ILLINICARE HEALTH PLAN, INC. AMENDMENT NO. 6 TO THEContract for Furnishing Health Services by a Managed Care Organization • December 10th, 2019
WHEREAS, the Parties to the Contract for Furnishing Health Services by a Managed Care Organization (“Contract”), the Illinois Department of Healthcare and Family Services, 201 South Grand Avenue East, Springfield, Illinois 62763-0001 (“Department”), acting by and through its Director, and IlliniCare Health Plan, Inc. (“Contractor”), desire to amend the Contract; and
MANAGED CARE ORGANIZATION] AMENDMENT NO. 2 TO THEContract for Furnishing Health Services by a Managed Care Organization • March 9th, 2021
WHEREAS, the Parties to the Contract for Furnishing Health Services by a Managed Care Organization (“Contract”), the Illinois Department of Healthcare and Family Services, 201 South Grand Avenue East, Springfield, Illinois 62763-0001 (“Department”), acting by and through its Director, and [Managed Care Organization] (“Contractor”), desire to amend the Contract; and
STATE OF ILLINOISContract for Furnishing Health Services by a Managed Care Organization • August 22nd, 2023
(“Contract”), the Illinois Department of Healthcare and Family Services, 201 South Grand Avenue East, Springfield, Illinois 62763-0001 (“Department”), acting by and through its Director, and Meridian Health Plan of Illinois, Inc. (“Contractor”), desire to amend the Contract; and
AMENDMENT NO. 3 TO THE CONTRACT FOR FURNISHING HEALTH SERVICESContract for Furnishing Health Services by a Managed Care Organization • January 20th, 2009 • Wellcare Health Plans, Inc. • Hospital & medical service plans
WHEREAS, the parties to the Contract for Furnishing Health Services by a Managed Care Organization ("CONTRACT"), the Illinois Department of Healthcare and Family Services, 201 South Grand Avenue East, Springfield, Illinois 62763-0001 ("Department"), acting by and through its Director, and Harmony Health Plan of Illinois, Inc., 200 West Adams Street, Suite 800, Chicago, II 60606 ("Contractor"), desire to amend the CONTRACT; and
CONTRACT FOR FURNISHING HEALTH SERVICES BY A MANAGED CARE ORGANIZATIONContract for Furnishing Health Services by a Managed Care Organization • August 30th, 2022
the denial or limitation of authorization of a requested service; the reduction, suspension, or termination of a previously authorized service; the denial of payment for a service, not including a denial solely because the claim does not meet the definition of a “clean claim” at 42 CFR §447.45(b); the failure to provide services in a timely manner; the failure to respond to an Appeal or Grievance in a timely manner; solely with respect to an MCO that is the only Contractor serving a Rural Area, the denial of an Enrollee’s request to obtain services beyond the travel time and distance standards established for an Enrollee who lives in a Rural Area as set forth in section 5.8.1.1; or, the denial of an Enrollee’s request to dispute a financial liability, including cost sharing.
MANAGED CARE ORGANIZATION] AMENDMENT NO. 7 TO THEContract for Furnishing Health Services by a Managed Care Organization • March 9th, 2021
Effective March 1, 2020 and through the duration of the Novel Coronavirus Disease (COVID-19) public health emergency as declared by the federal or State government, and any extensions thereof, Contractor shall perform services and duties in such a manner that incorporates all applicable provisions of flexibility provided in the Department's Section 1135 and Section 1115 Waivers as approved by federal CMS, the CMS-approved HCBS 1915(c) Waivers’ Appendix K,
STATE OF ILLINOIS CONTRACTContract for Furnishing Health Services by a Managed Care Organization • November 15th, 2017
STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID AMENDMENT NO. 3 TO THE CONTRACT FOR FURNISHING HEALTH SERVICES BY A MANAGED CARE ORGANIZATIONContract for Furnishing Health Services by a Managed Care Organization • December 29th, 2005 • Wellcare Health Plans, Inc. • Hospital & medical service plans
whereas, the parties to the Contract for Furnishing Health Services by a Managed Care Organization ("CONTRACT"), the Illinois Department of Healthcare & Family Services (formerly Public Aid), 201 South Grand Avenue East, Springfield, Illinois 62763-0001 (herein referred to as "Department"), acting by and through its Director, and Harmony Health Plan of Illinois, Inc., 125 South Wacker Drive, Suite 2600, Chicago, IL 60606 (hereinafter referred to as "Contractor"), desire to amend the CONTRACT; and
CONTRACT FOR FURNISHING HEALTH SERVICES BY AContract for Furnishing Health Services by a Managed Care Organization • December 1st, 2009 • Illinois
CONTRACT FOR FURNISHING HEALTH SERVICES BY A MANAGED CARE ORGANIZATIONContract for Furnishing Health Services by a Managed Care Organization • April 6th, 2021
Effective January 1, 2020, Contractor shall implement an initiative specific to achieving transitions from institutional settings to the community for Enrollees who have continuously resided in a Nursing Facility or a Specialized Mental Health Rehabilitation Facility for a minimum of ninety (90) days. Contractor shall prioritize community transitions for class members of the Williams v. Quinn and Colbert v. Quinn consent decrees. The initiative shall be in effect for each calendar year through 2021.
MANAGED CARE ORGANIZATION] AMENDMENT NO. 5 TO THEContract for Furnishing Health Services by a Managed Care Organization • March 9th, 2021
Enrollee’s healthcare needs; or if the Enrollee is automatically re-enrolled pursuant to section 4.11 and such loss of coverage causes the Enrollee to
STATE OF ILLINOIS CONTRACTContract for Furnishing Health Services by a Managed Care Organization • May 5th, 2020 • Illinois
AMENDMENT NO. 2 TO THE CONTRACT FOR FURNISHING HEALTH SERVICES BY A MANAGED CARE ORGANIZATION 2004-24-001-KA2Contract for Furnishing Health Services by a Managed Care Organization • November 4th, 2005 • Amerigroup Corp • Hospital & medical service plans
STATE OF ILLINOISContract for Furnishing Health Services by a Managed Care Organization • July 20th, 2022
CONTRACT FOR FURNISHING HEALTH SERVICES BY A MANAGED CARE ORGANIZATION THROUGH THE DCFS YOUTH MANAGED CARE SPECIALTY PLAN
