No Incentives to Limit Medically Necessary Services. United shall not structure compensation provided to individuals or entities that conduct utilization management and concurrent review activities so as to provide incentives for the individual or entity to deny, limit, or discontinue Medically Necessary services to any Covered Person.
Appears in 29 contracts
Samples: Arizona Long Term Care Program Regulatory Requirements Appendix, Medicaid Provider Agreement, Provider Agreement
No Incentives to Limit Medically Necessary Services. United shall not structure compensation provided to individuals or entities that conduct utilization management and concurrent review activities so as to provide incentives for the individual or entity to deny, limit, or discontinue Medically Necessary services Covered Services to any Covered Person.
Appears in 3 contracts
Samples: Provider Agreement, Provider Agreement, Provider Agreement
No Incentives to Limit Medically Necessary Services. United shall not structure compensation provided to individuals or entities that conduct utilization management and concurrent review activities so as to provide incentives for the individual or entity to deny, limit, or discontinue Medically Necessary services to any Covered PersonCustomer.
Appears in 2 contracts
Samples: Provider Agreement, Provider Agreement
No Incentives to Limit Medically Necessary Services. United shall not structure compensation provided to individuals or entities that conduct utilization management and concurrent review activities so as to provide incentives for the individual or entity to deny, limit, or discontinue Medically Necessary services to any Covered PersonMember.
Appears in 1 contract
Samples: Florida Medicaid Program Regulatory Requirements Appendix
