Provider Risks. If a Provider assumes substantial financial risk for contracted services, the Contractor shall ensure that the Provider has adequate stop-loss protection. The Contractor shall provide the Department proof the Provider has adequate stop-loss coverage, including an amount and type of stop-loss.
Appears in 7 contracts
Samples: Medicaid Managed Care Contract, Medicaid Managed Care Contract, Medicaid Managed Care Contract
Provider Risks. If a Provider assumes substantial financial risk for contracted services, the Contractor shall must ensure that the Provider has adequate stop-loss protection. The Contractor shall must provide the Department proof the Provider has adequate stop-stop- loss coverage, including an amount and type of stop-loss.
Appears in 4 contracts
Samples: Medicaid Managed Care Contract, Medicaid Managed Care Contract, Medicaid Managed Care Contract
Provider Risks. If a Provider assumes substantial financial risk for contracted services, the Contractor shall must ensure that the Provider has adequate stop-loss protection. The Contractor shall must provide the Department proof the Provider has adequate stop-loss coverage, including an amount and type of stop-loss.
Appears in 2 contracts
Samples: Managed Care Contract (Wellcare Health Plans, Inc.), Medicaid Managed Care Contract
