Common use of Voluntary Medicare Prescription Drug Plan Clause in Contracts

Voluntary Medicare Prescription Drug Plan. Contractor agrees to operate one or more Medicare Voluntary Prescription Drug Plans as described in its application and related materials submitted to CMS for Medicare approval, including but not limited to all the attestations contained therein and all supplemental guidance, and in compliance with the provisions of this addendum, which incorporates in its entirety the 2013 Capitated Financial Alignment Application, released on March 29, 2012 [ (hereinafter collectively referred to as “the addendum”). Contractor also agrees to operate in accordance with the regulations at 42 C.F.R. Part 423 (with the exception of Subparts Q, R, and S), §§1860D-1 through 1860D-43 (with the exception of §§1860D-22(a) and 1860D-31) of the Act, and the applicable solicitation identified above, as well as all other applicable Federal statutes, regulations, and policies. This addendum is deemed to incorporate any changes that are required by statute to be implemented during the term of this Contract and any regulations or policies implementing or interpreting such statutory or regulatory provisions. CMS agrees to perform its obligations to Contractor consistent with the regulations at 42 C.F.R. Part423 (with the exception of Subparts Q, R, and S), §§1860D-1 through 1860D-43 (with the exception of §§1860D-22(a) and 1860D-31) of the Act, and the applicable solicitation, as well as all other applicable Federal statutes, regulations, and policies. CMS agrees that it will not implement, other than at the beginning of a calendar year, regulations under 42 C.F.R. Part 423 that impose new, significant regulatory requirements on Contractor. This provision does not apply to new requirements mandated by statute. This addendum is in no way intended to supersede or modify 42 C.F.R., Parts 417, 422 423, 431 or 438. Failure to reference a regulatory requirement in this addendum does not affect the applicability of such requirements to Contractor, the Commonwealth, and CMS.

Appears in 3 contracts

Samples: License Agreement, License Agreement, License Agreement

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Voluntary Medicare Prescription Drug Plan. Contractor agrees to operate one or more Medicare Voluntary Prescription Drug Plans as described in its application and related materials submitted to CMS for Medicare approval, including but not limited to all the attestations contained therein and all supplemental guidance, and in compliance with the provisions of this addendum, which incorporates in its entirety the 2013 Capitated Financial Alignment Application, released on March 29, 2012 [ (hereinafter collectively referred to as “the addendum”). Contractor also agrees to operate in accordance with the regulations at 42 C.F.R. Part 423 (with the exception of Subparts Q, R, and S), §§1860D-1 1860D‑1 through 1860D-43 1860D‑43 (with the exception of §§1860D-22(a1860D‑22(a) and 1860D-311860D‑31) of the Act, and the applicable solicitation identified above, as well as all other applicable Federal statutes, regulations, and policies. This addendum is deemed to incorporate any changes that are required by statute to be implemented during the term of this Contract and any regulations or policies implementing or interpreting such statutory or regulatory provisions. CMS agrees to perform its obligations to Contractor consistent with the regulations at 42 C.F.R. Part423 (with the exception of Subparts Q, R, and S), §§1860D-1 1860D‑1 through 1860D-43 1860D‑43 (with the exception of §§1860D-22(a1860D‑22(a) and 1860D-311860D‑31) of the Act, and the applicable solicitation, as well as all other applicable Federal statutes, regulations, and policies. CMS agrees that it will not implement, other than at the beginning of a calendar year, regulations under 42 C.F.R. Part 423 that impose new, significant regulatory requirements on Contractor. This provision does not apply to new requirements mandated by statute. This addendum is in no way intended to supersede or modify 42 C.F.R., Parts 417, 422 422, 423, 431 or 438. Failure to reference a regulatory requirement in this addendum does not affect the applicability of such requirements to Contractor, the Commonwealth, and CMS.

