Common use of Medicaid Participation Clause in Contracts

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. Provider must be enrolled with the State as a Medicaid or CHIP provider, as applicable provider 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.