Common use of Suspension of Enrollee Assignments To Providers Clause in Contracts

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.

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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

Samples: Plan Agreement (Wellcare Health Plans, Inc.)

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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

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