Common Contracts

KENTUCKY STATE PROGRAM REGULATORY REQUIREMENTS APPENDIX DOWNSTREAM PROVIDER

May 11th, 2022

• Filed
  May 11th, 2022

This 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 Commonwealth of Kentucky’s Medicaid program, CHIP program and, as applicable, benefit plans for other state-based healthcare programs for low income individuals (the “State Program”), 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 a contract between the State and Health Plan (the “State Contract” as defined herein). The State Contract 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 plans outside the scope of this Appendix

DOWNSTREAM PROVIDER

October 6th, 2020

• Filed
  October 6th, 2020

This 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 Ohio Medicaid program, including Aged Blind and Disabled, and Covered Families and Children program (the “State Program”), 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 a contract between the State and Health Plan (the “State Contract” as defined herein). The State Contract 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 plans outside the scope of this Appendix or unless otherwise required by law. In the event Su

THIS MEDICAID AND CHIP REGULATORY REQUIREMENTS APPENDIX (this

July 15th, 2019

• Filed
  July 15th, 2019

This 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’s Medicaid program, CHIP program and, as applicable, benefit plans for other state-based healthcare programs for low income individuals (the “State Program”), 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 a contract between the State and Health Plan (the “State Contract” as defined herein). The State Contract 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 plans outside the scope of this Appendix or unless otherwise