Common use of Inability to Pay Cost-Sharing Clause in Contracts

Inability to Pay Cost-Sharing. The MCO must ensure that no Provider denies Covered Services to an Enrollee because of the Enrollee’s inability to pay cost-sharing‌ pursuant to 42 CFR §447.52. The MCO must ensure that Enrollees can obtain services from other Providers.

Appears in 7 contracts

Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services

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Inability to Pay Cost-Sharing. The MCO must ensure that no Provider denies deny Covered Services to an Enrollee because of the Enrollee’s inability to pay the cost-sharing‌ sharing pursuant to 42 CFR §§ 447.52. The MCO must ensure that Enrollees can obtain services from other Providers.

Appears in 2 contracts

Samples: Contract for Special Needs Basiccare Program Services, Contract for Special Needs Basic Care Program Services

Inability to Pay Cost-Sharing. The MCO must ensure that no Provider denies Covered Services to an Enrollee because of the Enrollee’s inability to pay cost-sharing‌ sharing, pursuant to 42 CFR §447.52§ 447.52 for Enrollees enrolled in the Medical Assistance program. The MCO must ensure that Enrollees can obtain services from other Providers.

Appears in 2 contracts

Samples: Contract for Medical Assistance and Minnesotacare Services, Contract for Medical Assistance and Minnesotacare Services

Inability to Pay Cost-Sharing. The MCO must ensure that no Provider denies deny Covered Services to an Enrollee because of the Enrollee’s inability to pay the cost-sharing‌ sharing pursuant to 42 CFR §§ 447.52. The MCO must ensure that Enrollees can obtain services from other Providers.Providers.‌

Appears in 1 contract

Samples: Contract for Special Needs Basic Care Program Services

Inability to Pay Cost-Sharing. The MCO must ensure that no Provider denies Covered Services to an Enrollee because of the Enrollee’s inability to pay the cost-sharing‌ pursuant to 42 CFR §447.52sharing. The MCO must ensure that Enrollees can obtain services from other Providers.. [42 CFR §447.52]

Appears in 1 contract

Samples: Special Needs Basiccare Program Services Contract

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Inability to Pay Cost-Sharing. The MCO must ensure that no Provider denies Covered Services to an Enrollee because of the Enrollee’s inability to pay cost-sharing‌ sharing‌‌ pursuant to 42 CFR §447.52. The MCO must ensure that Enrollees can obtain services from other Providers.

Appears in 1 contract

Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services

Inability to Pay Cost-Sharing. The MCO must ensure that no Provider denies Covered Services to an Enrollee because of the Enrollee’s inability to pay cost-sharing‌ pursuant to 42 CFR §447.52sharing. The MCO must ensure that Enrollees can obtain services from other Providers.. [42 CFR §447.52]

Appears in 1 contract

Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services

Inability to Pay Cost-Sharing. The MCO must ensure that no Provider denies Covered Services to an Enrollee because of the Enrollee’s inability to pay cost-sharing‌ sharing pursuant to 42 CFR §447.52447.53. The MCO must ensure that Enrollees can obtain retain the ability to seek services from other Providers.

Appears in 1 contract

Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services

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