Downstream Subcontractor definition

Downstream Subcontractor as it pertains to MCP, has the same meaning ascribed by the MCP’s Medi-Cal Managed Care Contract with the DHCS; and as it pertains to MHP, means a subcontractor of a MHP Subcontractor.
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Downstream Subcontractor means a “subcontractor” (as such term is defined in 45 CFR §160.103) that creates, receives, maintains or transmits PHI of Covered Entity on behalf of Business Associate.
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Downstream Subcontractor means any subcontractor with whom Subcontractor contracts to provide a service on behalf of Business Associate where Business Associate receives from, or creates on behalf of, Covered Entity PHI and provides that PHI to Subcontractor.
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Examples of Downstream Subcontractor in a sentence

  • Further, the Parties may enter into Subcontractor Agreements or Downstream Subcontractor Agreements that relate directly or indirectly to the performance of the Parties’ obligations under this MOU.

  • Further, MCP may enter into Subcontractor Agreements or Downstream Subcontractor Agreements that relate directly or indirectly to the performance of MCP’s obligations under this MOU.

  • Indicate if Subcontractor or Downstream Subcontractor is permitted to sub-delegate any functions.

  • Within ten (10) working days of completing its Fraud, Waste, or Abuse investigation (including both Downstream Subcontractor-initiated and DHCS-initiated referrals), Downstream Subcontractor must submit a completed report to DELEGATE for submission to Health Plan.

  • Emergency services must not be subject to prior authorization by Downstream Subcontractor.

  • Payments to non-contracting providers must be for the treatment of the Emergency Medical Condition, including Medically Necessary inpatient services rendered to a Member until the Member’s condition has stabilized sufficiently to permit referral and transfer in accordance with instructions from Downstream Subcontractor or the Member is stabilized sufficiently to permit discharge.

  • A Network Provider is not a Downstream Subcontractor solely because it enters into a Network Provider Agreement.

  • A written agreement between a Subcontractor and a Downstream Subcontractor or between any Downstream Subcontractors.

  • Downstream Subcontractor must reimburse providers for Emergency Services received by a Member from out-of-network providers.

  • In addition to quarterly reports, Downstream Subcontractor must provide updates and available documentation as requested from time to time.

Related to Downstream Subcontractor

  • Subcontractor means any supplier, distributor, vendor, or firm that furnishes supplies or services to or for a prime contractor or another subcontractor.

  • Sub-Contractor means the person named in the Contract for any part of the works or any person to whom any part of the contract has been sublet by the contractor with the consent in writing of the Engineer-in-charge and will include the legal representatives, successors and permitted assigns of such persons.

  • Contractor Project Manager means the employee identified in a Statement of Work as the Contractor project manager.

  • Contractor means the Party selected to provide the goods or Services to the State under this Contract.

  • Master subcontracting plan means a subcontracting plan that contains all the required elements of an individual subcontracting plan, except goals, and may be incorporated into individual subcontracting plans, provided the master subcontracting plan has been approved.

  • Third Party Contractor as used in the Student Data Protection Act and “Operator” as used in COPPA. De-Identified Information (DII): De-Identification refers to the process by which the Contractor removes or obscures any Personally Identifiable Information (“PII”) from Education Records in a way that removes or minimizes the risk of disclosure of the identity of the individual and information about them.

  • Subcontract means any contract entered into by a subcontractor to furnish supplies or services for performance of a prime contract or a subcontract.