Common use of Span of Coverage Clause in Contracts

Span of Coverage. If a Member's effective date of coverage occurs while the Member is confined in a hospital, the CONTRACTOR is responsible for the Member's costs of Covered Services beginning on the Effective Date of Coverage. For each day that the Member is hospitalized beginning on the Effective Date of Coverage, HHSC will pay to CONTRACTOR $700 for non-ICU care and $1400 for ICU care. If a Member is disenrolled while the Member is confined in a hospital, CONTRACTOR's responsibility for the Member's costs of Covered Services terminates on the Date of Disenrollment. Six months after the Implementation Date, the Parties will review CONTRACTOR's data, and if either party believes that these payments are insufficient, either Party can instigate the Change Order process set out in Article 8. The Parties agree to negotiate any requested Change Order in good faith.

Appears in 3 contracts

Samples: Services Agreement (Amerigroup Corp), Services Agreement (Amerigroup Corp), Services Agreement (Centene Corp)

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Span of Coverage. If a Member's ’s effective date of coverage occurs while the Member is confined in a hospital, the CONTRACTOR is responsible for the Member's ’s costs of Covered Services beginning on the Effective Date of Coverage. For each day that the Member is hospitalized beginning on the Effective Date of Coverage, HHSC will pay to CONTRACTOR $700 for non-ICU care and $1400 for ICU care. If a Member is disenrolled while the Member is confined in a hospital, CONTRACTOR's ’s responsibility for the Member's ’s costs of Covered Services terminates on the Date of Disenrollment. Six months after the Implementation Date, the Parties will review CONTRACTOR's ’s data, and if either party believes that these payments are insufficient, either Party can instigate the Change Order process set out in Article 8. The Parties agree to negotiate any requested Change Order in good faith.

Appears in 1 contract

Samples: Amerigroup Corp

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