Common use of Medical Management Programs Clause in Contracts

Medical Management Programs. Provider agrees to participate in Medical Management Programs related to Provider Services and related amendments, if any, which are provided to Provider regarding 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 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 Provider during normal business hours. Upon agreement by Crescent to any modification of, or new implementation of, a Medical Management Program which materially affects Provider, Crescent shall provide written notice to Provider describing such modification or containing a copy of such revised or new Medical Management Program and setting forth a date by which Provider must comply with such modifications, allowing a reasonable amount of time (not less than thirty (30) days) for Provider to comply with such revisions.

Medical Management Programs. Provider Facility agrees to participate in Medical Management Programs related to Provider Facility Services and related amendments, if any, which are provided to Provider Facility regarding Provider 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 '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 Provider Facility during normal business hours. Upon agreement by Crescent to any modification of, or new implementation of, a Medical Management Program which materially affects ProviderFacility, Crescent shall provide written notice to Provider Facility describing such modification or containing a copy of such revised or new Medical Management Program and setting forth a date by which Provider Facility must comply with such modifications, allowing a reasonable amount of time (not less than thirty (30) days) for Provider Facility to comply with such revisions.

Medical Management Programs. Provider Physician agrees to participate in Medical Management Programs related to Provider Physician Services and related amendments, if any, which are provided to Provider Physician regarding Provider 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 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 Provider Physician during normal business hours. Upon agreement by Crescent to any modification of, or new implementation of, a Medical Management Program which materially affects ProviderPhysician, Crescent shall provide written notice to Provider Physician describing such modification or containing a copy of such revised or new Medical Management Program and setting forth a date by which Provider Physician must comply with such modifications, allowing a reasonable amount of time (not less than thirty (30) days) for Provider Physician to comply with such revisions.