Medicare/Medicaid. There are no Medicare or Medicaid termination proceedings underway with respect to any of the Loan Parties, each entity meets the Medicare conditions of participation and, to our knowledge after such reasonable investigation under the circumstances, no employee or independent contractor of any Loan Parties has been excluded in participating in Medicare or Medicaid or any similar federal programs.
Medicare/Medicaid. The parties hereto understand and agree that the exercise of remedies hereunder with respect to receivables from Medicare or Medicaid may be subject to applicable federal laws.
Medicare/Medicaid. Enrollee (or Enrollee) — For the purposes of this Demonstration, an individual who is entitled to, or enrolled for, benefits under Part A of title XVIII of the Social Security Act, and enrolled for benefits under Part B of title XVIII of such Act, and is eligible for medical assistance under a State plan under title XIX of such Act or under a waiver of such plan.
Medicare/Medicaid. LH shall continue to participate in the Medicare and Medicaid programs and maintain the necessary licenses for LH’s general acute care hospitals in Lee County to participate in the Medicare and Medicaid programs, and it shall continue serving Medicare and Medicaid patients in Lee County at levels consistent with such levels over the past five (5) years, absent a Significant Change;
Medicare/Medicaid. El paciente comprende que el Xx. Xxxx se excluye de Medicare/Medicaid. Como resultado, tanto el Paciente como la Práctica tendrán prohibido por ley solicitar el reembolso de Medicare/Medicaid por cualquier Servicio proporcionado bajo este Acuerdo. En consecuencia, el paciente acepta no enviar facturas ni buscar el reembolso de Medicare/Medicaid por dichos servicios. Además, si el Paciente es elegible o se vuelve elegible para Medicare/Medicaid durante el término de este Acuerdo, el Paciente acepta informar inmediatamente a la Práctica y firmar el contrato privado de Medicare/Medicaid según lo dispuesto y requerido por xx xxx. El Xx. Xxxx no será responsable del papeleo relacionado con la cobertura de productos y servicios proporcionados fuera de la Práctica.
Medicare/Medicaid. The Company will use reasonable best efforts to cause USPGI to be operated in substantial compliance with the conditions and standards of participation in, and the rules and regulations of, the Medicare and Medicaid programs.
Medicare/Medicaid. The Patient understands that Xx. Xxxx is opted out of Medicare/Medicaid. As a result, both the Patient and the Practice shall be prohibited by law from seeking reimbursement from Medicare/Medicaid for any Services provided under this Agreement. Accordingly, the Patient agrees not to submit bills or seek reimbursement from Medicare/Medicaid for any such services. Furthermore, if the Patient is eligible or becomes eligible for Medicare/Medicaid during the term of this Agreement, the Patient agrees to immediately inform the Practice and sign the Medicare/Medicaid private contract as provided and required by law. Xx. Xxxx will not be responsible for paperwork relating to coverage of products and services provided outside of the Practice.
Medicare/Medicaid. Except as would not reasonably be expected to result in a Material Adverse Effect, there are no Medicare or Medicaid termination proceedings underway with respect to any of the Loan Parties, each entity meets the Medicare conditions of participation and, to Xxxxxxxx’s knowledge after such reasonable investigation under the circumstances, no employee or independent contractor of any Loan Parties has been excluded in participating in Medicare or Medicaid or any similar federal programs.
Medicare/Medicaid. Plan (MMP) -- A health plan contracted with DHCS and CMS to comprehensively manage the full continuum of Medicare and Medi- Cal benefits for Medicare-Medicaid Enrollees including Long Term Supports and Services as needed and desired by the Enrollee.
Medicare/Medicaid. As of the date hereof, no resident at any Facility is a participant in Medicare, Medicaid or other public payor program with respect to such resident's fees or other services payable to SDI, SALII, SALI, any Facility Owner, or Manager. To Sunrise's knowledge, no action, proceeding, or investigation in connection with Medicare, Medicaid or other public or private third-party payor or other programs is pending or threatened against Sunrise in connection with the Facilities. Sunrise has not received notice of any threatened or pending investigation in connection with (i) Medicare, Medicaid, or other public or private third-party payor programs or (ii) any fraud, false statement or false claim applicable to its business or (iii) any patient care, patient rights or other law applicable to its business. Sunrise has prepared and filed all cost reports, if any, that were required to be filed for Medicare and Medicaid purposes and for all other public or private third-party reimbursement programs through the date of this Agreement. All such cost reports, if any, are correct and accurate and have been prepared in conformity with Sunrise's books and records. Sunrise has not received notice that Medicare, Medicaid or any other public or private third-party payor has any claims for disallowance of costs against it. To Sunrise's knowledge, Sunrise has not committed any violation of the Medicare and Medicaid fraud and abuse provisions of the Social Security Act, any similar state law or Title VI of the Civil Rights Act.
