Termination by HMO Sample Clauses
The 'Termination by HMO' clause grants the Health Maintenance Organization (HMO) the explicit right to end the agreement under specified circumstances. Typically, this clause outlines the conditions under which the HMO may exercise this right, such as breach of contract, regulatory changes, or failure to meet performance standards. By clearly defining when and how the HMO can terminate the contract, this clause provides a mechanism for the HMO to manage risk and maintain flexibility in its contractual relationships.
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Termination by HMO. (a) Failure to pay. HMO may terminate this Contract if HHSC fails to pay the HMO undisputed charges when due as required under this Contract. Retaining premium, recoupment, sanctions, or penalties that are allowed under this Contract or that result from the HMO’s failure to perform or the HMO’s default under the terms of this Contract is not cause for termination. Termination for failure to pay does not release HHSC from the obligation to pay undisputed charges for services provided prior to the termination date. If HHSC fails to pay undisputed charges when due, then the HMO may submit a notice of intent to terminate for failure to pay in accordance with the requirements of Subsection 12.04(d). If HHSC pays all undisputed amounts then due within thirty (30)days after receiving the notice of intent to terminate, the HMO cannot proceed with termination of the Contract under this Article.
(b) Change to HHSC Uniform Managed Care Manual. HMO may terminate this agreement if the Parties are unable to resolve a dispute concerning a material and substantive change to the HHSC Uniform Managed Care Manual (a change that materially and substantively alters the HMO’s ability to fulfill its obligations under the Contract). HMO must submit a notice of intent to terminate due to a material and substantive change in the HHSC Uniform Managed Care Manual no later than thirty (30) days after the effective date of the policy change. HHSC will not enforce the policy change during the period of time between the receipt of the notice of intent to terminate and the effective date of termination.
(c) Change to Capitation Rate. If HHSC proposes a modification to the Capitation Rate that is unacceptable to the HMO, the HMO may terminate the Contract. HMO must submit a written notice of intent to terminate due to a change in the Capitation Rate no later than thirty (30) days after HHSC’s notice of the proposed change. HHSC will not enforce the rate change during the period of time between the receipt of the notice of intent to terminate and the effective date of termination.
(d) Notice of intent to terminate. In order to terminate the Contract pursuant to this Section, HMO must give HHSC at least ninety (90) days written notice of intent to terminate. The termination date will be calculated as the last day of the month following ninety (90) days from the date the notice of intent to terminate is received by HHSC.
Termination by HMO. 18.1.6 HMO may terminate this contract if HHSC fails to pay HMO as required under Article XIII of this contract or otherwise materially defaults in its duties and responsibilities under this contract, or by giving notice no later than 30 days after receiving the capitation rates for the second or third contract years. Retaining premium, recoupment, sanctions, or penalties that are allowed under this contract or that result from HMO's failure to perform or HMO's default under the terms of this contract is not cause for termination.
Termination by HMO. (a) Failure to pay.
Termination by HMO. As provided for under 45 C.F.R. § 164.504(e)(2)(iii) and 45 C.F.R. §164.314(a)(2)(i), HMO may immediately terminate the Vendor Services Agreement if HMO, in its sole discretion, determines that Business Associate has breached a material term of this Agreement. HMO may exercise said right to terminate the Agreement by providing Business Associate with written notice of its intent to terminate specifying the material breach of the Agreement that provides the basis for termination. Such termination will be effective immediately.
Termination by HMO. HMO may terminate this contract if TDH fails to pay HMO as required under Article XIII of this contract or otherwise materially defaults in its duties and responsibilities under this contract, or by giving notice no later than 30 days after receiving the capitation rates for the second contract year. Retaining premium, recoupment, sanctions, or penalties that are allowed under this contract or that result from HMO's failure to perform or HMO's default under the terms of this contract is not cause for termination.
18.1.6.1 HMO may terminate this contract without cause, except HMO cannot terminate this contract without cause for the 90 days immediately following the effective date of the contract.
Termination by HMO. 41 Section 12.05 Termination by mutual agreement...........................................................................................41 Section 12.06 Effective date of termination....................................................................................................41 Section 12.07 Extension of termination effective date...................................................................................41 Section 12.08 Payment and other provisions at Contract termination............................................................42 Section 12.09 Modification of Contract in the event of remedies...................................................................42 Section 12.10 Turnover assistance................................................................................................................42 Section 12.11 Rights upon termination or expiration of Contract...................................................................42 Section 12.12 HMO responsibility for associated costs.................................................................................42 Section 12.13 Dispute resolution...................................................................................................................42
Termination by HMO. 18.2.1 HMO may terminate this contract if TDH fails to pay HMO as required under Article XIII or otherwise materially defaults in its duties and responsibilities under this contract. Retaining premium, recoupment, sanctions, or penalties which are allowed under this contract or which result from HMO's failure to perform or a default under the terms of the contract are not cause for termination.
18.2.2 HMO must give TDH 60 days written notice of intent to terminate this contract. Notice may be given by any means that gives verification of receipt. The termination date will be calculated as the last day of the month following 60 days from the date the notice of intent to termination is received by TDH.
18.2.3 TDH must be given 30 days to pay all amounts due. If TDH pays all amounts then due, HMO cannot terminate the contract under this Article.