Prohibition Against Performance Outside the United States. The MCO and a Subcontractor must comply with the requirements of Section 6505 of the PPACA, entitled “Prohibition on Payments to Institutions or Entities Located Outside of the United States” and guidance provided by CMS under State Medicaid Director (SMD) letter #10- 026. All work performed by the MCO or a Subcontractor under this Contract must be performed exclusively within the United States with the exception of tasks that support the administration of the Medicaid State Plan as further described in this paragraph. No payments for items or services provided under the State Plan or under a waiver may be made by the MCO or a Subcontractor to any entity or financial institution outside of the United States. “Items or services provided under the State Plan or under a waiver” refers to medical assistance for which the State claims Federal funding under section 1903(a) of the Act. Tasks that support the administration of the Medicaid State Plan that may require payments to financial institutions or entities located outside of the United States are not prohibited under this statute (e.g., payments for outsourcing information processing related to plan administration or call centers related to enrollment or claims adjudication). All information, including protected health information (PHI), obtained by the MCO or a Subcontractor under this Contract must be stored and maintained within the United States.
Appears in 3 contracts
Samples: Purchase of Service Provider Agreement, Purchase of Service Provider Agreement, Purchase of Service Provider Agreement
Prohibition Against Performance Outside the United States. The MCO and a Subcontractor must comply with the requirements of Section 6505 of the PPACA, entitled “Prohibition on Payments to Institutions or Entities Located Outside of the United States” and guidance provided by CMS under State Medicaid Director (SMD) letter #10- 026. All work performed by the MCO or a Subcontractor under this Contract must be performed exclusively within the United States with the exception of tasks that support the administration of the Medicaid State Plan as further described in this paragraph. No payments for items or services provided under the State Plan or under a waiver may be made by the MCO or a Subcontractor to any entity or financial institution outside of the United States. “Items or services provided under the State Plan or under a waiver” refers to medical assistance for which the State claims Federal funding under section 1903(a) of the Act. Tasks that support the administration of the Medicaid State Plan that may require payments to financial institutions or entities located outside of the United States U.S. are not prohibited under this statute (e.g., payments for outsourcing information processing related to plan administration or call centers related to enrollment or claims adjudication). All information, including protected health information (PHI), obtained by the MCO or a Subcontractor under this Contract must be stored and maintained within the United States.
Appears in 2 contracts
Samples: Purchase of Service Provider Agreement, Purchase of Service Provider Agreement
Prohibition Against Performance Outside the United States. The MCO and a Subcontractor must comply with the requirements of Section 6505 of the PPACA, entitled “Prohibition on Payments to Institutions or Entities Located Outside of the United States” and guidance provided by CMS under State Medicaid Director (SMD) letter #10- 026025. All work performed by the MCO or a Subcontractor under this Contract must be performed exclusively within the United States with the exception of tasks that support the administration of the Medicaid State Plan as further described in this paragraph. No payments for items or services provided under the State Plan or under a waiver may be made by the MCO or a Subcontractor to any entity or financial institution outside of the United States. “Items or services provided under the State Plan or under a waiver” refers to medical assistance for which the State claims Federal funding under section 1903(a) of the Act. Tasks that support the administration of the Medicaid State Plan that may require payments to financial institutions or entities located outside of the United States are not prohibited under this statute (e.g., payments for outsourcing information processing related to plan administration or call centers related to enrollment or claims adjudication). All information, including protected health information (PHI), obtained by the MCO or a Subcontractor under this Contract must be stored and maintained within the United States.
Appears in 1 contract
Prohibition Against Performance Outside the United States. The MCO and a Subcontractor must comply with the requirements of Section 6505 of the PPACA, entitled “Prohibition on Payments to Institutions or Entities Located Outside of the United States” and guidance provided by CMS under State Medicaid Director (SMD) letter #10- 026025. All work performed by the MCO or a Subcontractor under this Contract must be performed exclusively within the United States with the exception of tasks that support the administration of the Medicaid State Plan as further described in this paragraph. No payments for items or services provided under the State Plan or under a waiver may be made by the MCO or a Subcontractor to any entity or financial institution outside of the United States. “Items or services provided under the State Plan or under a waiver” refers to medical assistance for which the State claims Federal funding under section 1903(a) of the Act. Tasks that support the administration of the Medicaid State Plan that may require payments to financial institutions or entities located outside of the United States U.S. are not prohibited under this statute (e.g., payments for outsourcing information processing related to plan administration or call centers related to enrollment or claims adjudication). All information, including protected health information (PHI), obtained by the MCO or a Subcontractor under this Contract must be stored and maintained within the United States.
Appears in 1 contract