Medicaid Requirements. The Contractor must distribute their products on the open market through authorized, qualified hearing aid dispensers. In order to ensure Medicaid payments are consistent with efficiency, economy, and quality of care pursuant to Title XIX § 1902(a)(30) of the Social Security Act and the Federal requirement for free choice of providers under 42 CFR § 431.51, contracted vendors must make their products available to all Medicaid enrolled audiologists and hearing instrument dispensers. Enrolled audiologists and dispensers must be allowed to offer all contracted products available to Medicaid recipients, or, if contractor has an arrangement with audiologists and/or hearing instrument dispensers, then the contractor must explain how it will allow its exclusively licensed audiologists and dispensers to provide free choice of hearing aids to Medicaid recipients.
Medicaid Requirements. Providers serving Medicaid Members must enter into and maintain a Medicaid provider agreement with HHSC or its agent to participate in the Medicaid Program, and must have a Texas Provider Identification Number (TPIN).
Medicaid Requirements. Buyer is a recipient of Medicaid funds and subject to the Deficit Reduction Act. Buyer’s Deficit Reduction Act policies are available to Vendor and Vendor will cooperate with Buyer to detect and prevent waste, fraud and abuse and protect whistleblowers. Equal Opportunity: Vendor shall comply with the provisions contained in 41 C.F.R. § 60-1.4(a), 41 C.F.R. § 60 300.5(a), and 41 C.F.R. § 60-741.5(a). These regulations prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity or national origin. Moreover, these regulations require that covered federal government Vendors and sub-Vendors take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability. As applicable, Buyer shall make its affirmative action plan for both protected veterans and qualified individuals with disabilities available to Vendor. Copies of Buyer Compliance policies can be found on the MGH Ethics and Compliance webpage.
Medicaid Requirements. 3.1.1 Certain services provide by the contractor may be included under one of the 1915(c) Home and Community Based Services Medicaid Waiver programs (waivered services) for individuals with mental retardation or other developmental disabilities. Therefore, any waivered services provided by the contractor shall be subject to all applicable Medicaid regulations, rules and requirements.
3.1.2 The contractor must be enrolled as a DD Home and Community Based (HCB) Services Medicaid Waiver provider prior to the delivery of waivered services and throughout the contract period, except when such waivered service is provided by the contractor as a subcontractor under an Organized Health Care Delivery System (OHCDS) arrangement.
3.1.3 The contractor shall have all licenses/accreditation’s/certifications required by the DD HCB Medicaid Waiver, as applicable.
3.1.4 The contractor shall not subcontract for the provision of waivered services unless the contractor is designated by the Department as an Organized Health Care Delivery System (OHCDS) and is in compliance with 42 CFR, Part 434 and 45 CFR, Part 74.
Medicaid Requirements. An Order Schedule may contain additional terms, provided that the terms do not conflict with the provisions of this Agreement.
