Common use of Responsibility for Members at Termination Clause in Contracts

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. (a) In consultation with Plan(s), the Member and/or the PROVIDER may extend the transitional period if it is determined to be clinically appropriate, or in order to comply with the requirements of applicable Plan documents and/or accrediting standards. PROVIDER shall continue to provide Covered Services to such Member(s) and the Parties agree that all such Covered Services rendered shall be subject to the terms and conditions contained in this Agreement (including reimbursement rates) that are effective as of the date of termination. (b) Should XXXXX and/or Plan(s) initiate termination of this Agreement, PROVIDER acknowledges and agrees PROVIDER’s obligations as set forth in this Section VII survive such termination.

Appears in 3 contracts

Samples: Participating Provider Agreement, Participating Provider Agreement, Participating Provider Agreement

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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. (a) In consultation with Plan(s), the Member and/or the PROVIDER may extend the transitional period if it is determined to be clinically appropriate, or in order to comply with the requirements of applicable Plan documents and/or accrediting standards. PROVIDER shall continue to provide Covered Services to such Member(s) and the Parties agree that all such Covered Services rendered shall be subject to the terms and conditions contained in this Agreement (including reimbursement rates) that are effective as of the date of termination. (b) Should XXXXX and/or Plan(s) initiate termination of this Agreement, PROVIDER acknowledges and agrees PROVIDER’s obligations as set forth in this Section VII survive such termination.

Appears in 2 contracts

Samples: 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. (a) In consultation with Plan(s), the Member and/or the PROVIDER may extend the transitional period if it is determined to be clinically appropriate, or in order to comply with the requirements of applicable Plan documents and/or accrediting standards. PROVIDER shall continue to provide Covered Services to such Member(s) and the Parties agree that all such Covered Services rendered shall be subject to the terms and conditions contained in this Agreement (including reimbursement rates) that are effective as of the date of termination. (b) Should XXXXX and/or Plan(s) initiate termination of this Agreement, PROVIDER acknowledges and agrees that PROVIDER’s obligations as set forth in this Section VII survive such termination.

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. (a) In consultation with Plan(s), the Member and/or the PROVIDER may extend the transitional period if it is determined to be clinically appropriate, or in order to comply with the requirements of applicable Plan documents and/or accrediting standards. PROVIDER shall continue to provide Covered Services to such Member(s) and the Parties agree that all such Covered Services rendered shall be subject to the terms and conditions contained in this Agreement (including reimbursement rates) that are effective as of the date of termination. (b) Should XXXXX and/or Plan(s) initiate termination of this Agreement, PROVIDER acknowledges and agrees PROVIDER’s obligations as set forth in this Section VII survive such termination.

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. (a) In consultation with Plan(s), the Member and/or the PROVIDER may extend the transitional period if it is determined to be clinically appropriate, or in order to comply with the requirements of applicable Plan documents and/or accrediting standards. PROVIDER shall continue to provide Covered Services to such Member(s) and the Parties agree that all such Covered Services rendered shall be subject to the terms and conditions contained in this Agreement (including reimbursement rates) that are effective as of the date of termination. (b) Should XXXXX and/or Plan(s) initiate termination of this Agreement, PROVIDER acknowledges and agrees that PROVIDER’s obligations as set forth in this Section VII survive such termination.

Appears in 1 contract

Samples: Participating Provider Agreement

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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. (a) In consultation with Plan(s), the Member and/or the PROVIDER may extend the transitional period if it is determined to be clinically appropriate, or in order to comply with the requirements of applicable Plan documents and/or accrediting standards. PROVIDER shall continue to provide Covered Services to such Member(s) and the Parties agree that all such Covered Services rendered shall be subject to the terms and conditions contained in this Agreement (including reimbursement rates) that are effective as of the date of termination. (b) Should XXXXX and/or Plan(s) initiate termination of this Agreement, PROVIDER acknowledges and agrees PROVIDER’s obligations as set forth in this Section VII survive such termination.

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. (a) In consultation with Plan(s), the Member and/or the PROVIDER may extend the transitional period if it is determined to be clinically appropriate, or in order to comply with the requirements of applicable Plan documents and/or accrediting standards. PROVIDER shall continue to provide Covered Services to such Member(s) and the Parties agree that all such Covered Services rendered shall be subject to the terms and conditions contained in this Agreement (including reimbursement rates) that are effective as of the date of termination. (b) Should XXXXX and/or Plan(s) initiate termination of this Agreement, PROVIDER acknowledges and agrees PROVIDER’s obligations as set forth in this Section VII survive such termination.

Appears in 1 contract

Samples: Participating Provider Agreement

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