Common use of Obligations of Provider Clause in Contracts

Obligations of Provider. a. PROVIDER agrees to enroll in the North Dakota Medicaid program, if not already enrolled, and to remain in good standing as a participating provider in such program. If PROVIDER is a group of practitioners, each practitioner in the group who furnishes specified services to a Medicaid- enrolled IHS beneficiary under a care coordination arrangement described in section V of this Agreement must be enrolled and in good standing as a provider in the North Dakota Medicaid program. b. PROVIDER agrees to carry out and comply with the requirements of the care coordination arrangement set forth in section V of this Agreement. c. PROVIDER is responsible for billing for all services furnished, regardless of whether the IHS Beneficiary is enrolled in Medicaid or covered by another alternate resource. For Medicaid claims, the PROVIDER’s claim must contain the information specified by the North Dakota Medicaid program to document the care coordination arrangement under this Agreement. d. PROVIDER shall not condition the provision of services to a Medicaid-Enrolled IHS Beneficiary on a Request for Services from IHS. Nothing in this Agreement shall preclude a Medicaid- Enrolled IHS Beneficiary from receiving care from any qualified Medicaid-enrolled provider who undertakes to furnish such service, and nothing in this agreement shall preclude PROVIDER from furnishing care that is not covered by this agreement. e. PROVIDER agrees not to refuse a Request for Services to an individual on the basis that the payment for such service is authorized under PRC, and further agrees to accept applicable PRC payments rates and methodologies for the provision of requested services. f. PROVIDER shall maintain malpractice insurance in the form and minimum amount required by the State in which the services are performed, and shall keep and maintain all required records of care, referrals, invoices, and billing documents. Services provided by PROVIDER pursuant to this Agreement are not covered by the Federal Tort Claims Act. g. PROVIDER agrees to comply with the General Obligations described in section VIII of this Agreement.

Obligations of Provider. a. PROVIDER agrees to enroll in the North South Dakota Medicaid program, if not already enrolled, and to remain in good standing as a participating provider in such program. If PROVIDER is a group of practitioners, each practitioner in the group who furnishes specified services to a Medicaid- enrolled IHS beneficiary under a care coordination arrangement described in section V of this Agreement must be enrolled and in good standing as a provider in the North South Dakota Medicaid program. b. PROVIDER agrees to carry out and comply with the requirements of the care coordination arrangement set forth in section V of this Agreement. c. PROVIDER is responsible for billing for all services furnished, regardless of whether the IHS Beneficiary is enrolled in Medicaid or covered by another alternate resource. For Medicaid claims, the PROVIDER’s claim must contain the information specified by the North South Dakota Medicaid program to document the care coordination arrangement under this Agreement. d. PROVIDER shall not condition the provision of services to a Medicaid-Enrolled IHS Beneficiary on a Request for Services from IHS. Nothing in this Agreement shall preclude a Medicaid- Enrolled IHS Beneficiary from receiving care from any qualified Medicaid-enrolled provider who undertakes to furnish such service, and nothing in this agreement shall preclude PROVIDER from furnishing care that is not covered by this agreement. e. PROVIDER agrees not to refuse a Request for Services to an individual on the basis that the payment for such service is authorized under PRC, and further agrees to accept applicable PRC payments rates and methodologies for the provision of requested services. f. PROVIDER shall maintain malpractice insurance in the form and minimum amount required by the State in which the services are performed, and shall keep and maintain all required records of care, referrals, invoices, and billing documents. Services provided by PROVIDER pursuant to this Agreement are not covered by the Federal Tort Claims Act. g. PROVIDER agrees to comply with the General Obligations described in section VIII of this Agreement.

Obligations of Provider. a. PROVIDER agrees to enroll in the North Dakota [South Dakota] Medicaid program, if not already enrolled, and to remain in good standing as a participating provider in such program. If PROVIDER is a group of practitioners, each practitioner in the group who furnishes specified services to a Medicaid- enrolled IHS beneficiary under a care coordination arrangement described in section V of this Agreement must be enrolled and in good standing as a provider in the North Dakota Medicaid program. b. PROVIDER agrees to carry out and comply with the requirements of the care coordination arrangement set forth in section V of this Agreement. c. PROVIDER is responsible for billing for all services furnished, regardless of whether the IHS Beneficiary beneficiary is enrolled in covered by Medicaid or covered by another alternate resource. For Medicaid claims, the PROVIDER’s claim must contain the information specified by the North Dakota [South Dakota] Medicaid program to document the care coordination arrangement under this Agreement. d. PROVIDER shall not condition the provision of services to a Medicaid-Enrolled IHS Beneficiary on a Request request for Services services from IHS. Nothing in this Agreement shall preclude a Medicaid- Enrolled IHS Beneficiary from receiving care from any qualified Medicaid-enrolled provider who undertakes to furnish such service, and nothing in this agreement shall preclude PROVIDER from furnishing care that is not covered by this agreement. e. PROVIDER agrees not to refuse a Request request for Services service to an individual on the basis that the payment for such service is authorized under PRC, and further agrees to accept applicable PRC payments rates and methodologies for the provision of requested services. f. PROVIDER shall maintain malpractice insurance in the form and minimum amount required by the State in which the services are performed, and shall keep and maintain all required records of care, referrals, invoices, and billing documents. Services provided by PROVIDER pursuant to this Agreement are not covered by the Federal Tort Claims Act. g. PROVIDER agrees to comply with the General Obligations described in section VIII IX of this Agreement.

Obligations of Provider. a. PROVIDER agrees to enroll in the North Dakota [name of State] Medicaid program, if not already enrolled, and to remain in good standing as a participating provider in such program. If PROVIDER is a group of practitioners, each practitioner in the group who furnishes specified services to a Medicaid- Medicaid-enrolled IHS beneficiary under a care coordination arrangement described in section V of this Agreement must be enrolled and in good standing as a provider in the North Dakota [name of State] Medicaid program. b. . PROVIDER agrees to carry out and comply with the requirements of the care coordination arrangement set forth in section V of this Agreement. c. . PROVIDER is responsible for billing for all services furnished, regardless of whether the IHS Beneficiary is enrolled in Medicaid or covered by another alternate resource. For Medicaid claims, the PROVIDER’s claim must contain the information specified by the North Dakota [name of State] Medicaid program to document the care coordination arrangement under this Agreement. d. . PROVIDER shall not condition the provision of services to a Medicaid-Enrolled IHS Beneficiary on a Request for Services from IHS. Nothing in this Agreement shall preclude a Medicaid- Medicaid-Enrolled IHS Beneficiary from receiving care from any qualified Medicaid-enrolled provider who undertakes to furnish such service, and nothing in this agreement Agreement shall preclude PROVIDER from furnishing care that is not covered by this agreement. e. PROVIDER agrees not to refuse a Request for Services to an individual on the basis that the payment for such service is authorized under PRC, and further agrees to accept applicable PRC payments rates and methodologies for the provision of requested services. f. Agreement. PROVIDER shall maintain malpractice insurance in the form and minimum amount required by the State in which the services are performed, and shall keep and maintain all required records of care, referrals, invoices, and billing documents. Services provided by PROVIDER pursuant to this Agreement are not covered by the Federal Tort Claims Act. g. . PROVIDER agrees to comply with the General Obligations described in section VIII of this Agreement.