Common use of Medicaid Participation Clause in Contracts

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).

Appears in 5 contracts

Samples: Massachusetts Government Programs Regulatory Requirements Appendix, Massachusetts Government Programs Regulatory Requirements Appendix, Massachusetts Government Programs Regulatory Requirements Appendix

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