Notice of Adverse Actions. Provider shall promptly notify BCBSM of any action, determination, or circumstance involving Provider which affects or may affect the provision of Covered Services. Such circumstances shall include, without limitation, the following: a. Plea of guilty or nolo contendere or conviction, or placement in a diversion program for any crime related to the payment or provision of health care; b. Censure, reprimand, restriction, suspension, revocation or reduction to probationary status of Provider's license to practice or any hospital related privileges; c. Disability or infirmity which prevents or reduces Provider's ability to meet accepted practice standards, as defined by BCBSM, or the failure to successfully complete a program related to substance abuse;
Appears in 5 contracts
Samples: Participation Agreement, Participation Agreement, Direct Reimbursement Participation Agreement
Notice of Adverse Actions. Provider shall promptly notify BCBSM of any action, determination, or circumstance involving Provider which affects or may affect the provision of Covered Services. Such circumstances shall include, without limitation, the following:
a. Plea of guilty or nolo contendere or conviction, or placement in a diversion program for any crime related to the payment or provision of health care;
b. Censure, reprimand, restriction, suspension, revocation or reduction to probationary status of Provider's license to practice (if applicable) or any hospital related privileges;
c. Disability or infirmity which prevents or reduces Provider's ability to meet accepted practice standards, as defined by BCBSM, or the failure to successfully complete a program related to substance abuse;
Appears in 1 contract
Samples: Participation Agreement
Notice of Adverse Actions. Provider shall promptly notify BCBSM in writing of any action, determination, or circumstance involving Provider which affects or may affect the provision of Covered Services. Such circumstances shall include, without limitation, the following:
a. Plea of guilty or nolo contendere or conviction, or placement in a diversion program for any crime related to the payment or provision of health care;
b. Censure, reprimand, restriction, suspension, revocation or reduction to probationary status of Provider's license to practice or any hospital related privileges;
c. Disability or infirmity which prevents or reduces Provider's ability to meet accepted practice standards, as defined by BCBSM, or the failure to successfully complete a program related to substance abuse;
d. Exclusion or debarment from any state or federal program.
Appears in 1 contract
Samples: Participation Agreement