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
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
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