Medicaid Participation. Provider must be enrolled with the State as a provider, as applicable to participate in Subcontractor’s or Health Plan’s Medicaid 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 from the Medicare, Medicaid or CHIP program in any state, as identified in the CMS Termination Notification Database, pursuant to the 21st Century Cures Act section 5005(a).
Medicaid 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 has been terminated or suspended from the Medicare, Medicaid or CHIP program in any state.
Medicaid Participation. The MCO or the delegated credentialing entity is responsible for the determination and verification that the provider meets the minimum requirements for Medicaid participation. The MCO or its subcontractors may not delegate this provision to the Department nor require providers to enroll or participate in fee-for-service Medicaid to fulfill the requirement. While the Department encourages the MCO to contract with traditional and existing Medicaid providers, Medicaid participation in itself is not a requirement of the HUSKY contracts.
Medicaid Participation. The Company with respect to the Centers is qualified for participation in the Medicaid program. Complete and accurate copies of the Company’s existing Medicaid contracts have been furnished to the Purchaser. The Company is presently in compliance with all of the terms, conditions and provisions of such contracts the noncompliance with which would have a Company Material Adverse Effect on any such contract.
Medicaid Participation. The Partnership with respect to the Ambulatory Surgical Center is qualified for participation in the Medicaid program. Complete and accurate copies of the Partnership’s existing Medicaid contracts have been furnished to the Purchaser. The Partnership is presently in compliance with all of the terms, conditions and provisions of such contracts the noncompliance with which would have a Partnership Material Adverse Effect on any such contract.
Medicaid Participation. For a period of five (5) years from and after the Closing Date, the LLC will participate as a Medicaid provider at each of the facilities controlled by the LLC and which accepted Medicaid patients during fiscal year 2011 as identified on Schedule 6.8 (the “Medicaid Participating Facilities”). Nothing herein shall prevent the LLC from closing any Medicaid Participating Facility and ceasing participation in the Medicaid program as a consequence thereof. For an additional five (5) year period after the expiration of the initial five (5) year period, the LLC will continue to participate as a Medicaid provider at each of the Medicaid Participating Facilities. Notwithstanding the foregoing, if LLC management determines, in its sole discretion, that Medicaid funding for one (1) or more of the Medicaid Participating Facilities has been or will be, based upon an approved Medicaid budget, materially reduced (as compared to 2011 Medicaid funding for the Medicaid Participating Facilities (expressed as Medicaid net revenue per Medicaid adjusted admission), adjusted for changes in the CPI from its level as of the Closing Date to the date of the approved budget) at any time during that five (5) year period, LLC management will conduct a community needs assessment to determine the impact on the community if the LLC were to no longer accept Medicaid and a financial analysis to determine the financial impact to the LLC of such reductions. If LLC management, in its sole discretion, determines that the financial impact to the LLC of such reductions is material, then LLC management may recommend to the Board that the LLC no longer participate in the Medicaid program at one (1) or more of the Medicaid Participating Facilities. The results of the community needs assessment and the financial impact assessments shall be presented to the Board along with LLC management’s recommendations. Only upon receipt of a Super Majority Approval of the Board, the LLC may thereafter cease participation in the Medicaid program at one (1) or more of the Medicaid Participating Facilities consistent with the Board’s approval. Within thirty (30) days after the LLC has received an audit of its financial statements for the fiscal year ending December 31, 2011, the LLC shall deliver to the Foundation its calculation of the Medicaid net revenue per Medicaid adjusted admission, which calculation shall be based upon such audited financial statements Except as provided below, in no event will any Medicaid ...
Medicaid Participation. The Company is qualified for participation in the Medicaid program. Complete and accurate copies of the Company’s existing Medicaid contracts have been made available to the Purchaser. The Company is presently in compliance with all of the terms, conditions and provisions of such contracts the noncompliance with which would have a Material Adverse Effect on any such contract.
Medicaid Participation. Provider understands and agrees that: Information disclosed by Provider is subject to verification. This information will be used for purposes related to the administration of the Medicaid program. Provider will notify DHS of any changes which would affect this Agreement, or payment for services covered by this Agreement, within thirty (30) days of the change. Provider shall, upon reasonable request by DHS, OHA, Oregon Medicaid Fraud Unit, Oregon Secretary of State’s Office, Center for Medicare and Medicaid Services or their agents or designated contractors, grant immediate access to review and copy any and all records relied on by Provider in support of care and services provided under this Agreement. The term “immediate access” means access to records at the time the written request is presented to the Provider.
Medicaid Participation. Charlotte Valley represents and warrants that it, nor its employees or contractors, are not excluded from participation in, and is not otherwise ineligible to participate, in a “federal health care program”, including but not limited to Medicaid and Medicare, as defined in 42 U.S.C. Section 1320a-7b(f) or in any other government program. In the event that Charlotte Valley or one of its employees is excluded from participation or becomes otherwise ineligible to participate in any such program during the term of this agreement, Charlotte Valley agrees that it will notify the District in writing of the exclusion within three (3) business days after learning of the exclusion. Failure to notify the District of the exclusion constitutes a material breach of this agreement and cause for the District to terminate the agreement immediately.
