Common use of Medicaid or CHIP Participation Clause in Contracts

Medicaid or CHIP Participation. Provider must be enrolled with the State as a Medicaid or CHIP provider, as applicable to participate in Health Plan’s Medicaid or CHIP network. Upon notification from the State that Provider’s enrollment has been denied or terminated, Subcontractor and Health Plan must terminate Provider immediately and will notify affected Covered Persons that Provider is no longer participating in the network. Subcontractor and Health Plan will exclude from its network any provider who is on the State’s exclusion list or has been terminated or suspended from the Medicare, Medicaid or CHIP program in any state.

Medicaid or CHIP Participation. Provider must be enrolled with the State as a Medicaid or CHIP provider, as applicable to participate in Health Plan’s and Subcontractor’s Medicaid or CHIP network. Upon notification from the State that Provider’s enrollment has been denied or terminated, Subcontractor and Health Plan and Subcontractor must terminate Provider immediately and will notify affected Covered Persons that Provider is no longer participating in the network. Subcontractor and Health Plan and Subcontractor will exclude from its network any provider who is on the State’s exclusion list or has been terminated or suspended from the Medicare, Medicaid or CHIP program in any state.

Medicaid or CHIP Participation. Provider must be enrolled with the State as a Medicaid or CHIP provider, as applicable to participate in Health Plan’s Medicaid or CHIP network. Upon notification from the State that Provider’s enrollment has been denied or terminated, Subcontractor and Health Plan must terminate Provider immediately and will notify affected Covered Persons that Provider is no longer participating in the network. Subcontractor and Health Plan will exclude from its network any provider who is on the State’s exclusion list or has been terminated or suspended from the Medicare, Medicaid or CHIP program in any state.

Medicaid or CHIP Participation. Provider must be enrolled with the State as a Medicaid or CHIP provider, as applicable to participate in Health Plan’s Medicaid or CHIP network. Upon notification from the State that Provider’s enrollment has been denied or terminated, Subcontractor and Health Plan must terminate Provider immediately and will notify affected Covered Persons that Provider is no longer participating in the network. Subcontractor and Health Plan will exclude from its network any provider who is on the State’s exclusion list or has been terminated or suspended from the Medicare, Medicaid or CHIP program in any state. Provider must meet all applicable credentialing criteria before being listed as a panel provider.

Medicaid or CHIP Participation. Provider must be enrolled with the State as a Medicaid or CHIP provider, as applicable to participate in Health Plan’s Medicaid or CHIP network. Upon notification from the State that Provider’s enrollment has been denied or terminated, Subcontractor and Health Plan must terminate Provider immediately and will notify affected Covered Persons Medicaid Managed Care Members that Provider is no longer participating in the network. Subcontractor and Health Plan will exclude from its network any provider who is on the State’s exclusion list or has been terminated or suspended from the Medicare, Medicaid or CHIP program in any state.

Medicaid or CHIP Participation. Provider must be enrolled with the State as a Medicaid or CHIP provider, as applicable to participate in Health PlanSubcontractor’s Medicaid or CHIP network. Upon notification from the State that Provider’s enrollment has been denied or terminated, Subcontractor and Health Plan must terminate Provider immediately and will notify affected Covered Persons that Provider is no longer participating in the network. Subcontractor and Health Plan will exclude from its network any provider who is on the State’s exclusion list or has been terminated or suspended from the Medicare, Medicaid or CHIP program in any state.