Medicaid Eligibility. If applicable, Provider must meet minimum requirements for participation in the State Programs. Provider may meet this requirement either by being enrolled with the State as a Medicaid provider or by demonstrating to Subcontractor and Health Plan that it meets the applicable minimum requirements for Medicaid participation. Subcontractor and Health Plan will exclude from its network any provider who has been suspended from the Medicare or Medicaid program in any state.
Appears in 5 contracts
Samples: Kansas Medicaid and Chip Regulatory Requirements Appendix, Kansas Medicaid and Chip Regulatory Requirements Appendix, Individual Participating Provider Agreement
Medicaid Eligibility. If applicable, Provider must meet minimum requirements for participation in the State ProgramsProgram. Provider may meet this requirement either by being enrolled with the State as a Medicaid provider or by demonstrating to Subcontractor and Health Plan that it meets the applicable minimum requirements for Medicaid participation, including enrollment in Medicare, if applicable. Subcontractor and Health Plan will exclude from its network any provider who has been terminated or suspended from the Medicare or Medicaid program in any state.
Appears in 2 contracts
Samples: Provider Agreement, Provider Agreement
Medicaid Eligibility. If applicable, Provider must meet minimum requirements for participation in the State Programs. Provider may meet this requirement either by being enrolled with the State as a Medicaid provider or by demonstrating to Subcontractor and Health Plan that it meets the applicable minimum requirements for Medicaid participation. Subcontractor and Health Plan and/or Subcontractor will exclude from its network any provider who has been suspended from the Medicare or Medicaid program in any state.
Appears in 2 contracts
Samples: Provider Agreement, Provider Agreement
Medicaid Eligibility. If applicable, Provider must meet minimum requirements for participation in the State ProgramsProgram. Provider may meet this requirement either by being enrolled with the State as a Medicaid provider or by demonstrating to Subcontractor and Health Plan and/or Subcontractor that it meets the applicable minimum requirements for Medicaid participation, including enrollment in Medicare, if applicable. Subcontractor Provider acknowledges and agrees that Health Plan and/or Subcontractor will exclude from its network any provider who has been terminated or suspended from the Medicare or Medicaid program in any state.
Appears in 1 contract
Samples: Downstream Provider Medicaid Program Regulatory Requirements Appendix
Medicaid Eligibility. If applicable, Provider must meet minimum requirements for participation in the State Programs. Provider may meet this requirement either by being enrolled with the State as a Medicaid provider or by demonstrating to Subcontractor and Health Plan Carrier that it meets the applicable minimum requirements for Medicaid participation, including enrollment in Medicare, if applicable. Subcontractor and Health Plan Carrier will exclude from its network any provider who has been terminated or suspended from the Medicare or Medicaid program in any state.
Appears in 1 contract
Samples: Washington State Programs Regulatory Requirements Appendix
Medicaid Eligibility. If applicable, Provider must meet minimum requirements for participation in the State Programs. Provider may meet this requirement either by being enrolled with the State as a Medicaid provider or by demonstrating to Subcontractor and Health Plan that it meets the applicable minimum requirements for Medicaid participation. Subcontractor and Health Plan will exclude from its network any provider who has been suspended or terminated from the Medicare or Medicaid program in any state.
Appears in 1 contract
Samples: Rhode Island Medicaid Program Regulatory Requirements Appendix
Medicaid Eligibility. If applicable, Provider must meet minimum requirements for participation in the State ProgramsProgram. Provider may meet this requirement either by being enrolled with the State as a Medicaid provider or by demonstrating to Subcontractor and Health Plan and/or Subcontractor that it meets the applicable minimum requirements for Medicaid participation, including enrollment in Medicare, if applicable. Subcontractor and Health Plan and/or Subcontractor will exclude from its network any provider who has been terminated or suspended from the Medicare or Medicaid program in any state.
Appears in 1 contract
Medicaid Eligibility. If applicable, Provider must meet minimum requirements for participation in the State ProgramsProgram. Provider may meet this requirement either by being enrolled with the State as a Medicaid provider or by demonstrating to Subcontractor and and/or Health Plan that it meets the applicable minimum requirements for Medicaid participation. Subcontractor and Health Plan will exclude from its network any provider who has been suspended from the Medicare or Medicaid program , including enrollment in any state.Medicare, if
Appears in 1 contract
Samples: Provider Agreement
