Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate credentialing to Provider, Subcontractor and/or Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Health Plan’s and the State Contract’s credentialing requirements.
Appears in 7 contracts
Samples: Group Participating Provider Agreement, Provider Agreement, Provider Agreement
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate and/or Subcontractor delegates credentialing to Provider, Subcontractor and/or Health Plan and/or Subcontractor will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Health Plan’s and/or Subcontractor’s and the State Contract’s credentialing requirements.
Appears in 6 contracts
Samples: Downstream Provider Medicaid Program Regulatory Requirements Appendix, Arizona Medicaid Developmentally Disabled Program Regulatory Requirements Appendix, Arizona Medicaid and Chip Program Regulatory Requirements Appendix
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or and Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Subcontractor’s, Health Plan’s and the State Contract’s credentialing requirements.
Appears in 5 contracts
Samples: Kansas Medicaid and Chip Regulatory Requirements Appendix, Kansas Medicaid and Chip Regulatory Requirements Appendix, Individual Participating Provider Agreement
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Health Plan’s and the State Contract’s credentialing requirements.
Appears in 4 contracts
Samples: Arizona Acc Medicaid and Chip Program Regulatory Requirements Appendix, Florida LTC Medicaid Program Regulatory Requirements Appendix, Florida LTC Medicaid Program Regulatory Requirements Appendix
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Subcontractor’s, Health Plan’s and the State Contract’s credentialing requirements.
Appears in 4 contracts
Samples: Medicaid Provider Agreement, Medicaid Provider Agreement, Medicaid Provider Agreement
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection selection, retention and retention exclusion of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Subcontractor’s and Health Plan’s and the applicable State Contract’s credentialing requirements.
Appears in 4 contracts
Samples: Massachusetts Government Programs Regulatory Requirements Appendix, Massachusetts Government Programs Regulatory Requirements Appendix, Massachusetts Government Programs Regulatory Requirements Appendix
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate has delegated credentialing to ProviderProvider in accordance with the terms of the applicable State Contract and the contract between Subcontractor and Health Plan, Subcontractor and/or Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Health Plan’s and the applicable State Contract’s credentialing requirements.
Appears in 3 contracts
Samples: Pennsylvania Government Programs Regulatory Requirements Appendix, Pennsylvania Government Programs Regulatory Requirements Appendix, Pennsylvania Government Programs Regulatory Requirements Appendix
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or and Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Health Plan’s and the State Contract’s credentialing requirements.
Appears in 3 contracts
Samples: Provider Agreement, Provider Agreement, Provider Agreement
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or Health Plan or Subcontractor will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Health Plan’s and the State Contract’s credentialing requirements.
Appears in 3 contracts
Samples: Provider Agreement, Hawaii State Programs Regulatory Requirements Appendix, Hawaii State Programs Regulatory Requirements Appendix
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Subcontractor’s and/or Health Plan’s and the State Contract’s credentialing requirements.
Appears in 2 contracts
Samples: Provider Agreement, Provider Agreement
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or and Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Subcontractor’s, Health Plan’s and the State Contract’s credentialing requirements.
Appears in 2 contracts
Samples: Medicaid and Chip Regulatory Requirements Appendix, Provider Agreement
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, C.F.R. § 438.214 which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Subcontractor’s or Health Plan’s and the State Contract’s credentialing requirements.
Appears in 2 contracts
Samples: Provider Agreement, Provider Agreement
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Subcontractor and/or Health Plan’s and the State Contract’s credentialing requirements.
Appears in 2 contracts
Samples: Provider Agreement, Provider Agreement
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Health PlanSubcontractor’s and the State Contract’s credentialing requirements.
Appears in 1 contract
Samples: Washington State Programs Regulatory Requirements Appendix
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, includes but is not limited to the selection and retention of providers, credentialing and recredentialing requirements requirements, and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or Health Plan and/or Subcontractor will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Health Plan’s and the State Contract’s credentialing requirements.
Appears in 1 contract
Samples: Provider Agreement
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Health Plan’s and the State Contract’s credentialing requirements.
Appears in 1 contract
Samples: Downstream Provider Agreement
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or Health Plan and Subcontractor will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Health Plan’s and the State Contract’s credentialing requirements.Provider
Appears in 1 contract
Samples: Provider Agreement
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate and/or Subcontractor delegates credentialing to Provider, Subcontractor and/or Health Plan and/or Subcontractor (as applicable) will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Health PlanPlan and/or Subcontractor’s and the State Contract’s credentialing requirements.
Appears in 1 contract
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or or Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Health Plan’s and the State Contract’s credentialing requirements.
Appears in 1 contract
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate delegates credentialing to Provider, Subcontractor and/or Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Subcontractor’s, Health Plan’s and the State Contract’s credentialing requirements.
Appears in 1 contract
Samples: Iowa State Programs Regulatory Requirements Appendix
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate and/or Subcontractor delegates credentialing to Provider, Subcontractor and/or Health Plan and/or Subcontractor will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Health Plan’s and/or Subcontractor’s and the State Contract’s credentialing requirements.credentialing
Appears in 1 contract
Samples: Downstream Provider Medicaid Program Regulatory Requirements Appendix
