Common use of Termination of Health Care Professional Agreements Clause in Contracts

Termination of Health Care Professional Agreements. The Contractor shall not terminate a contract with a health care professional unless the Contractor provides to the health care professional a written explanation of the reasons for the proposed termination and an opportunity for a review or hearing as hereinafter provided. For purposes of this Section a health care professional is an individual licensed, registered or certified pursuant to Title 8 of the Education Law. These requirements shall not apply in cases involving imminent harm to patient care, a determination of fraud, or a final disciplinary action by a state licensing board or other governmental agency that impairs the health care professional's ability to practice. When the Contractor desires to terminate a contract with a health care professional, the notification of the proposed termination by the Contractor to the health care professional shall include: a) the reasons for the proposed action; b) notice that the health care professional has the right to request a hearing or review, at the provider's discretion, before a panel appointed by the Contractor; c) a time limit of not less than thirty (30) days within which a health care professional may request a hearing; and d) a time limit for a hearing date which must be held within thirty (30) days after the date of receipt of a request for a hearing. No contract or agreement between the Contractor and a health care professional shall contain any provision which shall supersede or impair a health care professional's right to notice of reasons for termination and the opportunity for a hearing or review concerning such termination.

Appears in 8 contracts

Samples: Contractor Agreement (Americhoice Corp), Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.), Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)

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Termination of Health Care Professional Agreements. The Contractor shall not terminate a contract with a health care professional unless the Contractor provides to the health care professional a written explanation of the reasons for the proposed termination and an opportunity for a review or hearing as hereinafter provided. For purposes of this Section a health care professional is an individual licensed, registered or certified pursuant to Title 8 of the Education Law. These requirements shall not apply in cases involving imminent harm to patient care, a determination of fraud, or a final disciplinary action by a state licensing board or other governmental agency that impairs the health care professional's ability to practice. When the Contractor desires to terminate a contract with a health care professional, the notification of the proposed termination by the Contractor to the health care professional shall include: a) the reasons for the proposed action; b) notice that the health care professional has the right to request a hearing or review, at the provider's ; discretion, before a panel appointed by the Contractor; c) a time limit of not less than thirty (30) days within which a health care professional may request a hearing; and d) a time limit for a hearing date which must be held within thirty (30) days after the date of receipt of a request for a hearing. No contract or agreement between the Contractor and a health care professional shall contain any provision which shall supersede or impair a health care professional's right to notice of reasons for termination and the opportunity for a hearing or review concerning such termination.

Appears in 1 contract

Samples: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)

Termination of Health Care Professional Agreements. The Contractor shall not terminate a contract with a health care professional unless the Contractor provides to the health care professional a written explanation of the reasons for the proposed termination and an opportunity for a review or hearing as hereinafter provided. For purposes of this Section a health care professional is an individual licensed, registered or certified pursuant to Title 8 of the Education Law. These requirements shall not apply in cases involving imminent harm to patient care, a determination of fraud, or a final disciplinary action by a state licensing board or other governmental agency that impairs the health care professional's ability to practice. When the Contractor desires to terminate a contract with a health care professional, the notification of the proposed termination by the Contractor to the health care professional shall include: a) the reasons for the proposed action; b) notice that the health care professional has the right to request a hearing or review, at the provider's discretion, before a panel appointed by the Contractor; c) a time limit of not less than thirty (30) days within which a health care professional may request a hearingA HEARING; andAND d) a time limit for a hearing date which date: WHICH must be held within BE HELD WITHIN thirty (30) days after the date of receipt of a request for a hearingahearing. No contract or agreement between the Contractor and a health care professional shall contain any provision which shall supersede or impair a health care professional's right to notice of reasons for termination and the opportunity for a hearing or review concerning such termination.

Appears in 1 contract

Samples: Medicaid Managed Care Model Contract (Amerigroup Corp)

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Termination of Health Care Professional Agreements. The Contractor shall not terminate a contract with a health care professional unless the Contractor provides to the health care professional a written explanation of the reasons for the proposed termination and an opportunity for a review or hearing as hereinafter provided. For purposes of this Section a health care professional is an individual licensed, registered or certified pursuant to Title 8 of the Education Law. These requirements shall not apply in cases involving imminent harm to patient care, a determination of fraud, or a final disciplinary action by a state licensing board or other governmental agency that impairs the health care professional's ability to practice. When the Contractor desires to terminate a contract with a health care professional, the notification of the proposed termination by the Contractor to the health care professional shall include: a) the reasons for the proposed action; b) notice that the health care can professional has the right to request a hearing or review, at the provider's discretion, before a panel appointed by the Contractor; c) a time limit of not less than thirty (30) days within which a health care professional may request a hearing; and d) a time limit for a hearing date which must be held within thirty (30) days after the date of receipt of a request for a hearing. No contract or agreement between the Contractor and a health care professional shall contain any provision which shall supersede or impair a health care professional's right to notice of reasons for termination and the opportunity for a hearing or review concerning such termination.

Appears in 1 contract

Samples: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)

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