Common use of No Balance Billing by Providers Clause in Contracts

No Balance Billing by Providers. With respect to its Members who are eligible for Medicaid payment of Cost-Sharing, Health Plan agrees that it shall include in its contracts with Health Plan providers that they shall not bill or charge (“balance bill”) such individuals the balance for any services such individuals are not liable in accordance with Section 1902(n)(3) of the Social Security Act. (Sec. 5.11.4)

Appears in 2 contracts

Samples: State Medicaid Agency Contract, State Medicaid Agency Contract

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No Balance Billing by Providers. With respect to its Members who are eligible for Medicaid payment of Cost-Sharing, Health Plan agrees that it shall include in its contracts with Health Plan providers that they shall not bill or charge (“balance bill”) such individuals the balance for any services such individuals are not liable in accordance with Section 1902(n)(3) of the Social Security Act. (Sec. 5.11.4SMAC Requirements Matrix #4)

Appears in 1 contract

Samples: State Medicaid Agency Contract

No Balance Billing by Providers. With respect to its Members who are eligible for Medicaid payment of Cost-Sharing, Health Plan agrees that it shall include in its contracts with Health Plan providers that they shall not bill or charge (“balance bill”) such individuals the balance for any services such individuals are not liable in accordance with Section 1902(n)(3) of the Social Security Act. (Sec. 5.11.4).

Appears in 1 contract

Samples: State Medicaid Agency Contract

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No Balance Billing by Providers. With respect to respectto its Members who are eligible for Medicaid payment of paymentof Cost-Sharing, Health Plan agrees that it shall include in its contracts with Health Plan providers that they shall not bill xxxx or charge (“balance billxxxx”) such individuals the balance for any services such individuals are not liable in accordance with Section 1902(n)(3) of the Social Security Act. (Sec. 5.11.4)

Appears in 1 contract

Samples: State Medicaid Agency Contract

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