Member Physician Termination. Whenever possible, PPG shall notify FHS in writing at least ninety (90) days prior to any action by PPG to terminate a Member Physician’s agreement with PPG, or if Member Physician decides to close his or her medical practice or refuse to accept any additional Members. When ninety (90) days prior written notice is not possible, PPG shall provide as much advance notice as possible. PPG shall immediately notify FHS whenever a Member Physician fails to renew his or her agreement with PPG, whenever PPG has reason to believe a Member Physician will fail to renew his or her agreement with PPG, and whenever PPG knows of an occurrence giving rise to an immediate termination of a Member Physician by PPG. In the event of a Member Physician termination, PPG shall ensure that there is sufficient capacity in the network to meet the access standards as set forth in the Operations Manual. FHS may request and PPG shall terminate any Member Physician from participation under this Agreement, at any time, upon at least thirty (30) days prior written notice from FHS to PPG; provided, however, that no such termination shall be because a Member Physician is advocating on behalf of a Member for health care services. Notwithstanding the foregoing, if a Member Physician is found guilty of a criminal offense, is barred or sanctioned from participation under the Medicare program, or if FHS makes a determination, at its sole discretion, that treatment by a Member Physician may jeopardize the health and safety of any Member, PPG, upon FHS’ request, shall immediately terminate such Member Physician from participation under this Agreement.
Appears in 4 contracts
Samples: Provider Services Agreement (Prospect Medical Holdings Inc), Provider Services Agreement (Prospect Medical Holdings Inc), Provider Services Agreement (Prospect Medical Holdings Inc)
Member Physician Termination. Whenever possible, PPG shall notify FHS PHS in writing at least ninety (90) days prior to any action by PPG to terminate a Member Physician’s agreement with PPG, or if Member Physician decides Decides to close his or her medical practice or refuse to accept any additional Members. When ninety (90) days prior written notice is not possible, PPG shall provide as much advance notice as possible. PPG shall immediately notify FHS whenever a Member Physician fails to renew his or her agreement with PPG, whenever PPG has reason to believe a Member Physician will fail to renew his or her agreement with PPG, and whenever PPG knows of an occurrence giving rise to an immediate termination of a Member Physician by PPG. In the event of a Member Physician termination, PPG shall ensure that there is sufficient capacity in the network to meet the access excess standards as set forth in the Operations Manual. FHS may request and PPG shall terminate any Member Physician from participation under this Agreement, Agreement at any time, time upon at least thirty (30) days prior written notice from FHS to PPG; provided, however, provided however that no such termination shall be because a Member Physician is advocating on behalf of a Member for health care services. Notwithstanding the foregoing, if a Member Physician is found guilty of a criminal offense, is barred or sanctioned from participation under the Medicare program, or if FHS makes a determination, at its sole discretion, discretion that treatment by a Member Physician may jeopardize the health and safety of any Member, PPG, upon FHS’ request, shall immediately terminate such Member Physician from participation under this Agreement.
Appears in 1 contract
Samples: Provider Services Agreement (Prospect Medical Holdings Inc)
Member Physician Termination. Whenever possible, PPG shall notify FHS HNI in writing at least ninety sixty (9060) days prior to any action by PPG to terminate a Member Physician’s agreement with PPG, or if Member Physician decides to close his or her medical practice or refuse to accept any additional Members. When ninety sixty (9060) days prior written notice is not possible, PPG shall provide as much advance notice as possible. PPG shall immediately notify FHS HNI whenever a Member Physician fails to renew his or her agreement with PPG, whenever PPG has reason to believe a Member Physician will fail to renew his or her agreement with PPG, and whenever PPG knows of an occurrence giving rise to an immediate termination of a Member Physician by PPG. In the event of a Member Physician termination, PPG shall ensure that there is sufficient capacity in the network to meet the access standards as set forth in the Operations Manual. FHS HNI may request and PPG shall terminate any Member Physician from participation under this Agreement, at any time, upon at least thirty (30) days prior written notice from FHS HNI with an explanation of HNIs decision to PPG; provided, however, that no such termination shall be because a Member Physician is advocating on behalf of a Member for health care services. Notwithstanding the foregoing, if a Member Physician is found guilty of a criminal offense, is barred or sanctioned from participation under the Medicare program, or if FHS HNI makes a determination, at its sole discretion, that treatment by a Member Physician may jeopardize the health and safety of any Member, PPG, upon FHSHNI’ request, shall immediately terminate such Member Physician from participation under this Agreement.
Appears in 1 contract
Samples: Provider Services Agreement (Prospect Medical Holdings Inc)