Common use of PLAN BENEFIT SUBMISSION AND REVIEW Clause in Contracts

PLAN BENEFIT SUBMISSION AND REVIEW. If Contractor intends to participate in the Part D program for the next program year, Contractor agrees to submit the next year’s Part D plan benefit package including all required information on benefits and cost-sharing, by the applicable due date, as provided in Subpart F of 42 C.F.R. Part 423 so that CMS, EOHHS and Contractor may conduct negotiations regarding the terms and conditions of the proposed benefit plan renewal. Contractor acknowledges that failure to submit a timely plan benefit package under this section may affect the Contractor’s ability to offer a plan, pursuant to the provisions of 42 C.F.R. §422.4(c).

Appears in 2 contracts

Samples: Capitated Financial Alignment Contract Addendum, Capitated Financial Alignment Contract Addendum

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PLAN BENEFIT SUBMISSION AND REVIEW. If Contractor intends to participate in the Part D program for the next program year, Contractor agrees to submit the next year’s Part D plan benefit package including all required information on benefits and cost-sharing, by the applicable due date, as provided in Subpart F of 42 C.F.R. Part 423 so that CMS, EOHHS the Department and Contractor may conduct negotiations regarding the terms and conditions of the proposed benefit plan renewal. Contractor acknowledges that failure to submit a timely plan benefit package under this section may affect the Contractor’s ability to offer a plan, pursuant to the provisions of 42 C.F.R. §§ 422.4(c).

Appears in 2 contracts

Samples: Contract, Contract

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PLAN BENEFIT SUBMISSION AND REVIEW. If Contractor intends to participate in the Part D program for the next program year, Contractor agrees to submit the next year’s Part D plan benefit package including all required information on benefits and cost-sharing, by the applicable due date, as provided in Subpart F of 42 C.F.R. Part 423 so that CMS, EOHHS DMAS and Contractor may conduct negotiations regarding the terms and conditions of the proposed benefit plan renewal. Contractor acknowledges that failure to submit a timely plan benefit package under this section may affect the Contractor’s ability to offer a plan, pursuant to the provisions of 42 C.F.R. §422.4(c).

Appears in 1 contract

Samples: Contract

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