NEW YORK MEDICAID AND CHILD HEALTH PLUSRegulatory Requirements Appendix • March 17th, 2023
This Appendix applies with respect to the provision of health care services Provider provides directly to Covered Persons under the State of New York Medicaid Managed Care, Medicaid Advantage, and Child Health Plus programs (each a “State Program” and collectively, the “State Programs,” as further defined below) as governed by the State’s designated regulatory agencies. 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 outside the scope of this Appendix or unless otherwise required by law. In the event United is required to amend or supplement this Appendix as required or requested by the State, Provider agrees that United shall be permitted to unilaterally initiate such additions, deletions or modifications.
DOWNSTREAM PROVIDERRegulatory Requirements Appendix • June 25th, 2010
This Appendix applies with respect to the provision of health care services that Provider provides directly to Covered Persons through Health Plan’s products or benefit plans under the State of South Carolina Healthy Connections Kids 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 the contract between Health Plan and the State (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 contracts outside the scope of this Appendix or unless otherwise required by law. In the event Subcontractor is required to amend or supplement this Appendix as required or requested by
