Out-of-Network Services. (A) If the Contractor’s network of Participating Providers is unable to provide Medically Necessary Covered Services under this Contract to a particular Enrollee, the Contractor shall adequately and timely cover these services using a Non-Participating Provider for the Enrollee for as long as the Contractor is unable to provide them.
Appears in 16 contracts
Samples: medicaid.utah.gov, Health Contract, medicaid.utah.gov
Out-of-Network Services. (A) If the Contractor’s network of Participating Network Providers is unable to provide Medically Necessary Covered Services under this Contract to a particular Enrollee, the Contractor shall adequately and timely cover these services using a Non-Participating Network Provider for the Enrollee for as long as the Contractor is unable to provide them.
Appears in 15 contracts
Samples: medicaid.utah.gov, medicaid.utah.gov, medicaid.utah.gov
Out-of-Network Services. (A) If the Contractor’s network of Participating Network Providers is unable to provide Medically Necessary Covered Services under this Contract to a particular Enrollee, the Contractor shall adequately and timely cover these services using a Non-Participating Network Provider for the Enrollee for as long as the Contractor is unable to provide them.
Appears in 7 contracts
Samples: medicaid.utah.gov, medicaid.utah.gov, medicaid.utah.gov
Out-of-Network Services. (A) If the Contractor’s network of Participating Providers is unable to provide Medically Necessary Covered Services under this Contract to a particular an Enrollee, the Contractor shall adequately and timely cover these services using a Non-Participating Provider for the Enrollee for as long as the Contractor is unable to provide them.
Appears in 1 contract
Samples: Health Contract
