Common use of PROVIDER COMPLIANCE Clause in Contracts

PROVIDER COMPLIANCE. The Health Plan shall ensure, through provider education and outreach, that its health care Providers are aware and comply with the following requirements: a. Health care Providers may display Health-Plan-specific materials in their own offices. b. Health Care Providers cannot orally or in writing compare Benefits or provider networks among Health Plans, other than to confirm Health Plan network participation. c. Health care Providers may announce a new affiliation with a Health Plan or give a list of Health Plans with which they contract to their patients. d. Health care Providers may co-sponsor events, such as Health Fairs, and advertise with the Health Plan in indirect ways; such as television, radio, posters, fliers, and print advertisement. e. Health care Providers shall not furnish lists of their Medicaid Recipients to Health Plans with which they contract, or any other entity, nor can Providers furnish other Health Plans' membership lists to any Health Plan, nor can Providers assist with Health Plan Enrollment. f. For the Health Plan, health care Providers may distribute information about non-Health-Plan-specific health care services and the provision of health, welfare, and social services provided by the State of Florida or local communities as long as any inquiries from prospective enrollees are referred to the member services section of the health plan and the Agency’s Choice Counselor/Enrollment Broker.

Appears in 2 contracts

Samples: Medicaid Hmo Contract (Wellcare Health Plans, Inc.), Medicaid Hmo Contract (Wellcare Health Plans, Inc.)

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PROVIDER COMPLIANCE. The Health Plan shall ensure, through provider education and outreach, that its health care Providers are aware and comply with the following requirements: a. Health care Providers may display Health-Plan-specific materials in their own offices. b. Health Care Providers cannot orally or in writing compare Benefits or provider networks among Health Plans, other than to confirm Health Plan network participation. c. Health care Providers may announce a new affiliation with a Health Plan or give a list of Health Plans with which they contract to their patients. d. Health care Providers may co-sponsor events, such as Health Fairs, and advertise with the Health Plan in indirect ways; such as television, radio, posters, fliers, and print advertisement. e. Health care Providers shall not furnish lists of their Medicaid Recipients to Health Plans with which they contract, or any other entity, nor can Providers furnish other Health Plans' membership lists to any Health Plan, nor can Providers assist with Health Plan Enrollment. f. For the Health Plan, health care Providers may distribute information about non-Health-Health- Plan-specific health care services and the provision of health, welfare, welfare and social services provided by the State of Florida or local communities as long as any inquiries from prospective enrollees are referred to the member services section of the health plan and or the Agency’s Choice Counselor/Enrollment Broker.

Appears in 2 contracts

Samples: Ahca Contract, Ahca Contract

PROVIDER COMPLIANCE. The Health Plan shall ensure, through provider education and outreach, that its health care Providers are aware and comply with the following requirements: a. Health care Providers may display Health-Plan-specific materials in their own offices. b. Health Care Providers cannot orally or in writing compare Benefits or provider networks among Health Plans, other than to confirm Health Plan network participation. c. Health care Providers may announce a new affiliation with a Health Plan or give a list of Health Plans with which they contract to their patients. d. Health care Providers may co-sponsor events, such as Health Fairs, and advertise with the Health Plan in indirect ways; such as television, radio, posters, fliers, and print advertisement. e. Health care Providers shall not furnish lists of their Medicaid Recipients to Health Plans with which they contract, or any other entity, nor can Providers furnish other Health Plans' membership lists to any Health Plan, nor can Providers assist with Health Plan Enrollment. f. For the Health Plan, health care Providers may distribute information about non-Health-Plan-specific health care services and the provision of health, welfare, welfare and social services provided by the State of Florida or local communities as long as any inquiries from prospective enrollees are referred to the member services section of the health plan and or the Agency’s Choice Counselor/Enrollment Broker.

Appears in 2 contracts

Samples: Medicaid Reform Hmo Contract (Wellcare Health Plans, Inc.), Medicaid Reform Hmo Contract (Wellcare Health Plans, Inc.)

PROVIDER COMPLIANCE. The Health Plan shall ensure, through provider education and outreach, that its health care Providers providers are aware of and comply with the following requirements: a. Health care Providers providers may display Healthhealth-Planplan-specific materials in their own offices. b. Health Care Providers care providers cannot orally or in writing compare Benefits benefits or provider networks among Health Planshealth plans, other than to confirm whether they participate in a Health Plan network participationPlan’s network. c. Health care Providers providers may announce a new affiliation with a Health Plan or and give their patients a list of Health Plans health plans with which they contract to their patientscontract. d. Health care Providers providers may co-sponsor events, such as Health Fairs, health fairs and advertise with the Health Plan in indirect ways; such as television, radio, posters, fliers, and print advertisement. e. Health care Providers providers shall not furnish lists of their Medicaid Recipients patients to the Health Plans Plan with which they contract, or any other entity, nor can Providers providers furnish other Health Plans' health plans’ membership lists to any the Health Plan, nor can Providers providers assist with Health Plan Enrollmentenrollment. f. For the Health Plan, health care Providers providers may distribute information about non-Healthhealth-Planplan-specific health care services and the provision of health, welfare, welfare and social services provided by the State of Florida or local communities as long as any inquiries from prospective enrollees are referred to the member services section of the health plan and Health Plan or the Agency’s Choice Counselorchoice counselor/Enrollment Brokerenrollment broker.

Appears in 2 contracts

Samples: Standard Contract (Wellcare Health Plans, Inc.), Standard Contract (Wellcare Health Plans, Inc.)

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PROVIDER COMPLIANCE. The Health Plan shall ensure, through provider education and outreach, that its health care Providers providers are aware of and comply with the following requirements: a. Health care Providers providers may display Healthhealth-Planplan-specific materials in their own offices. b. Health Care Providers care providers cannot orally or in writing compare Benefits benefits or provider networks among Health Planshealth plans, other than to confirm whether they participate in a Health Plan network participationPlan’s network. c. Health care Providers providers may announce a new affiliation with a Health Plan or and give their patients a list of Health Plans health plans with which they contract to their patientscontract. d. Health care Providers providers may co-sponsor events, such as Health Fairs, health fairs and advertise with the Health Plan in indirect ways; such as television, radio, posters, fliers, and print advertisement. e. Health care Providers providers shall not furnish lists of their Medicaid Recipients patients to the Health Plans Plan with which they contract, or any other entity, nor can Providers providers furnish other Health Plans' health plans’ membership lists to any the Health Plan, nor can Providers providers assist with Health Plan Enrollmentenrollment. f. For the Health Plan, health care Providers providers may distribute information about nonnonhealth-Health-Planplan-specific health care services and the provision of health, welfare, welfare and social services provided by the State of Florida or local communities as long as any inquiries from prospective enrollees are referred to the member services section of the health plan and Health Plan or the Agency’s Choice Counselorchoice counselor/Enrollment Brokerenrollment broker.

Appears in 1 contract

Samples: Standard Contract (Amerigroup Corp)

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