Appears in 3 contracts

Samples: www.mass.gov, www.mass.gov, www.mass.gov

Voluntary Medicare Prescription Drug Plan. Contractor ICO agrees to operate one or more Medicare Voluntary Prescription Drug Plans as described in its application and related materials submitted to CMS for Medicare approval, including but not limited to all the attestations contained therein and all supplemental guidancetherein, and in compliance with the provisions of this addendum, which incorporates in its entirety the 2013 Capitated Financial Alignment current Medicare-Medicaid Plan Application, released on March 29, 2012 [ (hereinafter collectively referred to as “the addendum”). Contractor ICO also agrees to operate in accordance with §§1860D-1 through 1860D-43 (with the exception of §§1860D-22(a) and 1860D-31) of the Act, the regulations at 42 C.F.R. Part 423 (with the exception of Subparts Q, R, and S), §§1860D-1 through 1860D-43 (with the exception of §§1860D-22(a) and 1860D-31) of the Act, and the applicable solicitation identified above, as well as all other applicable Federal statutes, statutes regulations, and policiespolicies outlined in guidance such as the Medicare Managed Care Manual, the Medicare Communications and Marketing Guidelines and State-specific Marketing Guidelines, CMS Participant Guides, Health Plan Management System memos, Rate Announcement, and trainings. This addendum is deemed to incorporate any changes that are required by statute to be implemented during the term of this Contract and any regulations or policies implementing or interpreting such statutory or regulatory provisions. CMS agrees to perform its obligations to Contractor ICO consistent with the regulations at 42 C.F.R. Part423 (with the exception of Subparts Q, R, and S), §§1860D-1 through 1860D-43 (with the exception of §§1860D-22(a) and 1860D-31) of the Act, the regulations at 42 C.F.R. Part 423 (with the exception of Subparts Q, R, and S), and the applicable solicitation, as well as all other applicable Federal statutes, and regulations, and policies. CMS agrees that it will not implement, other than at the beginning of a calendar year, regulations under 42 C.F.R. Part 423 that impose new, significant regulatory requirements on Contractor. ICO. This provision does not apply to new requirements mandated by statute. [42 C.F.R. § 423.516] This addendum is in no way intended to supersede or modify 42 C.F.R., Parts 417, 422 422, 423, 431 or 438. Failure to reference a regulatory requirement in this addendum does not affect the applicability of such requirements to ContractorICO, the CommonwealthMDHHS, and CMS.

Appears in 1 contract

Samples: www.cms.gov

Voluntary Medicare Prescription Drug Plan. Contractor STAR+PLUS MMP agrees to operate one or more Medicare Voluntary Prescription Drug Plans as described in its application and related materials submitted to CMS for Medicare approval, including but not limited to all the attestations contained therein and all supplemental guidance, and in compliance with the provisions of this addendum, which incorporates in its entirety the 2013 current Capitated Financial Alignment Application, released on March 29, 2012 [ Application (hereinafter collectively referred to as “the addendum”). Contractor STAR+PLUS MMP also agrees to operate in accordance with the regulations at 42 C.F.R. Part 423 (with the exception of Subparts Q, R, and S), §§1860D-1 through 1860D-43 (with the exception of §§1860D-22(a) and 1860D-31) of the Act, and the applicable solicitation application identified above, as well as all other applicable Federal statutes, regulations, and policiespolicies (e.g., policies as described in the Medicare Prescription Drug Benefit Manual, and Medicare Marketing and Communications Operations Guide, etc.). This addendum is deemed to incorporate any changes that are required by statute to be implemented during the term of this Contract contract and any regulations or policies implementing or interpreting such statutory or regulatory provisions. CMS agrees to perform its obligations to Contractor STAR+PLUS MMP consistent with the regulations at 42 C.F.R. Part423 Part 423 (with the exception of Subparts Q, R, and S), §§1860D-1 through 1860D-43 (with the exception of §§1860D-22(a) and 1860D-31) of the Act, and the applicable solicitation, as well as all other applicable Federal statutes, regulations, and policies. CMS agrees that it will not implement, other than at the beginning of a calendar year, regulations under 42 C.F.R. Part 423 that impose new, significant regulatory requirements on ContractorSTAR+PLUS MMP. This provision does not apply to new requirements mandated by statute. This addendum is in no way intended to supersede or modify 42 C.F.R., Parts 417422, 422 423, 431 or 438. Failure to reference a regulatory requirement in this addendum does not affect the applicability of such requirements to ContractorSTAR+PLUS MMP, the CommonwealthHHSC, and CMS.

Appears in 1 contract

Samples: www.cms.gov

Voluntary Medicare Prescription Drug Plan. Contractor CICO agrees to operate one or more Medicare Voluntary Prescription Drug Plans as described in its application and related materials submitted to CMS for Medicare approval, including including, but not limited to to, all the attestations contained therein and all supplemental guidancetherein, and in compliance with the provisions of this addendum, which incorporates in its entirety the 2013 Capitated Financial Alignment current Medicare-Medicaid Plan Application, released on March 29, 2012 [ (hereinafter collectively referred to as “the addendum”). Contractor XXXX also agrees to operate in accordance with the regulations at 42 C.F.R. Part 423 (with the exception of Subparts Q, R, and S), §§1860D-1 through 1860D-43 (with the exception of §§1860D-22(a) and 1860D-31) of the Act, and the applicable solicitation identified above, as well as all other applicable Federal statutes, regulations, and policies. policies outlined in guidance such as the Medicare Managed Care Manual, the Medicare Communications and Marketing Guidelines and State-specific Marketing Guidelines, CMS Participant Guides, Health Plan Management System memos, Rate Announcement, and trainings.. This addendum is deemed to incorporate any changes that are required by statute to be implemented during the term of this Contract contract and any regulations or policies implementing or interpreting such statutory or regulatory provisions. CMS agrees to perform its obligations to Contractor CICO consistent with the regulations at 42 C.F.R. Part423 Part 423 (with the exception of Subparts Q, R, and S), §§1860D-1 through 1860D-43 (with the exception of §§1860D-22(a) and 1860D-31) of the Act, and the applicable solicitation, as well as all other applicable Federal statutes, regulations, and policiespolicies outlined in guidance such as the Medicare Managed Care Manual, the Medicare Communications and Marketing Guidelines and State-specific Marketing Guidelines, CMS Participant Guides, Health Plan Management System memos, Rate Announcement, and trainings. CMS agrees that it will not implement, other than at the beginning of a calendar year, regulations under 42 C.F.R. Part 423 that impose new, significant regulatory requirements on Contractor. CICO. This provision does not apply to new requirements mandated by statute. [42 C.F.R. § 423.516] This addendum is in no way intended to supersede or modify 42 C.F.R., Parts 417, 422 423, 431 or 438. Failure to reference a regulatory requirement in this addendum does not affect the applicability of such requirements to ContractorCICO, the CommonwealthSCDHHS, and CMS.

