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: Alaska State, www.uhchearing.com, www.uhchearing.com
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: www.uhchearing.com, www.uhchearing.com, public.providerexpress.com
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 6 contracts
Samples: Downstream Provider, www.uhchearing.com, public.providerexpress.com
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 5 contracts
Samples: www.uhchearing.com, public.providerexpress.com, stage-member-uhch.optum.com
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: Downstream Provider, Downstream Provider, Behavioral Health 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 care-acquired conditions and other provider provider-preventable conditions as may be identified by the State. As TennCare as a condition of payment. At a minimum, this shall mean non-payment of provider-preventable conditions as well as Provider shall identify identification and report reporting to Subcontractor and Health Plan and TennCare any provider provider-preventable conditions in accordance with 42 CFR §§ 434.6(a) (12434.6(a)(12), 438, including but not limited to § 438.3g, 438.3(g) and § 447.26.
Appears in 4 contracts
Samples: learn.optumrx.com, learn.optumrx.com, learn.optumrx.com
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 3 contracts
Samples: public.providerexpress.com, www.uhchearing.com, learn.optumrx.com
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: learn.optumrx.com, learn.optumrx.com, learn.optumrx.com
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: Downstream Provider, learn.optumrx.com, learn.optumrx.com
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: Downstream Provider, Downstream Provider
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: public.providerexpress.com, learn.optumrx.com
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 2 contracts
Samples: www.uhchearing.com, learn.optumrx.com
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 2 contracts
Samples: www.uhchearing.com, www.uhchearing.com
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: public.providerexpress.com, www.uhchearing.com
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: United Behavioral Health, www.uhcprovider.com
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: Downstream Provider
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: www.uhchearing.com
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: learn.optumrx.com
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 Subcontractor 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: Downstream Provider
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: learn.optumrx.com
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: www.uhchearing.com
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 1 contract
Samples: public.providerexpress.com
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 § 438.3438.3(g),3g, and § 447.26.
Appears in 1 contract
Samples: learn.optumrx.com
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 42 C.F.R. §§ 434.6(a) (12434.6(a)(12), 438, including but not limited to § 438.3g, and § 447.26.
Appears in 1 contract
Samples: Downstream Provider