Other Legal and Regulatory Requirements Sample Clauses

Other Legal and Regulatory Requirements. The following provisions are required to be in this Agreement pursuant to WAC 284-170-421(3): a) Participating Provider hereby agrees that in no event, including, but not limited to nonpayment by Contractor’s insolvency, or breach of this contract will Participating Provider xxxx, charge, collect a deposit from, seek compensation, remuneration, or reimbursement from, or have any recourse against an Enrollee or person acting on their behalf, other than Contractor, for services provided pursuant to this contract. This provision does not prohibit collection of deductibles, copayments, coinsurance, and/or payment for noncovered services}, which have not otherwise been paid by a primary or secondary issuer in accordance with regulatory standards for coordination of benefits, from Enrollees in accordance with the terms of the Enrollee's health plan. b) Participating Provider agrees, in the event of Contractor’s insolvency, to continue to provide the services promised in this contract to Enrollees of Apple Health for the duration of the period for which premiums on behalf of the Enrollee were paid to Contractor or until the Enrollee's discharge from inpatient facilities, whichever time is greater. c) Notwithstanding any other provision of this contract, nothing in this contract shall be construed to modify the rights and benefits contained in the Enrollee's health plan. d) Participating Provider may not xxxx the Enrollee for covered services (except for deductibles, copayments, or coinsurance) where Contractor denies payments because the provider or facility has failed to comply with the terms or conditions of this contract.