Common use of Out-of-Network Services Clause in Contracts

Out-of-Network Services. A. If the Contractor’s provider network is unable to provide necessary services, covered under this Contract, to a particular beneficiary, the Contractor shall adequately and timely cover the services out-of-network, for as long as the Contractor’s provider network is unable to provide them. (42 C.F.R. § 438.206(b)(4).)

Out-of-Network Services. A. If the Contractor’s provider network is unable to provide necessary services, covered under this Contract, to a particular beneficiary, the Contractor shall adequately and timely cover the services out-of-out of network, for as long as the Contractor’s provider network is unable to provide them. (42 C.F.R. § 438.206(b)(4).)