Governmental Contract/Regulatory Requirements Sample Clauses

Governmental Contract/Regulatory Requirements. Schedule A to this Attachment, which is incorporated herein by this reference, sets forth the special provisions that are applicable to the Medicaid Product under the State Contract and the provisions that are required by the State Contract to be included in the Agreement with respect to the Medicaid Product. Schedule B to this Attachment (“Model Medicaid Addendum”), which is incorporated herein by this reference, shall be completed and executed by Health Plan and Provider and sets forth terms that are applicable to the Medicaid Product under State laws and regulations, and that are required under such laws and regulations (and Appendix F. Section 3.b.ii of the State Contract) to be included in the Agreement with respect to the Medicaid Product. To the extent that a Coverage Agreement is subject to the law cited in the Schedule B, such provision will apply to the rendering of Covered Services to a Covered Person with such Coverage Agreement. Provider shall expressly impose these terms and obligations, in writing, on each of its Contracted Providers, as such term is defined in the Agreement. Health Plan is and shall be a third-party beneficiary of any agreement between Provider and its Contracted Providers with the right to directly enforce these terms and condition upon Contracted Providers. Applicable State agencies have the right to modify, supplement, amend and add to the terms, conditions and obligations set forth in Schedule A, and Provider shall be bound by such changes. This Schedule A sets forth the special provisions that are specific to the Ohio Medicaid and CHIP Product under the applicable State Contract.

Governmental Contract/Regulatory Requirements. Schedule A to this Attachment, which is incorporated herein by this reference, sets forth the special provisions that are applicable to the Medicaid Product under the State Contract and the provisions that are required by the State Contract to be included in the Agreement with respect to the Medicaid Product. Provider shall expressly impose these terms and obligations, in writing, on each of its Contracted Providers, as such term is defined in the Agreement. Health Plan is and shall be a third-party beneficiary of any agreement between Provider and its Contracted Providers with the right to directly enforce these terms and condition upon Contracted Providers. Applicable State agencies have the right to modify, supplement, amend and add to the terms, conditions and obligations set forth in Schedule A, and Contracted Providers shall be bound by such changes. Citations to the State Contract are being provided herein for convenience only and shall not affect the meaning or interpretation of the terms of this schedule. Such citations may become outdated as the State Contract is amended from time to time. This Schedule A sets forth the special provisions that are specific to the Delaware Medicaid Product under the applicable State Contract.