Qualified Providers. Hospital shall exclude any physician or other provider from performing services in connection with this agreement if such provider has been suspended or terminated from participation in Government Programs or any other government-sponsored program, including Medicare or the Medicaid program in any state. Hospital is prohibited from using any individual or entity (“Offshore Entity”) (including, but not limited to, any employee, contractor, subcontractor, agent, representative or other individual or entity) to perform any services for Plans if the individual or entity is physically located outside of one of the fifty United States or one of the United States Territories (i.e., American Samoa, Guam, Northern Marianas, Puerto Rico, and Virgin Islands.), unless Company, in its sole discretion and judgment, agrees in advance and in writing to the use of such Offshore Entity. Hospital further agrees that Company has the right to audit any Offshore Entity prior to the provision of services for Plans.
Appears in 1 contract
Samples: Hospital Services Agreement
Qualified Providers. Hospital Provider shall exclude any physician or other provider from performing services in connection with this agreement Agreement if such provider has been suspended or terminated from participation in Medicaid or Government Programs or any other government-sponsored program, including Medicare or the Medicaid program in any state. Hospital Provider is prohibited from using any individual or entity (“Offshore Entity”) (including, but not limited to, any employee, contractor, subcontractor, agent, representative or other individual or entity) to perform any services for Plans if the individual or entity is physically located outside of one of the fifty United States or one of the United States Territories (i.e., American Samoa, Guam, Northern Marianas, Puerto Rico, and Virgin Islands.), unless Company, in its sole discretion and judgment, agrees in advance and in writing to the use of such Offshore Entity. Hospital Provider further agrees that Company has the right to audit any Offshore Entity prior to the provision of services for Plans.
Appears in 1 contract
Qualified Providers. Hospital Provider shall exclude any physician or other provider from performing services in connection with this agreement if such provider has been suspended or terminated from participation in Government Programs or any other government-sponsored program, including Medicare or the Medicaid program in any state. Hospital Provider is prohibited from using any individual or entity (“Offshore Entity”) (including, but not limited to, any employee, contractor, subcontractor, agent, representative or other individual or entity) to perform any services for Plans if the individual or entity is physically located outside of one of the fifty United States or one of the United States Territories (i.e., American Samoa, Guam, Northern Marianas, Puerto Rico, and Virgin Islands.), unless Company, in its sole discretion and judgment, agrees in advance and in writing to the use of such Offshore Entity. Hospital Provider further agrees that Company has the right to audit any Offshore Entity prior to the provision of services for Plans.
Appears in 1 contract
Samples: Ancillary Agreement
Qualified Providers. Hospital Facility shall exclude any physician or other provider from performing services in connection with this agreement if such provider has been suspended or terminated from participation in Government Programs or any other government-sponsored program, including Medicare or the Medicaid program in any state. Hospital Facility is prohibited from using any individual or entity (“Offshore Entity”) (including, but not limited to, any employee, contractor, subcontractor, agent, representative or other individual or entity) to perform any services for Plans if the individual or entity is physically located outside of one of the fifty United States or one of the United States Territories (i.e., American Samoa, Guam, Northern Marianas, Puerto Rico, and Virgin Islands.), unless Company, in its sole discretion and judgment, agrees in advance and in writing to the use of such Offshore Entity. Hospital Facility further agrees that Company has the right to audit any Offshore Entity prior to the provision of services for Plans.
Appears in 1 contract
Samples: Medicaid Facility Services Agreement