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 4 contracts

Samples: Three Way Contract for Capitated Model, Three Way Contract for Capitated Model, Three Way Contract for Capitated Model

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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: Three Way Contract for Capitated Model, Three Way Contract for Capitated Model, Three Way Contract for Capitated Model

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: Three Way Contract for Capitated Model

Voluntary Medicare Prescription Drug Plan. A. 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 ApplicationApplication , 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 contract and any regulations or policies implementing or interpreting such statutory or regulatory provisions. . B. 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. . C. 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. . D. 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 CommonwealthDMAS, and CMS.

Appears in 1 contract

Samples: Contract

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: Contract

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: Contract

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Voluntary Medicare Prescription Drug Plan. Contractor A. PDP Sponsor agrees to operate one or more Medicare Voluntary Prescription Drug Plans (hereinafter referred to as a "PDP"), 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 addendumcontract, which incorporates in its entirety the 2013 Capitated Financial Alignment Application, 2012 Solicitation For Applications for New Prescription Drug Plan (PDP) Sponsors released on March 29January 4, 2012 [ 2011 (hereinafter collectively referred to as "the addendum”contract"). Contractor PDP Sponsor also agrees to operate in accordance with the regulations at 42 C.F.R. CFR Part 423 (with the exception of Subparts Q, R, and S), §§1860D-1 through 1860D-43 (with the exception of §§1860D-22(aof§§1860D-22(a) and 1860D-31) of the Act, and the applicable solicitation identified abovesolicitation, as well as all other applicable Federal statutes, regulations, and policies. This addendum contract 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. . B. CMS agrees to perform its obligations to Contractor PDP Sponsor consistent with the regulations at 42 C.F.R. Part423 CFR Part 423 (with the exception of Subparts Q, R, R and S), §§1860D-1 through 1860D-43 of the Act (with the exception of §§1860D-22(a1860D- 22(a) and 1860D-31) of the Act, and the applicable solicitation, as well as all other applicable Federal statutes, regulations, and policies. . C. CMS agrees that it will not implement, other than at the beginning of a calendar year, regulations under 42 C.F.R. CFR Part 423 that impose new, significant regulatory requirements on ContractorPDP Sponsor. This provision does not apply to new requirements mandated by statute. D. If PDP Sponsor had a contract with CMS for Contract Year 2011 under the contract ID number designated above, this document is considered a renewal of the existing contract. While the terms of this document supersede the terms of the 2011 contract, the parties execution of this contract does not extinguish or interrupt any pending obligations or actions that may have arisen under the 2011 or prior year contracts. E. This addendum contract is in no way intended to supersede or modify 42 C.F.R.CFR, Parts 417, 422 Part 423, 431 or 438. Failure to reference a regulatory requirement in this addendum contract does not affect the applicability of such requirements to Contractor, the Commonwealth, PDP Sponsor and CMS.

Appears in 1 contract

Samples: Contract With Approved Entity for Medicare Prescription Drug Plan (Wellcare Health Plans, Inc.)

Voluntary Medicare Prescription Drug Plan. Contractor A. PDP Sponsor agrees to operate one or more Medicare Voluntary Prescription Drug Plans (hereinafter referred to as a "PDP"), 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 addendumcontract, which incorporates in its entirety the 2013 Capitated Financial Alignment Application, Solicitation For Applications for New Prescription Drug Plan (PDP) Sponsors released on March 29January 10, 2012 [ (hereinafter collectively referred to as "the addendum”contract"). Contractor PDP Sponsor also agrees to operate in accordance with the regulations at 42 C.F.R. CFR 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 abovesolicitation, as well as all other applicable Federal statutes, regulations, and policies. This addendum contract 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. . B. CMS agrees to perform its obligations to Contractor PDP Sponsor consistent with the regulations at 42 C.F.R. Part423 CFR Part 423 (with the exception of Subparts Q, R, R and S), §§1860D-1 through 1860D-43 of the Act (with the exception of §§1860D-22(a1860D- 22(a) and 1860D-31) of the Act, and the applicable solicitation, as well as all other applicable Federal statutes, regulations, and policies. . C. CMS agrees that it will not implement, other than at the beginning of a calendar year, regulations under 42 C.F.R. CFR Part 423 that impose new, significant regulatory requirements on ContractorPDP Sponsor. This provision does not apply to new requirements mandated by statute. D. If PDP Sponsor had a contract with CMS for Contract Year 2012 under the contract ID number designated above, this document is considered a renewal of the existing contract. While the terms of this document supersede the terms of the 2012 contract, the parties' execution of this contract does not extinguish or interrupt any pending obligations or actions that may have arisen under the 2012 or prior year contracts. E. This addendum contract is in no way intended to supersede or modify 42 C.F.R.CFR, Parts 417, 422 Part 423, 431 or 438. Failure to reference a regulatory requirement in this addendum contract does not affect the applicability of such requirements to Contractor, the Commonwealth, PDP Sponsor and CMS.

Appears in 1 contract

Samples: Contract With Approved Entity for Medicare Prescription Drug Plan (Wellcare Health Plans, Inc.)

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: Three Way Contract for Capitated Model

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