Common use of Risk Arrangements Clause in Contracts

Risk Arrangements. The Contractor may maintain Provider risk arrangements. The Contractor must disclose these arrangements to EOHHS as follows. a. The Contractor must provide a description of any changes in its risk arrangements with all members of its Provider Network, including but not limited to Primary Care, specialists, hospitals, nursing facilities, other long term care Providers, behavioral health Providers, and ancillary services. b. Any incentive arrangements must not include any specific payment as an inducement to withhold, limit, or reduce services to Enrollees. c. The Contractor must monitor such arrangements, in accordance with the standards of EOHHS and CMS for quality of care, to ensure that medically appropriate Covered Services are not withheld.