Common use of Operation of Programs Clause in Contracts

Operation of Programs. WellCare shall operate, or WellCare shall delegate to a third party from time to time to the extent consistent with applicable federal, state, local law and regulations and regulatory agency's guidelines, utilization management, quality improvement, health service delivery and preauthorization Policies and Procedures, in consultation with IPA, as well as Member and Participating Provider grievance programs, to assure the delivery of cost effective, quality health care services by IPA Physicians. WellCare shall deliver to IPA simultaneously with the execution and delivery of this Agreement all current Policies and Procedures reasonably necessary to keep IPA Physicians abreast of the policies and programs of WellCare in which they participate, which Policies and Procedures are, and all additions to and amendments thereof shall be, incorporated herein by reference. Additionally, WellCare shall provide IPA with any addition to or amendment of such Policies and Procedures not less than thirty (30) days prior to the effective date of such addition or amendment, during which period WellCare shall consult with IPA regarding any reasonable concerns that IPA might have in connection therewith. Additionally, WellCare shall deliver to IPA (i) copies of all IPA Member Benefit Plans, simultaneously with the execution hereof and (ii) any amendments thereto, not less than thirty (30) days prior to the effective date of such amendments.

Appears in 4 contracts

Samples: Ipa Service Agreement (Wellcare Management Group Inc), Ipa Service Agreement (Wellcare Management Group Inc), Ipa Service Agreement (Wellcare Management Group Inc)

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