Provider Limitations Sample Clauses

Provider Limitations. A Provider may no longer amend the Plan as to any adopting Employer as of the date: (1) the Employer amends its Plan in a manner as would result in the type of plan not permitted under the Pre-approved Plan program; or (2) the IRS notifies the Provider that the Plan is being treated as an individually designed plan.
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Provider Limitations. Provider shall send written notice to Plan of any legal, governmental or other action initiated or consummated against the Provider or Personnel used by Provider, which could materially impair the ability of the Provider or Personnel used by Provider to carry out the duties and obligations of this Agreement, including, but not limited to, actions related to: (i) Cancellation of the Provider’s general and professional liability insurance; (ii) Provider’s suspension from participation in the Medicare or Medicaid program due to fraud or abuse or for any other reason.

Related to Provider Limitations

  • Billing Limitations a. DSHS shall pay the Contractor only for authorized services provided in accordance with this Contract. b. DSHS shall not pay any claims for payment for services submitted more than twelve (12) months after the calendar month in which the services were performed. c. The Contractor shall not bill and DSHS shall not pay for services performed under this Contract, if the Contractor has charged or will charge another agency of the state of Washington or any other party for the same services.

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