Common use of Governmental Provider entities contracting requirement Clause in Contracts

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.

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.