Responsibility for Members at Termination. In the event that this Agreement is terminated (other than for loss of licensure or failure to comply with legal requirements as provided in Section V hereof), PROVIDER shall continue to provide Covered Services to a Member who is receiving Covered Services from PROVIDER on the effective termination date of this Agreement for a minimum transitional period of sixty (60) days from the date the Member is notified of the termination or pending termination, or until the Covered Services being rendered to the Member by PROVIDER are completed (consistent with existing medical ethical and/or legal requirements for providing continuity of care to a Member), unless XXXXX or a Plan makes reasonable and Medically Appropriate provision for the assumption of such Covered Services by another Participating Provider. XXXXX shall compensate PROVIDER for those Covered Services provided to a Member pursuant to this paragraph (prior to and following the effective termination date of this Agreement) at the rates contemplated for Covered Services in this Agreement.
Appears in 5 contracts
Samples: Participating Provider Agreement, Participating Provider Agreement, Participating Provider Agreement
Responsibility for Members at Termination. In the event that this Agreement is terminated (other than for loss of licensure or failure to comply with legal requirements as provided in Section V hereof), PROVIDER shall continue to provide Covered Services to a Member who is receiving Covered Services from PROVIDER on the effective termination date of this Agreement for a minimum transitional period of sixty one hundred and twenty (60120) days from the date the Member is notified of the termination or pending termination, or until the Covered Services being rendered to the Member by PROVIDER are completed (consistent with existing medical ethical and/or legal requirements for providing continuity of care to a Member), unless XXXXX or a Plan makes reasonable and Medically Appropriate provision for the assumption of such Covered Services by another Participating Provider. XXXXX shall compensate PROVIDER for those Covered Services provided to a Member pursuant to this paragraph (prior to and following the effective termination date of this Agreement) at the compensation rates contemplated for Covered Services in attached to this Agreement.
Appears in 1 contract
Samples: Participating Provider Agreement
Responsibility for Members at Termination. In the event that this Agreement is terminated (other than for loss of licensure or failure to comply with legal requirements as provided in Section V hereof), PROVIDER shall continue to provide Covered Services to a Member who is receiving Covered Services from PROVIDER on the effective termination date of this Agreement for a minimum transitional period of sixty ninety (6090) days from the date the Member is notified of the termination or pending terminationdays, or until the Covered Services being rendered to the Member by PROVIDER are completed (consistent with existing medical ethical and/or legal requirements for providing continuity of care to a Member), unless XXXXX or a Plan makes reasonable and Medically Appropriate provision for the assumption of such Covered Services by another Participating Provider. XXXXX shall compensate PROVIDER for those Medically Appropriate, Covered Services provided to a Member pursuant to this paragraph Section VII.4 (prior to and following the effective termination date of this Agreement) at the rates contemplated for Covered Services indicated in Exhibit 1 of this Agreement. Any dispute arising from this paragraph shall be resolved in accordance with the then current XXXXX Vision Care Plan Provider Manual.
Appears in 1 contract
Samples: Participating Provider Agreement
Responsibility for Members at Termination. In the event that this Agreement is terminated (other than for loss of licensure or failure to comply with legal requirements as provided in Section V hereof), PROVIDER shall continue to provide Covered Services to a Member who is receiving Covered Services from PROVIDER on the effective termination date of this Agreement for a minimum transitional period of sixty (60) days from the date the Member is notified of the termination or pending termination, or until the Covered Services being rendered to the Member by PROVIDER are completed (consistent with existing medical ethical and/or legal requirements for providing continuity of care to a Member), unless XXXXX or a Plan makes reasonable and Medically Appropriate provision for the assumption of such Covered Services by another Participating Provider. XXXXX shall compensate PROVIDER for those Covered Services provided to a Member pursuant to this paragraph (prior to and following the effective termination date of this Agreement) at the rates contemplated for Covered Services in this Agreement.
Appears in 1 contract
Samples: Participating Provider Agreement
Responsibility for Members at Termination. In the event that this Agreement is terminated (other than for fraud, patient abuse, incompetency, loss of licensure licensure, or failure to comply with legal requirements as provided in Section V hereof), PROVIDER shall shall, for at least ninety (90) days, continue to provide Covered Services to a Member who is receiving any Member(s) for whom PROVIDER was responsible for the delivery of Covered Services from PROVIDER on prior to the effective termination date of this Agreement for a minimum transitional period of sixty (60) days from the date the Member is notified of the termination or pending termination, or until the Covered Services being rendered to the Member Member(s) by PROVIDER are completed (consistent with existing medical ethical and/or legal requirements for providing continuity of care to a Memberpatient), unless XXXXX or a Plan makes reasonable and Medically Appropriate provision for the assumption of such Covered Services by another Participating Provider. XXXXX shall compensate PROVIDER for those Covered Services provided to a Member pursuant to this paragraph (prior to and following the effective termination date of this Agreement) at the rates contemplated for Covered Services in attached to this Agreement.
Appears in 1 contract
Samples: Participating Provider Agreement
Responsibility for Members at Termination. In the event that this Agreement is terminated (other than for loss of licensure or failure to comply with legal requirements as provided in Section V hereof), PROVIDER shall continue to provide Covered Services to a Member who is receiving Covered Services from PROVIDER on the effective termination date of this Agreement for a minimum transitional period of sixty ninety (6090) days from the date the Member is notified of the termination or pending termination, or until the Covered Services being rendered to the Member by PROVIDER are completed (consistent with existing medical ethical and/or legal requirements for providing continuity of care to a Memberpatient), unless XXXXX or a Plan makes reasonable and Medically Appropriate provision for the assumption of such Covered Services by another Participating Provider. XXXXX shall compensate PROVIDER for those Covered Services provided to a Member pursuant to this paragraph (prior to and following the effective termination date of this Agreement) at the rates contemplated for Covered Services in this Agreementattached hereto.
Appears in 1 contract
Samples: Participating Provider Agreement
Responsibility for Members at Termination. In the event that this Agreement is terminated (other than for loss of licensure or failure to comply with legal requirements as provided in Section V hereof), PROVIDER shall continue to provide Covered Services to a Member who is receiving Covered Services from PROVIDER on the effective termination date of this Agreement for a minimum transitional period of sixty ninety (6090) days from the date the Member is notified of the termination or pending termination, or until the Covered Services being rendered to the Member by PROVIDER are completed (consistent with existing medical ethical and/or legal requirements for providing continuity of care to a Member), unless XXXXX or a Plan makes reasonable and Medically Appropriate provision for the assumption of such Covered Services by another Participating Provider. XXXXX shall compensate PROVIDER for those Covered Services provided to a Member pursuant to this paragraph (prior to and following the effective termination date of this Agreement) at the rates contemplated for Covered Services in this Agreementattached hereto.
Appears in 1 contract
Samples: Participating Provider Agreement