Delegated Services Agreement definition

Delegated Services Agreement means the contract between MCO and DDPR for the latter to act as dental health care benefits administrator, to provide covered dental services for qualified and registered Enrollees of the GHP.
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Examples of Delegated Services Agreement in a sentence

  • Entity contracted with Alliance through a Delegated Services Agreement to perform core Tailored Plan Services operations.

  • Health Plan reserves the right, upon written notice to Vendor, to terminate this Delegated Services Agreement or rescind any of the Delegated Services or activities delegated to Vendor herein as a result of Vendor’s material deviations from the Policy or for business reasons as deemed necessary by Health Plan.

  • All capitalized terms used in this Policy shall have the definitions ascribed to them in the Delegated Services Agreement, to which this Policy is attached and in which it is incorporated.

  • Vendor must obtain approval from Health Plan at least sixty (60) calendar days prior to subcontracting (i.e., sub-delegating) any of the services outlined in the Delegated Services Agreement, pursuant to the terms of such Delegated Services Agreement.

  • Vendor shall submit reports to the Health Plan as specified in the exhibits to the Delegated Services Agreement, or on a quarterly or semi-annual basis as required by NCQA Accreditation of Health Plan Standards or other regulatory agencies.

  • Entity contracted with Alliance through a Delegated Services Agreement to perform core Medicaid Tailored Plan Services operations.

  • Notwithstanding anything to the contrary in this Delegated Services Agreement or the Vendor Agreement generally, Health Plan retains the right, based on its sole judgment, to approve, suspend, or terminate any Vendor Provider from participation in Health Plan’s provider network system.

  • Prior to executing a Delegated Services Agreement and upon any amendment to the Delegated Services Agreement or the Vendor Agreement to add services or new products, Health Plan shall determine the capacity of the Vendor’s delivery organization to assume responsibility for the activity(ies) proposed to be delegated and to maintain Health Plan standards.

  • RPO shall perform Delegated Services on behalf of Texas HealthSpring as required to provide or arrange for the provision of Covered Medical Services in accordance with this Agreement, a delegation services agreement of even date herewith by and between Texas HealthSpring and RPO (the "Delegated Services Agreement"), as amended from time to time, and the HMO Laws.

  • The Delegated Services Agreement between MCOs and DDPR and the State Contract are incorporated herein by reference and shall be the guiding and controlling document when interpreting the terms of this Amendment.