Common use of Provider Termination Report Clause in Contracts

Provider Termination Report. HMO must submit a monthly report which identifies any providers who cease to participate in HMO's provider network, either voluntarily or involuntarily. The report must be submitted to TDH in the format specified by TDH. HMO will submit the report no later than thirty (30) days after the end of the reporting month. The information must include the provider's name, Medicaid number, the reason for the provider's termination, and whether the termination was voluntary or involuntary.

Appears in 5 contracts

Samples: Contract for Services (Amerigroup Corp), Contract for Services (Amerigroup Corp), 2000 Contract for Services (Amerigroup Corp)

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Provider Termination Report. HMO must submit a monthly report which that identifies any providers who cease to participate in HMO's provider network, either voluntarily or involuntarily. The report must be submitted to TDH HHSC in the format specified by TDHHHSC. HMO will submit the report no later than thirty (30) days after the end of the reporting month. The information must include the provider's name, Medicaid number, the reason for the provider's termination, and whether the termination was voluntary or involuntary.

Appears in 1 contract

Samples: Contract for Services (Amerigroup Corp)

Provider Termination Report. HMO must submit a monthly report --------------------------- which identifies any providers who cease to participate in HMO's provider network, either voluntarily or involuntarily. The report must be submitted to TDH in the format specified by TDH. HMO will submit the report no later than thirty (30) days after the end of the reporting month. The information must include the provider's name, Medicaid number, the reason for the provider's termination, and whether the termination was voluntary or involuntary.

Appears in 1 contract

Samples: Contract for Services (Centene Corp)

Provider Termination Report. HMO must submit a monthly report which identifies any providers who cease to participate in HMO's provider network, either voluntarily or involuntarily. The report must be submitted to TDH the State in the format specified by TDHthe State. HMO will submit the report no later than thirty (30) days after the end of the reporting month. The information must include the provider's name, Medicaid number, the reason for the provider's termination, and whether the termination was voluntary or involuntary.

Appears in 1 contract

Samples: Star+plus Contract (Amerigroup Corp)

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Provider Termination Report. HMO must submit a monthly report which identifies any providers who cease to participate in HMO's provider network, either voluntarily or involuntarily. The report must be submitted to TDH in the format specified by TDH. HMO will submit the report no later than thirty (30) days after the end of the reporting month. The information must include the provider's name, Medicaid number, the reason for the provider's termination, and whether the termination was voluntary or involuntary.. 50 May 31, 2001

Appears in 1 contract

Samples: Contract for Services (Centene Corp)

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