Common use of Facility Changes Clause in Contracts

Facility Changes. Facility will notify BCBSM, in writing, at least 30 days prior to implementation of major changes, such as, but not limited to, changes in: (i) name; (ii) location; (iii) ownership; (iv) professional and administrative staffing; (v) modification or expansion of service delivery; (vi) Professional Providers' licensure or certification, if applicable; and, (vii) licensure or accreditation of the Approved Site(s). Such prior notification of changes is required so that BCBSM may determine Facility's continued compliance with Qualification Standards and contractual obligations; however, prior notification of such major changes, does not ensure continued participation and will require specific BCBSM approval for continued participation by Facility. The establishment of new facilities, and changes in location or expansion of existing facilities will be subject to prior approval by BCBSM Facility will also promptly notify BCBSM of any actions, policies, determinations, or other developments which may have an impact on the provision of services to Members including, but not limited, to any: (i) action against its accreditation, or the licensure or certification of any of its Professional Providers; and (ii) legal or government action against Facility, or any of its owners, officers, directors or employees which affects this Agreement such as for professional negligence, fraud, violation of any law, or against any license.

Appears in 2 contracts

Sources: Traditional Participation Agreement, Traditional Participation Agreement

Facility Changes. Facility will notify BCBSM, BCBSM in writing, at least 30 days prior to implementation of major changes, such as, but not limited to, changes change in: (i) name; (ii) location; (iii) ownership; (iv) professional and administrative staffing; (v) modification or expansion of service delivery; and (vi) Professional Providers' professional provider and/or Facility licensure or certification, if applicable; and, (vii) licensure or accreditation of the Approved Site(s). Such prior notification of changes is required so that BCBSM may determine Facility's ’s continued compliance with Qualification Qualifications Standards and contractual obligations; however, prior notification of such major changes, does not ensure continued participation and will require specific BCBSM approval for continued participation by Facility. The establishment of new facilities, facilities and changes in location or expansion of existing facilities will be subject to prior approval by BCBSM BCBSM. Qualification Standards are set forth in Addendum B. Facility will also promptly notify BCBSM of any actions, policies, determinations, or other developments which may have an impact on the provision of services to Members Members, including, but not limited, to anylimited to: (i) any action against its accreditation, or the licensure or certification of any of its Professional ProvidersMedicare certification; and (ii) legal or government action against Facility, or any of its owners, officers, directors or employees employees, which affects affect this Agreement such as for professional negligence, fraud, violation of any law, or against any license.

Appears in 1 contract

Sources: Skilled Nursing Facility Participation Agreement