LIFEMARK TEXAS COVENANTS - PROVIDER SERVICES Sample Clauses

LIFEMARK TEXAS COVENANTS - PROVIDER SERVICES. Lifemark Texas agrees to the following covenants, and agrees to include such covenants in any contract for Provider services: 4.9.1 Lifemark Texas is being contracted to deliver Medicaid managed care under the TDHS STAR+PLUS program. HMO must provide copies of the TDHS Contract to the Lifemark Texas upon request. Lifemark Texas understands that services provided under this contract are funded by State and federal funds under the Medicaid program. Lifemark Texas is subject to all state and federal laws, rules, regulations that apply to all persons or entities receiving state and federal funds. Lifemark Texas understands that any violation by a Provider of State or federal law relating to the delivery of services by the Provider under this Agreement, or any violation of the TDHS Contract could result in liability for money damages, and/or civil criminal penalties and sanctions under state and/or federal law. 4.9.2 Lifemark Texas understands and agrees that HMO has the sole responsibility for payment of covered services rendered by the Provider under this Agreement. In the event of HMO insolvency or cessation of operations, Lifemark Texas's sole recourse is against HMO through the bankruptcy, conservatorship, or receivership estate of HMO. 4.9.3 Lifemark Texas understands and agrees TDHS is not liable or responsible for payment for any Medicaid covered services provided to mandatory Member under this Agreement. Federal and State laws provide severe penalties for any Provider who attempts to collect any payment from or xxxx a Medicaid recipient for a Covered Service. 4.9.4 Lifemark Texas agrees that any modification, addition, or deletion of the provisions of this Agreement will become effective no earlier than 30 days after HMO notifies TDHS of the change in writing. If TDHS does not provide written approval within 30 days from receipt of notification from HMO, changes can be considered provisionally approved, and will become effective. Modifications, additions or deletions which are required by TDHS or by changes in State or federal law are effective immediately. 4.9.5 This contract is subject to all State and federal laws and regulations relating to fraud and abuse in health care and the Medicaid program. Lifemark Texas must cooperate and assist TDHS and any State or federal agency that is charged with the duty of identifying, investigating, sanctioning or prosecuting suspected fraud and abuse. Lifemark Texas must provide originals and/or copies of any and ...
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