THIS IOWA STATE PROGRAMS REGULATORY REQUIREMENTS APPENDIX (thisDownstream Provider • August 31st, 2016
Contract Type FiledAugust 31st, 2016This 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 Iowa Medicaid, Iowa Health and Wellness Plan, Healthy and Well Kids in Iowa (hawk-i) and related programs (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 Subcon