Prohibition on Enrollee Charges for Covered Services. 10.4.1 Under no circumstances will the Contractor, or any providers used to deliver services under the terms of this Contract, including non-participating providers, charge Enrollees for covered services as described in the (SSA 1932(b)(6), SSA 1128B(d)(1)), 42 C.F.R. § 438.106(c), 438.6(1), 438.230, 438.204(a) and WAC 182-502-0160).
Appears in 1 contract
Samples: Washington Apple Health
Prohibition on Enrollee Charges for Covered Services. 10.4.1 Under no circumstances will shall the Contractor, or any providers used to deliver services covered under the terms of this Contract, including non-participating providers, charge Enrollees enrollees for covered services in excess of the copayments DSHS implements in its fee-for-service program as described referenced in the Section 3.11 (SSA 1932(b)(6), SSA 1128B(d)(1)), 42 C.F.R. § 438.106(c), 438.6(1), 438.230, 438.204(a) and WAC 182388-502-0160).
Appears in 1 contract
Samples: Molina Healthcare Inc
Prohibition on Enrollee Charges for Covered Services. 10.4.1 Under no circumstances will shall the Contractor, or any providers used to deliver services covered under the terms of this Contract, including non-participating providers, charge Enrollees enrollees for covered services as described in the (SSA 1932(b)(6), SSA 1128B(d)(1)), 42 C.F.R. § 438.106(c), 438.6(1), 438.230, 438.204(a) and WAC 182388-502-0160).
Appears in 1 contract
Samples: Health Care (Molina Healthcare Inc)
Prohibition on Enrollee Charges for Covered Services. 10.4.1 11.6.1. Under no circumstances will shall the Contractor, or any providers used to deliver services covered under the terms of this Contract, including non-participating providers, charge Enrollees enrollees for covered services as described in the (SSA 1932(b)(6), SSA 1128B(d)(1)), 42 C.F.R. § CFR 438.106(c), 438.6(1), 438.230, and 438.204(a) and WAC 182388-502-0160).
Appears in 1 contract
Samples: Molina Healthcare Inc