Common use of TERMINATION OF PROVIDER CONTRACT/SUBCONTRACT Clause in Contracts

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

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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

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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

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