Common use of Provider agrees to notify ILS Community Clause in Contracts

Provider agrees to notify ILS Community. Network in writing of the date and amount of any increase in its usual and customary charges no later than the effective date of the increase if reimbursement under this Agreement is based on a percentage discount off of usual and customary rates. If a Provider paid on a fee for service basis implements a rate increase for its usual and customary charges, the Provider agrees to discount the new rates to ILS Community Network and Managed Care Plan so that no higher payment shall be paid by ILS Community Network or Managed Care Plan than it would have paid had such rate increase not taken place. The Provider must not charge for any service provided to the recipient at a rate in excess of the rates established by this Agreement with the Provider in accordance with Section 1128B(d)(1), Social Security Act (enacted by Section 4704 of the Balanced Budget Act of 1997).

Appears in 8 contracts

Samples: ilshealth.com, ilshealth.com, ilshealth.com

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