Medical Management Programs. Facility agrees to participate in Medical Management Programs related to Facility Services and related amendments, if any, which are provided to Facility regarding Facility Services to Members. All Medical Management Programs now or hereafter conducted directly by Crescent pursuant to this Agreement shall be conducted in a manner substantially consistent with all applicable Joint Commission and NCQA requirements, the requirements of the Healthcare Quality Improvement Act of 1986, as amended, and all other regulatory standards and criteria for such programs. Crescent or its designee may permit Payors and their designees to conduct Medical Management Programs and shall contractually require such entities to meet such legal and regulatory requirements. Crescent shall contractually require any entity which now or hereafter conducts Medical Management Program on behalf of Crescent pursuant to this Agreement to obtain Crescent's prior written consent before modifying any Medical Management Program. Crescent will maintain copies of all Medical Management Programs conducted by Crescent or Crescent’s designee and make such copies available for inspection and copying by Facility during normal business hours. Upon agreement by Crescent to any modification of, or new implementation of, a Medical Management Program which materially affects Facility, Crescent shall provide written notice to Facility describing such modification or containing a copy of such revised or new Medical Management Program and setting forth a date by which Facility must comply with such modifications, allowing a reasonable amount of time (not less than thirty (30) days) for Facility to comply with such revisions.
Appears in 2 contracts
Samples: Participating Facility Agreement, Participating Facility Agreement
Medical Management Programs. Facility Provider agrees to participate in Medical Management Programs related to Facility Provider Services and related amendments, if any, which are provided to Facility Provider regarding Facility Provider Services to Members. All Medical Management Programs now or hereafter conducted directly by Crescent pursuant to this Agreement shall be conducted in a manner substantially consistent with all applicable Joint Commission and NCQA requirements, the requirements of the Healthcare Quality Improvement Act of 1986, as amended, and all other regulatory standards and criteria for such programs. Crescent or its designee may permit Payors and their designees to conduct Medical Management Programs and shall contractually require such entities to meet such legal and regulatory requirements. Crescent shall contractually require any entity which now or hereafter conducts Medical Management Program on behalf of Crescent pursuant to this Agreement to obtain Crescent's ’s prior written consent before modifying any Medical Management Program. Crescent will maintain copies of all Medical Management Programs conducted by Crescent or Crescent’s designee and make such copies available for inspection and copying by Facility Provider during normal business hours. Upon agreement by Crescent to any modification of, or new implementation of, a Medical Management Program which materially affects FacilityProvider, Crescent shall provide written notice to Facility Provider describing such modification or containing a copy of such revised or new Medical Management Program and setting forth a date by which Facility Provider must comply with such modifications, allowing a reasonable amount of time (not less than thirty (30) days) for Facility Provider to comply with such revisions.
Appears in 2 contracts
Samples: Health Provider Agreement, Health Provider Agreement
Medical Management Programs. Facility Physician agrees to participate in Medical Management Programs related to Facility Physician Services and related amendments, if any, which are provided to Facility Physician regarding Facility Physician Services to Members. All Medical Management Programs now or hereafter conducted directly by Crescent pursuant to this Agreement shall be conducted in a manner substantially consistent with all applicable Joint Commission and NCQA requirements, the requirements of the Healthcare Quality Improvement Act of 1986, as amended, and all other regulatory standards and criteria for such programs. Crescent or its designee may permit Payors and their designees to conduct Medical Management Programs and shall contractually require such entities to meet such legal and regulatory requirements. Crescent shall contractually require any entity which now or hereafter conducts Medical Management Program on behalf of Crescent pursuant to this Agreement to obtain Crescent's ’s prior written consent before modifying any Medical Management Program. Crescent will maintain copies of all Medical Management Programs conducted by Crescent or Crescent’s designee and make such copies available for inspection and copying by Facility Physician during normal business hours. Upon agreement by Crescent to any modification of, or new implementation of, a Medical Management Program which materially affects FacilityPhysician, Crescent shall provide written notice to Facility Physician describing such modification or containing a copy of such revised or new Medical Management Program and setting forth a date by which Facility Physician must comply with such modifications, allowing a reasonable amount of time (not less than thirty (30) days) for Facility Physician to comply with such revisions.
Appears in 1 contract
Samples: Participating Physician Agreement