enhance their health, and to make appropriate use of the health care system. To work toward these goals:

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