Moral or Religious Objections. 7.13.1 If, during the course of the Contract period, pursuant to 42 CFR 438.102, the Contractor elects not to arrange for the provision of, not to reimburse for, or not to provide a Referral or Prior Authorization for a service that is a Covered Service, because of an objection on moral or religious grounds, the Contractor shall notify: 7.13.1.1 ASES within one hundred and twenty (120) Calendar Days before adopting the policy with respect to any service; 7.13.1.2 Enrollees within ninety (90) Calendar Days after adopting the policy with respect to any service; and 7.13.1.3 Enrollees before and during Enrollment. 7.13.2 The Contractor acknowledges that such objection will be grounds for recalculation of rates paid to the Contractor.
Appears in 3 contracts
Samples: Contract for Health Services Administration (Triple-S Management Corp), Contract for Health Services Administration (Triple-S Management Corp), Contract for Administration of Health Services (Triple-S Management Corp)
Moral or Religious Objections. 7.13.1 If, during the course of the Contract period, pursuant to 42 CFR 438.102, the Contractor elects not to arrange for the provision ofprovide, not to reimburse for, or not to provide a Referral or Prior Authorization for a service that is a within the scope of the detailed Covered ServiceServices, because of an objection on moral or religious grounds, the Contractor shall notify:
7.13.1.1 ASES within one hundred and twenty (120) Calendar Days before adopting the policy with respect to any service;
7.13.1.2 Enrollees within ninety (90) Calendar Days after adopting the policy with respect to any service; and
7.13.1.3 Enrollees and Potential Enrollees before and during Enrollment.
7.13.2 The Contractor acknowledges that such objection will be grounds for recalculation of rates paid to the Contractor.
Appears in 1 contract
Samples: Contract for Provision of Health Services (Triple-S Management Corp)