Common use of Failure to Provide Services Clause in Contracts

Failure to Provide Services. The MCO shall be subject to one of the remedies listed in section 5.6 or section 5.7 if: a) the MCO fails substantially to provide Medically Necessary items and services that are required to be provided to an Enrollee covered under this Contract; and b) the failure has adversely affected or has a substantial likelihood of adversely affecting the Enrollee.

Failure to Provide Services. The MCO shall be subject to one of the remedies listed in section 5.6 sections 5.4.3 or section 5.7 if: a) 5.4.4 if the MCO fails substantially to provide Medically Necessary items and services that are required to be provided to an Enrollee covered under this Contract; and b) , if the failure has adversely affected or has a substantial likelihood of adversely affecting the Enrollee.

Failure to Provide Services. ‌ The MCO shall be subject to one of the remedies listed in section 5.5 or 5.6 or section 5.7 if: if a) the MCO fails substantially to provide Medically Necessary items and services that are required to be provided to an Enrollee covered under this Contract; , and b) the failure has adversely affected or has a substantial likelihood of adversely affecting the Enrollee.. [SSA §1903(m)(3)(B); 42 CFR‌‌‌‌ §438.700(b)(1)]

Failure to Provide Services. ‌ The MCO shall be subject to one of the remedies listed in section 5.6 5.5 or section 5.7 5.6 if: a) the MCO fails substantially to provide Medically Necessary items and services that are required to be provided to an Enrollee covered under this Contract; and b) the failure has adversely affected or has a substantial likelihood of adversely affecting the Enrollee.. [SSA §1903(m)(3)(B); 42 CFR‌‌‌‌ §438.700(b)(1)]

Failure to Provide Services. The MCO shall be subject to one of the remedies listed in section 5.6 or section 5.7 if: a) 5.4.3 if the MCO fails substantially to provide Medically Necessary items and services that are required to be provided to an Enrollee covered under this Contract; , and b) if the failure has adversely affected or has a substantial likelihood of adversely affecting the Enrollee.

Failure to Provide Services. ‌‌‌‌‌ The MCO shall be subject to one of the remedies listed in section 5.6 or section 5.7 if: a) the MCO fails substantially to provide Medically Necessary items and services that are required to be provided to an Enrollee covered under this Contract; and b) the failure has adversely affected or has a substantial likelihood of adversely affecting the Enrollee.. [SSA §1903(m)(3)(B); 42 CFR‌‌‌‌ §438.700(b)(1)]

Failure to Provide Services. The MCO shall be subject to one of the remedies listed in section 5.6 5.4.3 or section 5.7 if: a) 5.4.4 if the MCO fails substantially to provide Medically Necessary items and services that are required to be provided to an Enrollee covered under this Contract; , and b) if the failure has adversely affected or has a substantial likelihood of adversely affecting the Enrollee.

Failure to Provide Services. The MCO shall be subject to one of the remedies listed in section 5.6 or section 5.7 if: a) 5.4.1 if the MCO fails substantially to provide Medically Necessary items and services that are required to be provided to an Enrollee covered under this Contract; , and b) if the failure has adversely affected or has a substantial likelihood of adversely affecting the Enrollee.

Failure to Provide Services. The MCO shall be subject to one of the remedies listed in section 5.6 or section 5.7 if: a) 5.4.3 if the MCO fails substantially to provide Medically Necessary items and services that are required to be provided to an Enrollee covered under this Contract; , and b) if the failure has adversely affected or has a substantial likelihood of adversely affecting the Enrollee.. Section 20.2 to 20.2.8 87

Failure to Provide Services. ‌ The MCO shall be subject to one of the remedies listed in section 5.6 or section 5.7 if: a) the MCO fails substantially to provide Medically Necessary items and services that are required to be provided to an Enrollee covered under this Contract; and b) the failure has adversely affected or has a substantial likelihood of adversely affecting the Enrollee.. [SSA §1903(m)(3)(B); 42 CFR §438.700(b)(1)]

Failure to Provide Services. ‌ The MCO shall be subject to one of the remedies listed in section 5.6 or section 5.7 if: if a) the MCO fails substantially to provide Medically Necessary items and services that are required to be provided to an Enrollee covered under this Contract; , and b) the failure has adversely affected or has a substantial likelihood of adversely affecting the Enrollee.. [SSA §1903(m)(3)(B); 42 CFR §438.700(b)(1)]