Common use of Health Care Acquired/Preventable Conditions Clause in Contracts

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 and Health Plan any provider preventable conditions in accordance with 42 CFR §§ 434.6(a) (12), 438, including but not limited to § 438.3g, and § 447.26.

Appears in 7 contracts

Samples: Provider Agreement, Pennsylvania Government Programs Regulatory Requirements Appendix, Provider Agreement

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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 and Health Plan any provider preventable conditions in accordance with 42 CFR §§ 434.6(a) (12), Part 438, including but not limited to § 438.3g, and § 447.26438.6(f)(2)(i).

Appears in 7 contracts

Samples: Medicaid Provider Agreement, Provider Agreement, Medicaid Provider Agreement

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 and Health Plan United any provider preventable conditions in accordance with 42 CFR §§ 434.6(a) (12434.6(a)(12), 438, including but not limited to § 438.3g438.3(g), and § 447.26.

Appears in 7 contracts

Samples: Provider Agreement, Provider Agreement, Provider Agreement

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 StateDepartment. As a condition of payment, Provider shall identify and report to Subcontractor and Health Plan any provider preventable conditions in accordance with 42 CFR §§ 434.6(a) (12), Part 438, including but not limited to § 438.3g, and § 447.26438.6(f)(2)(i).

Appears in 6 contracts

Samples: Massachusetts Government Programs Regulatory Requirements Appendix, Massachusetts Government Programs Regulatory Requirements Appendix, Massachusetts Government Programs Regulatory Requirements Appendix

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 and Health Plan any provider preventable conditions in accordance with 42 CFR §§ 434.6(a) (12), Part 438, including but not limited to § 438.3g, and § 447.26438.6(f)(2)(i).

Appears in 5 contracts

Samples: Kansas Medicaid and Chip Regulatory Requirements Appendix, Kansas Medicaid and Chip Regulatory Requirements Appendix, Individual Participating Provider Agreement

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 and Health Plan and Subcontractor any provider preventable conditions in accordance with 42 CFR §§ 434.6(a) (12434.6(a)(12), 438, including but not limited to § 438.3g438.3(g), and § 447.26.

Appears in 3 contracts

Samples: Provider Agreement, Provider Agreement, Provider Agreement

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 and Health Plan and Subcontractor any provider preventable conditions in accordance with 42 CFR §§ 434.6(a) (12), 438, including but not limited to § 438.3g, and § 447.26438.6(f)(2)(i).

Appears in 3 contracts

Samples: Downstream Provider Medicaid Program Regulatory Requirements Appendix, Downstream Provider Medicaid Program Regulatory Requirements Appendix, Downstream Provider Medicaid Program Regulatory Requirements Appendix

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 and and/or Health Plan any provider preventable conditions in accordance with 42 CFR §§ 434.6(a) (12), Part 438, including but not limited to § 438.3g, and § 447.26438.6(f)(2)(i).

Appears in 3 contracts

Samples: Provider Agreement, Provider Agreement, Provider Agreement

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 and Health Plan United any provider preventable conditions in accordance with 42 CFR §§ 434.6(a) (12), Part 438, including but not limited to § 438.3g, and § 447.26438.6(f)(2)(i).

Appears in 3 contracts

Samples: Provider Agreement, Provider Agreement, Rhode Island Medicaid Program Regulatory Requirements Appendix

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 and Health Plan any provider preventable conditions in accordance with 42 CFR §§ 434.6(a) (12), 438, including but not limited to § 438.3g, and § 447.26.in

Appears in 2 contracts

Samples: Provider Agreement, Provider Agreement

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 and Health Plan and Subcontractor any provider preventable conditions in accordance with 42 CFR §§ 434.6(a) (12), 438, including but not limited to § 438.3g, and § 447.26.

Appears in 2 contracts

Samples: New Mexico Centennial Care Regulatory Requirements Appendix, New Mexico Centennial Care Regulatory Requirements Appendix

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 and Health Plan and/or CCO any provider preventable conditions in accordance with 42 CFR §§ 434.6(a) (12), Part 438, including but not limited to to, 42 CFR § 438.3g, and § 447.26438.6(f)(2)(i).

Appears in 2 contracts

Samples: Provider Agreement, Mississippichip Regulatory Requirements Appendix

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 Statedefined in 42 CFR 447.26. The prohibition on payment for provider-preventable conditions shall not result in a loss of access to care of services for Medicaid consumers. As a condition of payment, Provider shall identify and report to Subcontractor and Health Plan any provider preventable conditions in accordance with 42 CFR §§ 434.6(a) (12), 438Parts 438 and 434, including but not limited to § 438.3g, and § 447.26434.6.

Appears in 2 contracts

Samples: Group Participating Provider Agreement, Ohio State Program Regulatory Requirements Appendix

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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 and or Health Plan any provider preventable conditions in accordance with 42 CFR §§ 434.6(a) (12434.6(a)(12), 438, including but not limited to § 438.3g, and § 447.26.

Appears in 2 contracts

Samples: Provider Agreement, Provider Agreement

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 Statedefined in 42 CFR 447.26. The prohibition on payment for provider-preventable conditions shall not result in a loss of access to care of services for Medicaid consumers. As a condition of payment, Provider shall identify and report to Subcontractor and Health Plan United any provider preventable conditions in accordance with 42 CFR §§ 434.6(a) (12), Part 438, including but not limited to § 438.3g, and § 447.26438.6(f)(2)(i).

Appears in 1 contract

Samples: Ohio State Program Regulatory Requirements Appendix

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 and Health Plan any provider preventable conditions in accordance with 42 CFR §§ 434.6(a) (12), Part 438, including but not limited to § 438.3g, and § 447.26.438.6(f)(2)(i

Appears in 1 contract

Samples: Iowa State Programs Regulatory Requirements Appendix

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 and Health Plan United any provider preventable conditions in accordance with 42 CFR §§ 434.6(a) (12), 438, including but not limited to § 438.3g, and § 447.26.42 C.F.R.

Appears in 1 contract

Samples: Provider Agreement

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 and Health Plan any provider preventable conditions in accordance with 42 CFR §§ 434.6(a) (12), Part 438, including but not limited to § 438.3g, and § 447.26438.6(f)(2)(i).

Appears in 1 contract

Samples: Florida LTC Medicaid Program Regulatory Requirements Appendix

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 and Health Plan United any provider preventable conditions in accordance with 42 CFR §§ 434.6(a) (12434.6(a)(12), 438, including but not limited to § 438.3g, and § 447.26.

Appears in 1 contract

Samples: Provider Agreement

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 and Health Plan United any provider preventable conditions in accordance with 42 CFR C.F.R. §§ 434.6(a) (12434.6(a)(12), 438, including but not limited to § 438.3g438 et seq., and § 447.26.

Appears in 1 contract

Samples: Medicaid Provider Agreement

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 and and/or Health Plan any provider preventable conditions in accordance with 42 CFR §§ 434.6(a) (12), 438, including but not limited to § 438.3g, and § 447.26.

Appears in 1 contract

Samples: Provider Agreement

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