DOWNSTREAM PROVIDERPennsylvania Government Programs Regulatory Requirements Appendix • April 7th, 2021
Contract Type FiledApril 7th, 2021This Appendix applies with respect to the provision of health care services that Provider provides directly to Covered Persons through Health Plan’s (as defined herein) products or benefit plans under the State of Pennsylvania Medical Assistance managed care program (the “Medical Assistance Program”) and the Children’s Health Insurance Program (“CHIP”) (each a “State Program” and collectively, the “State Programs”) as governed by the State’s designated regulatory agencies. Provider has agreed to provide Covered Services to Covered Persons who receive their coverage pursuant to contracts between the State and Health Plan (the “State Contracts” as defined herein). The State contracts and applicable State and federal law require that the provisions contained in this Appendix be part of the Agreement. In the event of a conflict between this Appendix and other appendices or any provision of the Agreement, the provisions of this Appendix shall control except with regard to benefit contracts
DOWNSTREAM PROVIDER VERSIONPennsylvania Government Programs Regulatory Requirements Appendix • July 16th, 2019
Contract Type FiledJuly 16th, 2019This Appendix applies with respect to the provision of health care services that Provider provides directly to Covered Persons through Health Plan’s (as defined herein) products or benefit plans under the State of Pennsylvania Medical Assistance managed care program (the “Medical Assistance Program”) and the Children’s Health Insurance Program (“CHIP”) (each a “State Program” and collectively, the “State Programs”) as governed by the State’s designated regulatory agencies. Provider has agreed to provide Covered Services to Covered Persons who receive their coverage pursuant to contracts between the State and Health Plan (the “State Contracts” as defined herein). The State contracts and applicable State and federal law require that the provisions contained in this Appendix be part of the Agreement. In the event of a conflict between this Appendix and other appendices or any provision of the Agreement, the provisions of this Appendix shall control except with regard to benefit contracts
DOWNSTREAM PROVIDER VERSIONPennsylvania Government Programs Regulatory Requirements Appendix • November 2nd, 2018
Contract Type FiledNovember 2nd, 2018This Appendix applies with respect to the provision of health care services that Provider provides directly to Covered Persons through Health Plan’s (as defined herein) products or benefit plans under the State of Pennsylvania Medical Assistance managed care program (the “Medical Assistance Program”) and the Children’s Health Insurance Program (“CHIP”) (each a “State Program” and collectively, the “State Programs”) as governed by the State’s designated regulatory agencies. Provider has agreed to provide Covered Services to Covered Persons who receive their coverage pursuant to contracts between the State and Health Plan (the “State Contracts” as defined herein). The State contracts and applicable State and federal law require that the provisions contained in this Appendix be part of the Agreement. In the event of a conflict between this Appendix and other appendices or any provision of the Agreement, the provisions of this Appendix shall control except with regard to benefit contracts