Participant Changes to PCP Sample Clauses

Participant Changes to PCP. The FIDA-IDD Plan must allow Participants the freedom to change PCPs, without cause, at any time, and in accordance with 18 NYCRR 360-6.4 and 42 C.F.R. § 431.54(e) (rules around recipient restriction), where applicable.
Sample 1
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Participant Changes to PCP. 2.8.6.2.1. The FIDA-IDD Plan must allow Participants the freedom to change PCPs, without cause, at any time, and in accordance with 18 NYCRR 360-6.4 and 42 C.F.R. § 431.54(e) (rules around recipient restriction), where applicable. 2.8.6.2.2. The FIDA-IDD Plan must process a request to change PCPs and advise the Participant of the effective date of the change, which shall be within five (5) Business Days of the request. 2.8.6.2.3. The FIDA-IDD Plan will provide Participants with an opportunity to select a new PCP in the event that the Participant’s current PCP leaves the Provider Network or otherwise becomes unavailable. 2.8.6.2.4. In the event that an assignment of a new PCP is necessary due to the unavailability of the Participant’s former PCP, such assignment shall be made in accordance with the requirements of Section 2.8.5 of this Contract. 2.8.6.2.5. In addition to those conditions and circumstances under which the FIDA-IDD Plan may assign a Participant a PCP when the Participant fails to make an affirmative choice of a PCP, the FIDA-IDD Plan may initiate a PCP change for a Participant under the following circumstances: 2.8.6.2.5.1. The Participant requires specialized care for an acute or chronic condition and the Participant and FIDA-IDD Plan agree that reassignment to a different PCP is in the Participant’s interest; 2.8.6.2.5.2. The Participant’s place of residence has changed such that he/she has moved beyond the PCP travel time/distance standard; 2.8.6.2.5.3. The Participant’s PCP ceases to participate in the FIDA- IDD Plan’s Provider Network; 2.8.6.2.5.4. The Participant’s behavior toward the PCP is disruptive and the PCP has made all reasonable efforts to accommodate the Participant; or 2.8.6.2.5.5. The Participant has taken legal action against the PCP or the PCP has taken legal action against the Participant. 2.8.6.2.5.5.1. The Participant is newly restricted for primary care services or a condition for changing the Recipient Restriction Program Provider is met, as specified in 18 NYCRR 360-6.4 and 42 C.F.R. § 431.54(e).
Sample 1

Related to Participant Changes to PCP

  • Personnel Participant Conditions The Subrecipient shall include the following clauses in every Subcontract or purchase order, specifically or by reference, so that such provisions will be binding upon each subcontractor or vendor.

  • Participant Contributions If Participant contributions are permitted, complete (a), (b), and (c). Otherwise complete (d).

  • Changes to Compensation Notwithstanding anything contained herein to the contrary, Employee acknowledges that the Company specifically reserves the right to make changes to Employee’s compensation in its sole discretion including, but not limited to, modifying or eliminating a compensation component. The Parties agree that such changes shall be deemed effective immediately and a modification of this Agreement unless, within seven (7) days after receiving notice of such change, Employee exercises his right to terminate this Agreement without cause or for “Good Reason” as provided below in Paragraph No.

  • Sharing of Participant Information 20 7.4 REPORTING AND DISCLOSURE AND COMMUNICATIONS TO PARTICIPANTS..................................................20 7.5 NON-TERMINATION OF EMPLOYMENT; NO THIRD-PARTY BENEFICIARIES.................................................20 7.6

  • Participant Signature Ratification, Acceptance(A), Approval(AA), Accession(a)

  • Participant Information My address is: My Social Security Number is:

  • System for Award Management (XXX) Requirement Alongside a signed copy of this Agreement, Grantee will provide Florida Housing with a XXX.xxx proof of registration and Commercial and Government Entity (CAGE) number. Grantee will continue to maintain an active XXX registration with current information at all times during which it has an active award under this Agreement.

  • Changes to Service We may, from time to time, modify the Service to reflect improvements and other changes and modifications to our network. In addition, we reserve the right to discontinue or limit Service as required to comply with or satisfy our obligations under applicable laws or regulations, including when changes to or interpretations of such laws and regulations have a material, adverse effect on the business, technical or economic feasibility of providing Service, as determined by us in our reasonable judgment.

  • Participant Undertaking Participant hereby agrees to take whatever additional action and execute whatever additional documents the Corporation may deem necessary or advisable in order to carry out or effect one or more of the obligations or restrictions imposed on either Participant or the Purchased Shares pursuant to the provisions of this Agreement.

  • Plan Administrator Duties The Plan Administrator shall administer this Agreement according to its express terms and shall also have the discretion and authority to (i) make, amend, interpret and enforce all appropriate rules and regulations for the administration of this Agreement and (ii) decide or resolve any and all questions, including interpretations of this Agreement, as may arise in connection with this Agreement to the extent the exercise of such discretion and authority does not conflict with Code Section 409A.

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