Governmental Provider entities contracting requirement Sample Clauses

The Governmental Provider entities contracting requirement clause mandates that any entity providing services or goods under the contract must comply with specific governmental standards or eligibility criteria. Typically, this means that only organizations recognized or approved by relevant government authorities can enter into or fulfill the contract, and they may need to demonstrate compliance through certifications or registrations. This clause ensures that only qualified and authorized providers participate, thereby maintaining regulatory compliance and reducing the risk of unqualified or unauthorized entities delivering services.
Governmental Provider entities contracting requirement. Contractor shall contract with the University of Illinois and Southern Illinois University (collectively, governmental Provider entities) in order to provide certain Covered Services to Enrollees if such governmental Provider entity is located within Contractor’s geographic area set forth in Attachment II. Contractor shall reimburse the University of Illinois for inpatient hospital, outpatient hospital, and Physician services at no less than their rates as determined by the Medicaid approved reimbursement methodologies. Contractor shall reimburse Southern Illinois University for Physician services at no less than its rate as determined by the Medicaid‐approved reimbursement methodologies. Contractor shall not limit equal access to such Providers.
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Governmental Provider entities contracting requirement. Contractor shall contract with the University of Illinois, Cook County, by and through its Cook County Health and Hospitals System, and Southern Illinois University (collectively, governmental Provider entities) in order to provide certain Covered Services to Enrollees if such governmental Provider entity is located within Contractor’s Contracting Area set forth in Attachment II. Contractor shall reimburse the University of Illinois for inpatient hospital, outpatient hospital, Physician services, and encounter rate clinics at no less than their rates as determined by the Medicaid approved reimbursement methodologies, as provided to Contractor by the Department. Contractor shall reimburse Southern Illinois University for Physician services at no less than its rate as determined by the Medicaid-approved reimbursement methodologies, as provided to Contractor by the Department. For the period January 1, 2018 through December 31, 2019, Contractor shall reimburse Cook County for inpatient hospital, outpatient hospital, Physician services, and encounter rate clinics at no less than their rates as determined by the Medicaid approved reimbursement methodologies, as provided to Contractor by the Department. Contractor shall not limit equal access to such Providers.
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Governmental Provider entities contracting requirement. Contractor shall contract with the University of Illinois, Cook County, by and through its Cook County Health and Hospitals System, and Southern Illinois University (collectively, governmental Provider entities) in order to provide certain Covered Services to Enrollees if such governmental Provider entity is located within Contractor’s Contracting Area set forth in Attachment II. Contractor shall reimburse the University of Illinois and Cook County for inpatient hospital, outpatient hospital, Physician services, and encounter rate clinics at no less than their rates as determined by the Medicaid approved reimbursement methodologies, as provided to Contractor by the Department. Contractor shall reimburse Southern Illinois University for Physician services at no less than its rate as determined by the Medicaid-approved reimbursement methodologies, as provided to Contractor by the Department. Contractor shall not limit equal access to such Providers.
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Governmental Provider entities contracting requirement. Contractor shall contract with the University of Illinois and Southern Illinois University (collectively, governmental Provider entities) in order to provide certain Covered Services to Enrollees if such governmental Provider entity is located within Contractor’s Contracting Area set forth in Attachment II. Contractor shall reimburse the University of Illinois for inpatient hospital, outpatient hospital, and for Physician services for the period February 1, 2020 through December 31, 2020, at no less than their rates as determined by the Medicaid approved reimbursement methodologies, as provided to Contractor by the Department, including claims where the University of Illinois charges less than the Medicaid State Plan rate, as allowed by 42 CFR §410.2. Contractor shall reimburse Southern Illinois University for Physician services at no less than its rate as determined by the Medicaid-approved reimbursement methodologies, as provided to Contractor by the Department, for the period February 1, 2020 through December 31, 2020. Contractor shall not limit equal access to such Providers. 5. Section 5.16 is deleted and replaced with the following:
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Related to Governmental Provider entities contracting requirement

  • Federal Medicaid System Security Requirements Compliance Party shall provide a security plan, risk assessment, and security controls review document within three months of the start date of this Agreement (and update it annually thereafter) in order to support audit compliance with 45 CFR 95.621 subpart F, ADP System Security Requirements and Review Process.

  • Child Abuse Reporting Requirements A. Grantees shall comply with child abuse and neglect reporting requirements in Texas Family Code Chapter 261. This section is in addition to and does not supersede any other legal obligation of the Grantee to report child abuse. B. Grantee shall use the Texas Abuse Hotline Website located at ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/Login/Default.aspx as required by the System Agency. Grantee shall retain reporting documentation on site and make it available for inspection by the System Agency.

  • Trunking Requirements The Parties will provide designed Interconnection facilities that meet the same technical criteria and service standards, such as probability of blocking in peak hours and transmission standards, in accordance with current industry standards.

  • Procurement from UN Agencies Goods estimated to cost less than $100,000 equivalent per contract may be procured directly from Inter-Agency Procurement Services Office (IAPSO) in accordance with the provisions of paragraphs 3.1 and 3.9 of the Procurement Guidelines.

  • Minimum Vendor Legal Requirements Vendor shall remain aware of and comply with this Agreement and all local, state, and federal laws governing the sale of products/services offered by Vendor under this contract. Such applicable laws, ordinances, and policies must be complied with even if not specified herein.