Downstream Entity means any party that enters into an agreement with CDO or with another Downstream Entity for purposes of providing services related to the agreement between CDO and CMS. The term “downstream entity” is intended to reach the entity that directly provides services to Consumers.
Downstream Entity means any party that enters into a written arrangement, acceptable to Centers for Medicare and Medicaid Services (“CMS”), with persons or entities involved with the MA benefit, below the level of the arrangement between a health plan that operates a Medicare Part C program (“MA Plan”) and a First Tier Entity. These written arrangements continue down to the level of the ultimate provider of both health and administrative services. Dental Office is a Downstream Entity of LIBERTY.
Downstream Entity means any party that enters into a written arrangement, acceptable to ODM, with a first tier or related entity or below the level of a first tier or related entity to provide administrative services for Ohio Medicaid- eligible individuals. These arrangements continue down to the level of the ultimate provider of the administrative services.
Examples of Downstream Entity in a sentence
Provider agrees that if a Provider enters into an agreement with a subcontractor or Downstream Entity to perform services under the terms of this Agreement, Provider’s subcontract will include an agreement by the subcontractor to comply with all of the Provider’s obligations in this Addendum and applicable terms in the Agreement.
The Parties acknowledge that the U.S. Department of Health and Human Services (“HHS”) requires that an issuer of a Qualified Health Plan (“QHP”) and any Downstream Entity must incorporate terms and conditions into an Agreement.
If any services under this Contract are to be provided by a Downstream Entity on behalf of County, County shall ensure that such subcontracts are in compliance with 42 CFR Sections 422.504, 423.505, 438.3(k), and 438.414.
More Definitions of Downstream Entity
Downstream Entity means any party that enters into an agreement with a Delegated Entity or with another downstream entity for purposes of providing administrative or health care services related to the agreement between a Delegated Entity and Plan.
Downstream Entity has the meaning set out in 42 C.F.R. § 422.500(b) and § 423.501. Downstream Entities include any of Dentist’s subcontractors and their subcontractors down to the level of the ultimate provider of dental and administrative goods and services to MA Members.
Downstream Entity. Any party that enters into a written arrangement, acceptable to CMS, with persons or entities involved with the MA benefit, below the level of the arrangement between an MA Organization (or applicant) and a First Tier Entity. These written arrangements continue down to the level of the ultimate provider of both health care and administrative services. For purposes of this Addendum, Downstream Entity shall mean Participating Dentist.
Downstream Entity means any party that enters into a written arrangement, below the level of the arrangement between the DCO and a first-tier entity. These written arrangements continue down to the level of the ultimate provider of both health and administrative services.
Downstream Entity means any party, including an agent or broker, that enters into an agreement with a Delegated Entity or with another Downstream Entity for purposes of providing administrative or health care services related to the agreement between the Delegated Entity and Health Plan. The term “Downstream Entity” is intended to reach the entity that directly provides administrative services or health care services to qualified individuals, qualified employers, or qualified employees and their dependents (as such terms are defined in 45 C.F.R.
Downstream Entity means any party that enters into an agreement with Recipient or with another Downstream Entity for purposes of providing services related to the Navigator grant. The term “downstream entity” is intended to reach the entity that directly provides services to Consumers.