Health Care Acquired/Preventable Conditions. Provider agrees that no payment shall be made for the provision of medical assistance for health care acquired conditions and other provider preventable conditions as may be identified by the State. As a condition of payment, Provider shall identify and report to Subcontractor any provider preventable conditions in accordance with 42 CFR Part 438, including but not limited to 438.6(f)(2)(i).
Health Care Acquired/Preventable Conditions. United and Subcontractor acknowledge and agree that United is prohibited from making payments to Subcontractor for the provision of medical assistance for health care-acquired conditions and other provider-preventable conditions as may be identified by LDH.
Health Care Acquired/Preventable Conditions. Subcontractor, Health Plan, and Provider acknowledge and agree that Subcontractor and Health Plan are prohibited from making payments to Provider for the provision of medical assistance for health care-acquired conditions and other provider-preventable conditions as may be identified by the HHSC.
Health Care Acquired/Preventable Conditions. Health Plan, Subcontractor, and Provider acknowledge and agree that Health Plan and/or Subcontractor is prohibited from making payments to Provider for the provision of medical assistance for health care-acquired conditions and other provider- preventable conditions as may be identified by the Department. (2702 of the Patient Protection and Affordable Care Act - Federal Register / Vol. 76, No. 108 / Monday, June 6, 2011; 42 CFR 438.6(h), 42 CFR 422.208 and 422.210) As a condition of payment, Provider shall identify and report to Health Plan and/or Subcontractor any provider preventable conditions in accordance with 42 CFR Part 438, including but not limited to 438.6(f)(2)(i).
Health Care Acquired/Preventable Conditions. Provider agrees that no payment shall be made for the provision of medical assistance for health care-acquired conditions and other provider-preventable conditions as may be identified by TennCare. As a condition of payment, Provider shall identify and report to United and TennCare any provider-preventable conditions in accordance with 42 CFR §§ 434.6(a)(12), 438.3(g), and 447.26.
Health Care Acquired/Preventable Conditions. No reduction in payment for a provider preventable condition (“PPC”) shall be imposed on Provider when the condition defined as a PPC for a particular Covered Person existed prior to the initiation of treatment for that Covered Person by Provider. Under 42 CFR §§ 438.3(g), 434.6(a)12(i), and 447.26(b), United is prohibited from making a payment to Provider for provider-preventable conditions that meet the following criteria:
Health Care Acquired/Preventable Conditions. United and Provider acknowledge and agree that United is prohibited from making payments to Provider for the provision of medical assistance for health care-acquired conditions and other provider-preventable conditions as may be identified by the Department. As a condition of payment, Provider shall identify and report to United any provider preventable conditions in accordance with 42 CFR §§ 434.6(a)(12), 438, including but not limited to § 438.3(g), and § 447.26.
Health Care Acquired/Preventable Conditions. Provider agrees that no payment shall be made for the provision of medical assistance for health care acquired conditions and other provider preventable conditions as may be identified by the State. As a condition of payment, Provider shall identify and report to CCO any provider preventable conditions in accordance with 42 CFR §§ 434.6(a)(12), 438 including but not limited to 438.3(g), and 447.26.
Health Care Acquired/Preventable Conditions. Xxxxxxx, Subcontractor and Provider acknowledge and agree that Carrier and Subcontractor are prohibited from making payments to Provider for the provision of medical assistance for health care-acquired conditions and other provider-preventable conditions as may be identified by HCA.
Health Care Acquired/Preventable Conditions. Provider agrees that no payment shall be made for the provision of medical assistance for health care acquired conditions and other provider preventable conditions as may be identified by the District of Columbia. As a condition of payment, Provider shall identify and report to Subcontractor any provider preventable conditions in accordance with 42 C.F.R. §§ 434.6(a)(12), 438 (including but not limited to § 438.3(g)), and 447.26.
