Provider Subcontracts. See Recital A. ---------------------
Provider Subcontracts. (a) If Provider, with CMHSP’s prior written consent, subcontracts any supports/services required of Provider under this Agreement, any such subcontract shall:
Provider Subcontracts. The Contractor’s Subcontracts shall contain the following provisions:
Provider Subcontracts. Provider shall obtain CMHSP’s prior written approval before subcontracting any or all of Provider’s obligations hereunder. Furthermore, any subcontract shall:
Provider Subcontracts. In the event Provider enters into any subcontract agreement with another provider to provide Covered Services to Covered Persons, such agreement shall meet all requirements of the Agreement.
Provider Subcontracts. The Contractor shall provide or assure the provision of all Covered Services specified in of this Contract. The Contractor may provide these services directly or may enter into subcontracts with Providers who will provide services to the Medicaid MCO Members in exchange for payment by the Contractor for services rendered. Subcontracts are required with all Providers of services, unless otherwise previously approved by the Department. All subcontracts for the provision of services under this Contract shall contain verbatim the section containing all federal, state and Department requirements as outlined in Appendix/Attachment Four (4) which shall supersede all other requirements of the subcontract. The Contractor shall submit a version of each subcontract it intends to use with its Providers and Subcontractor to enable the Department to validate the proper inclusion of Appendix/Attachment Four (4) See the MCO Policy and Procedure Guide for more details regarding this requirement. The Contractor shall require each such Subcontractor to covenant and agree that in the event of a breach of the Subcontract by the Contractor, termination of the Subcontract, or insolvency of the Contractor, each Subcontractor shall (i) provide all services and fulfill all of its obligations pursuant to the Subcontract for the remainder of any month for which the Department has made payments to the Contractor, and (ii) fulfill all of its obligations respecting the transfer of Medicaid MCO Members to other Providers, including record maintenance, access and reporting requirements. All such covenants, agreements, and obligations expressed in this paragraph shall survive the termination of this Contract or any Subcontract. Additional information regarding these requirements may be found in the MCO Policy and Procedure Guide. The Contractor shall pay 90% of all clean claims from Providers within thirty (30) days of the date of receipt. The Contractor shall pay 99% of all clean claims from Providers, within ninety (90) days of the date of receipt. The date of receipt is the date as indicated by its data stamp on the claim. The date of payment is the date of the check or other form of payment. The Contractor and its providers may, by mutual agreement, establish an alternative payment schedule. Any alternative payment timeframe schedule must be stipulated in the Contract. The Department may conduct audits of the Contractor by using the date of service and date of payment to identify and a...
Provider Subcontracts. See Recital B.
Provider Subcontracts. 50 ------------- (a) Generally............................................................................................51 (b) Subcontract terms...................................................................................51 SECTION 15.02 PROVIDER ACCESSIBILITY..........................................................................52 ------------- SECTION 15.03
Provider Subcontracts. (a) Generally. CONTRACTOR must enter into written contracts with properly credentialed health care service providers, licensed in Texas, either directly or through intermediaries, such as Independent Practice Associations (IPAs). CONTRACTOR must have its own credentialing process to review, approve, and periodically re-certify the credentials of all participating providers in compliance with 28 T.A.C. Section 11.1902. CONTRACTOR may delegate credentialing in accordance with TDI regulations.
Provider Subcontracts. With Health Plan’s prior written consent, Provider may subcontract with other Health Care Providers to provide those Plan Covered Services that Provider has agreed to provide pursuant to Section 3.1. of this Agreement. The Health Plan may impose any conditions to its consent that the Health Plan deems appropriate. Each Health Care Provider with whom the Provider contracts pursuant to this Section shall be deemed to be a participating provider.
