Suspension of Enrollee Assignments To Providers. The Contractor shall ensure that there is sufficient capacity, consistent with SDOH standards, to serve Enrollees under this Agreement. In the event any of the Contractor's Participating Providers are no longer able to accept assignment of new Enrollees due to capacity limitations, as determined by the SDOH and the LDSS, the Contractor will suspend assignment of any additional Enrollees to such Participating Provider until it is capable of further accepting Enrollees. When a Participating Provider has more than one (1) site, the suspension will be made by site.
Appears in 8 contracts
Samples: Agreement Between (Americhoice Corp), Wellcare Health Plans, Inc., Wellcare Health Plans, Inc.
Suspension of Enrollee Assignments To Providers. The Contractor shall ensure that there is sufficient capacity, consistent with SDOH standards, to serve Enrollees under this Agreement. In the event any of the Contractor's Participating Providers are no longer able to accept assignment of new Enrollees due to capacity limitations, as determined by the SDOH and the LDSSSDOH, the Contractor will suspend assignment of any additional Enrollees to such Participating Provider until it such provider is capable of further accepting Enrollees. When a Participating Provider has more than one (1) site, the suspension will be made by site.
Appears in 2 contracts
Samples: Plan Agreement (Wellcare Health Plans, Inc.), Plan Agreement (Amerigroup Corp)
Suspension of Enrollee Assignments To Providers. The Contractor shall ensure that there is sufficient capacity, consistent with SDOH standards, to serve Enrollees under this Agreement. Agreement In the event any of the Contractor's Participating Providers are no longer longer, able to accept assignment of new Enrollees due to capacity limitations, as determined by the SDOH and the LDSS, the Contractor will suspend assignment of any additional Enrollees to such Participating Provider until it is capable of further accepting Enrollees. When a Participating Provider has more than one (1) site, the suspension will be made by siteMADE BY SITE.
Appears in 1 contract
Samples: Amerigroup Corp
Suspension of Enrollee Assignments To Providers. The Contractor shall ensure that there is sufficient capacity, consistent with SDOH standards, to serve Enrollees under this Agreement. In the event any of the Contractor's Participating Providers are no longer able to FHPlus - Section 21 (PARTICIPATING PROVIDERS) October 1, 2001 21-1 accept assignment of new Enrollees due to capacity limitations, as determined by the SDOH and the LDSSSDOH, the Contractor will suspend assignment of any additional Enrollees to such Participating Provider until it is capable of further accepting Enrollees. When a Participating Provider has more than one (1) site, the suspension will be made by site.
Appears in 1 contract
Suspension of Enrollee Assignments To Providers. The Contractor shall ensure that there is sufficient capacity, consistent with SDOH standards, to serve Enrollees under this Agreement. In the event any of the Contractor's ’s Participating Providers are no longer able to accept assignment of new Enrollees due to capacity limitations, as determined by the SDOH and the LDSSSDOH, the Contractor will suspend assignment of any additional Enrollees to such Participating Provider until it is capable of further accepting Enrollees. When a Participating Provider has more than one (1) site, the suspension will be made by site.
Appears in 1 contract
Samples: Model Contract