Appears in 1 contract

Samples: Business Associate Agreement

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Voluntary Medicare Prescription Drug Plan. Contractor agrees to operate one or more Medicare Voluntary Prescription Drug Plans as described in its application and related materials submitted to CMS for Medicare approval, including but not limited to all the attestations contained therein and all supplemental guidance, and in compliance with the provisions of this addendum, which incorporates in its entirety the 2013 Capitated Financial Alignment Application, released on March 29, 2012 [ (hereinafter collectively referred to as “the addendum”). Contractor also agrees to operate in accordance with the regulations at 42 C.F.R. Part 423 (with the exception of Subparts Q, R, and S), §§1860D-1 through 1860D-43 (with the exception of §§1860D-22(a) and 1860D-31) of the Act, and the applicable solicitation identified above, as well as all other applicable Federal statutes, regulations, and policies. This addendum is deemed to incorporate any changes that are required by statute to be implemented during the term of this Contract and any regulations or policies implementing or interpreting such statutory or regulatory provisions. CMS agrees to perform its obligations to Contractor consistent with the regulations at 42 C.F.R. Part423 (with the exception of Subparts Q, R, and S), §§1860D-1 through 1860D-43 (with the exception of §§1860D-22(a) and 1860D-31) of the Act, and the applicable solicitation, as well as all other applicable Federal statutes, regulations, and policies. CMS agrees that it will not implement, other than at the beginning of a calendar year, regulations under 42 C.F.R. Part 423 that impose new, significant regulatory requirements on Contractor. This provision does not apply to new requirements mandated by statute. This addendum is in no way intended to supersede or modify 42 C.F.R., Parts 417, 422 422, 423, 431 or 438. Failure to reference a regulatory requirement in this addendum does not affect the applicability of such requirements to Contractor, the Commonwealth, and CMS.

Appears in 1 contract

Samples: www.mass.gov

Voluntary Medicare Prescription Drug Plan. Contractor agrees to operate one or more Medicare Voluntary Prescription Drug Plans as described in its application and related materials submitted to CMS for Medicare approval, including but not limited to all the attestations contained therein and all supplemental guidance, and in compliance with the provisions of this addendum, which incorporates in its entirety the 2013 Capitated Financial Alignment Application, released on March 29, 2012 [ (hereinafter collectively referred to as “the addendum”). Contractor also agrees to operate in accordance with the regulations at 42 C.F.R. Part 423 (with the exception of Subparts Q, R, and S), §§1860D-1 1860D‑1 through 1860D-43 1860D‑43 (with the exception of §§1860D-22(a1860D‑22(a) and 1860D-311860D‑31) of the Act, and the applicable solicitation identified above, as well as all other applicable Federal statutes, regulations, and policies. This addendum is deemed to incorporate any changes that are required by statute to be implemented during the term of this Contract and any regulations or policies implementing or interpreting such statutory or regulatory provisions. CMS agrees to perform its obligations to Contractor consistent with the regulations at 42 C.F.R. Part423 (with the exception of Subparts Q, R, and S), §§1860D-1 1860D‑1 through 1860D-43 1860D‑43 (with the exception of §§1860D-22(a1860D‑22(a) and 1860D-311860D‑31) of the Act, and the applicable solicitation, as well as all other applicable Federal statutes, regulations, and policies. CMS agrees that it will not implement, other than at the beginning of a calendar year, regulations under 42 C.F.R. Part 423 that impose new, significant regulatory requirements on Contractor. This provision does not apply to new requirements mandated by statute. This addendum is in no way intended to supersede or modify 42 C.F.R., Parts 417, 422 422, 423, 431 or 438. Failure to reference a regulatory requirement in this addendum does not affect the applicability of such requirements to Contractor, the Commonwealth, and CMS.

Appears in 1 contract

Samples: www.mass.gov

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