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

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 §§ 434.6(a)(12), 438, including but not limited to § 438.3(g), and § 447.26.

Appears in 2 contracts

Samples: public.providerexpress.com, learn.optumrx.com

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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 §§ 434.6(a)(12), Part 438, including but not limited to § 438.3(g438.6(f)(2)(i), and § 447.26.

Appears in 2 contracts

Samples: learn.optumrx.com, learn.optumrx.com

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