Common use of Termination Related to Medicare Advantage Clause in Contracts

Termination Related to Medicare Advantage. At the sole discretion of the CMS, Plan(s) and/or XXXXX, this Agreement may be immediately terminated, as it relates to PROVIDER’s provision of Covered Services to Medicare Advantage Members hereunder for the following reasons: .3.1 The termination is for breach of contract, or there is a determination of fraud; or .3.2 In the opinion of XXXXX’ medical director or its equivalent, the health care professional represents an imminent danger to an individual patient or the public health, safety or welfare; or .3.3 A decision by the CMS, Plan(s), and/or XXXXX that: (i) PROVIDER has not performed satisfactorily, or (ii) PROVIDER’s reporting and disclosure obligations under this Agreement are not fully met or timely met; or .3.4 The failure of PROVIDER to comply with the equal access and non- discrimination requirements set forth in this Agreement.

Termination Related to Medicare Advantage. At the sole discretion of the CMS, Plan(s) and/or XXXXX, this Agreement may be immediately terminated, as it relates to PROVIDER’s provision of Covered Services to Medicare Advantage Members hereunder for the following reasons: .3.1 The termination is for breach of contract, or there is a determination of fraud; or .3.2 In the opinion of XXXXX’ medical director or its equivalent, the health care professional represents an imminent danger to an individual patient or the public health, safety safety, or welfare; or .3.3 A decision by the CMS, Plan(s), and/or XXXXX that: (i) PROVIDER has not performed satisfactorily, or (ii) PROVIDER’s reporting and disclosure obligations under this Agreement are not fully met or timely met; or .3.4 The failure of PROVIDER to comply with the equal access and non- discrimination requirements set forth in this Agreement.

Termination Related to Medicare Advantage. At the sole discretion of the CMS, Plan(s) and/or XXXXX, this Agreement may be immediately terminated, as it relates to PROVIDER’s provision of Covered Services to Medicare Advantage Members hereunder for the following reasons: .3.1 The termination is for breach of contract, or there is a determination of fraud; or .3.2 In the opinion of XXXXX’ medical director or its equivalent, the health care professional represents an imminent danger to an individual patient or the public health, safety or welfare; or .3.3 A decision by the CMS, Plan(s), and/or XXXXX that: (i) PROVIDER has not performed satisfactorily, or (ii) PROVIDER’s reporting and disclosure obligations under this Agreement are not fully met or timely met; or .3.4 The failure of PROVIDER to comply with the equal access and non- non-discrimination requirements set forth in this Agreement.

Termination Related to Medicare Advantage. At the sole discretion of the CMS, Plan(s) and/or XXXXX, this Agreement may be immediately terminated, as it relates to PROVIDER’s provision of Covered Services to Medicare Advantage Members hereunder for the following reasons: .3.1 The termination is for breach of contract, or there is a determination of fraud; or .3.2 In the opinion of XXXXX’ medical director director, or its equivalent, the health care healthcare professional represents an and imminent danger to an individual patient or to the public health, safety or welfare; or .3.3 A decision by the CMS, Plan(s), and/or XXXXX that: (i) PROVIDER has not performed satisfactorily, or (ii) PROVIDER’s reporting and disclosure obligations under this Agreement are not fully met or timely met; or .3.4 The failure of PROVIDER to comply with the equal access and non- discrimination requirements set forth in this Agreement.

Termination Related to Medicare Advantage. At the sole discretion of the CMS, Plan(s) and/or XXXXX, this Agreement may be immediately terminated, as it relates to PROVIDER’s provision of Covered Services to Medicare Advantage Members hereunder for the following reasons: .3.1 The termination is if for breach of contract, or there is a determination of fraud; or .3.2 In the opinion of XXXXX’ medical director or its equivalent, the health care professional represents an imminent danger to an individual patient or the public health, safety or welfare; or .3.3 A decision by the CMS, Plan(s), and/or XXXXX that: (i) PROVIDER Provider has not performed satisfactorily, or (ii) PROVIDER’s reporting and disclosure obligations under this Agreement are not fully met or timely met; or .3.4 The failure of PROVIDER to comply with the equal access and non- discrimination requirements set forth in this Agreement.

Termination Related to Medicare Advantage. At the sole discretion of the CMS, Plan(s) and/or XXXXX, this Agreement may be immediately terminated, as it relates to PROVIDER’s provision of Covered Services to Medicare Advantage Members hereunder hereunder, for the following reasons: .3.1 The termination is for breach of contract, or there is a determination of fraud; or .3.2 In the opinion of XXXXX’ medical director or its equivalent, the health care professional represents an imminent danger to an individual patient or the public health, safety or welfare; or .3.3 A decision by the CMS, Plan(s), and/or XXXXX that: (i) PROVIDER has not performed satisfactorily, or (ii) PROVIDER’s reporting and disclosure obligations under this Agreement are not fully met or timely met; or .3.4 The failure of PROVIDER to comply with the equal access and non- discrimination requirements set forth in this Agreement.

Termination Related to Medicare Advantage. At the sole discretion of the CMS, Plan(s) and/or XXXXX, this Agreement may be immediately terminated, as it relates to PROVIDER’s provision of Covered Services to Medicare Advantage Members hereunder for the following reasons: .3.1 The termination is for breach of contract, or there is a determination of fraud; or .3.2 In the opinion of XXXXX’ medical director or its equivalent, the health care professional represents an imminent danger to an individual patient or the public health, safety or welfare; or .3.3 A decision by the CMS, Plan(s), and/or XXXXX that: (i) PROVIDER Provider has not performed satisfactorily, or (ii) PROVIDER’s reporting and disclosure obligations under this Agreement are not fully met or timely met; or .3.4 The failure of PROVIDER to comply with the equal access and non- discrimination requirements set forth in this Agreement.

Termination Related to Medicare Advantage. At the sole discretion of the CMS, Plan(s) and/or XXXXX, this Agreement may be immediately terminated, as it relates to PROVIDER’s provision of Covered Services to Medicare Advantage Members hereunder for the following reasons: .3.1 .7.1 The termination is for breach of contract, contract or there is a determination of fraud; or .3.2 .7.2 In the opinion of XXXXX’ medical director or its equivalent, the health care professional represents an imminent danger to an individual patient or the public health, safety or welfare; or .3.3 .7.3 A decision by the CMS, Plan(s), and/or XXXXX that: (i) PROVIDER has not performed satisfactorily, or (ii) PROVIDER’s reporting and disclosure obligations under this Agreement are not fully met or timely met; or .3.4 .7.4 The failure of PROVIDER to comply with the equal access and non- discrimination requirements set forth in this Agreement.