TERMINATION OF PROVIDER CONTRACT/SUBCONTRACT. STATE 1. Takes any action or fails to prevent an action that threatens the health, safety or welfare of any enrollee, including significant marketing abuses; 2. Takes any action that threatens the fiscal integrity of the Medicaid program; 3. Has its certification suspended or revoked by DOBI, DOH, and/or any federal agency or is federally debarred or excluded from federal procurement and non- procurement contracts; 4. Becomes insolvent or falls below minimum net worth requirements; 5. Brings a proceeding voluntarily or has a proceeding brought against it involuntarily, under the Bankruptcy Act; 6. Materially breaches the provider contract/subcontract; or 7. Violates state or federal law, including laws involving fraud, waste, and abuse.
Appears in 4 contracts
Samples: Contract Requirements Appendix, Contract Requirements Appendix, Contract Requirements Appendix
TERMINATION OF PROVIDER CONTRACT/SUBCONTRACT. STATE
1. Takes any action or fails to prevent an action that threatens the health, safety or welfare of any enrollee, including significant marketing abuses;
2. Takes any action that threatens the fiscal integrity of the Medicaid program;
3. Has its certification suspended or revoked by DOBI, DOH, and/or any federal agency or is federally debarred or excluded from federal procurement and non- non-procurement contracts;
4. Becomes insolvent or falls below minimum net worth requirements;
5. Brings a proceeding voluntarily or has a proceeding brought against it involuntarily, under the Bankruptcy Act;
6. Materially breaches the provider contract/subcontract; or
7. Violates state or federal law, including laws involving fraud, waste, and abuse.
Appears in 1 contract
Samples: Individual Provider Agreement
TERMINATION OF PROVIDER CONTRACT/SUBCONTRACT. STATE
1. Takes any action or fails to prevent an action that threatens the health, safety or welfare of any enrollee, including significant marketing abuses;
2. Takes any action that threatens the fiscal integrity of the Medicaid program;
3. Has its certification suspended or revoked by DOBI, DOH, and/or any federal agency or is federally debarred or excluded from federal procurement and non- procurement nonprocurement contracts;
4. Becomes insolvent or falls below minimum net worth requirements;
5. Brings a proceeding voluntarily or has a proceeding brought against it involuntarily, under the Bankruptcy Act;
6. Materially breaches the provider contract/subcontract; or
7. Violates state or federal law, including laws involving fraud, waste, and abuse.
Appears in 1 contract
Samples: Provider Agreement
TERMINATION OF PROVIDER CONTRACT/SUBCONTRACT. STATE
1. Takes any action or fails to prevent an action that threatens the health, safety or welfare of any enrollee, including significant marketing abuses;
2. Takes any action that threatens the fiscal integrity of the Medicaid program;
3. Has its certification suspended or revoked by DOBI, DOH, and/or any federal agency or is federally debarred or excluded from federal procurement and non- non-procurement contracts;
4. Becomes insolvent or falls below minimum net worth requirements;
5. Brings a proceeding voluntarily or has a proceeding brought against it involuntarily, under the Bankruptcy Act;
6. Materially breaches the provider contract/subcontract; or
7. Violates state or federal law., including laws involving fraud, waste, and abuse.
Appears in 1 contract
Samples: Aetna Producer Agreement
TERMINATION OF PROVIDER CONTRACT/SUBCONTRACT. STATE
1. Takes any action or fails to prevent an action that threatens the health, safety or welfare of any enrollee, including significant marketing abuses;
2. Takes any action that threatens the fiscal integrity of the Medicaid program;
3. Has its certification suspended or revoked by DOBI, DOH, and/or any federal agency or is federally debarred or excluded from federal procurement and non- procurement contracts;
4. Becomes insolvent or falls below minimum net worth requirements;
5. Brings a proceeding voluntarily or has a proceeding brought against it involuntarily, under the Bankruptcy Act;
6. Materially breaches the provider contract/subcontract; or
7. Violates state or federal law, including laws involving fraud, waste, and abuse.
Appears in 1 contract
Samples: Managed Long Term Services and Supports Provider Agreement
TERMINATION OF PROVIDER CONTRACT/SUBCONTRACT. STATE
1. Takes any action or fails to prevent an action that threatens the health, safety or welfare of any enrollee, including significant marketing abuses;
2. Takes any action that threatens the fiscal integrity of the Medicaid program;
3. Has its certification suspended or revoked by DOBI, DOHDHSS, and/or any federal agency or is federally debarred or excluded from federal procurement and non- non-procurement contracts;
4. Becomes insolvent or falls below minimum net worth requirements;
5. Brings a proceeding voluntarily or has a proceeding brought against it involuntarily, under the Bankruptcy Act;
6. Materially breaches the provider contract/subcontract; or
7. Violates state or federal law., including laws involving fraud, waste, and abuse.
Appears in 1 contract
Samples: Medicaid Facility Services Agreement
TERMINATION OF PROVIDER CONTRACT/SUBCONTRACT. STATE
(1. ) Takes any action or fails to prevent an action that threatens the health, safety or welfare of any enrollee, including significant marketing abuses;
(2. ) Takes any action that threatens the fiscal integrity of the Medicaid program;
(3. ) Has its certification suspended or revoked by DOBI, DOH, and/or any federal agency or is federally debarred or excluded from federal procurement and non- non-procurement contracts;
(4. ) Becomes insolvent or falls below minimum net worth requirements;
(5. ) Brings a proceeding voluntarily or has a proceeding brought against it involuntarily, under the Bankruptcy Act;
(6. ) Materially breaches the provider contract/subcontract; or
(7. ) Violates state or federal law, including laws involving fraud, waste, and abuse.
Appears in 1 contract
Samples: Contract Requirements Appendix