Provision of Health Services. Provider shall make available to Covered Persons those usual and customary services that are offered within the scope of Provider’s licensure and certification under applicable laws and based on the qualifications determined by CMHSP, LRE, or MDHHS. Provider shall provide authorized Covered Services in accordance with provisions contained herein and as required by the MPM during the term of this Agreement or as otherwise required by law, whichever is later. LRE acts as fiduciary for Medicaid funding from the State of Michigan that supports payment to Provider under this Agreement.
Provision of Health Services. Health services may be made available by local school districts as described above. Medical Assistance reimbursement is to be obtained in accordance with federal and state laws, rules, regulations, and policies. For Part C children for whom health services are included in the IFSP, but for whom no agency is responsible as described above, the local contractor must arrange for the provision of the service in the community. Community resources, both public and private, are to be accessed in order to pay for these services. Services may be provided by public or private providers. In those instances where funding is not available through any local resource, the local contractor may request Part C funds using Part C procedures established by DOE. Part C funds may only be used as the payor of last resort.
Provision of Health Services. Provider shall provide all Covered Services, and cause all employees, agents and subcontractors to provide all Covered Services, in accordance with this Agreement, applicable licensure and/or certification requirements, Laws, generally accepted standards of medical practice, and Policies and Procedures. Provider shall provide Covered Services to Covered Persons through the last day this Agreement is in effect, or such other date as set forth in this Agreement, or is required by Law, whichever is later. In providing Covered Services to Covered Persons during the term of this Agreement or following termination of this Agreement, Provider agrees to be bound by and to abide by the terms of this Agreement, and CareSource requirements as set forth in Policies and Procedures. Provider is responsible to check for updates on CareSource’s Provider Website including new or updated Network Notifications and comply with any changes outlined therein. With regard to the types of providers Credentialed by CareSource or its delegate(s) as set forth in the Policies and Procedures, Provider will only allow Credentialed providers employed by Provider to serve Covered Persons.
Provision of Health Services. Corporation shall arrange for Providers to provide Health Services to all Members in accordance with the terms set forth in Participation Agreement.
