Imposition of Sanctions. 1. To give the MCO timely written notice explaining the basis and nature of any sanctions imposed, in accordance with COMAR 10.67.10.01A (Appendix M). Sanctions may include, but are not limited to: a. Fines; b. Suspension of further enrollment; c. Withholding all or part of the capitation payment; d. Termination of the Agreement; e. Disqualification from future participation in the Maryland Medicaid Managed Care Program; and f. Those actions outlined in 42 CFR 438.700–438.708, as amended. 2. To provide the MCO notice of appeal rights under COMAR 10.67.10.02 (Appendix M). 3. To permit the MCO the opportunity to take corrective action in accordance with a plan approved by the Department and with COMAR 10.67.10.01B (Appendix M).
Appears in 2 contracts
Sources: Managed Care Organization Agreement, Managed Care Organization Agreement
Imposition of Sanctions. 1. To give the MCO timely written notice explaining the basis and nature of any sanctions imposed, in accordance with COMAR 10.67.10.01A (Appendix MQ). Sanctions may include, but are not limited to:
a. A. Fines;
b. B. Suspension of further enrollment;
c. C. Withholding all or part of the capitation payment;
d. D. Termination of the Agreement;
e. E. Disqualification from future participation in the Maryland Medicaid Managed Care Program; and
f. F. Those actions outlined in 42 CFR 438.700–438.708, as amended.
2. To provide the MCO notice of appeal rights under COMAR 10.67.10.02 (Appendix MQ).
3. To permit the MCO the opportunity to take corrective action in accordance with a plan approved by the Department and with COMAR 10.67.10.01B (Appendix MQ).
Appears in 1 contract
Sources: Managed Care Organization Agreement
Imposition of Sanctions. 1. To give the MCO timely written notice explaining the basis and nature of any sanctions imposed, in accordance with COMAR 10.67.10.01A (Appendix MT). Sanctions may include, but are not limited to:
a. A. Fines;
b. B. Suspension of further enrollment;
c. C. Withholding all or part of the capitation payment;
d. D. Termination of the Agreement;
e. E. Disqualification from future participation in the Maryland Medicaid Managed Care Program; and
f. F. Those actions outlined in 42 CFR 438.700–438.708, as amended.
2. To provide the MCO notice of appeal rights under COMAR 10.67.10.02 (Appendix MT).
3. To permit the MCO the opportunity to take corrective action in accordance with COMAR 10.67.10.01B (Appendix T), through a plan approved by the Department and with COMAR 10.67.10.01B (Appendix M).MDH. II. MDH AND THE MCO MUTUALLY AGREE:
Appears in 1 contract
Imposition of Sanctions. 1. To give the MCO timely written notice explaining the basis and nature of any sanctions imposed, in accordance with COMAR 10.67.10.01A (Appendix MO). Sanctions may include, but are not limited to:
a. Fines;
b. Suspension of further enrollment;
c. Withholding all or part of the capitation payment;
d. Termination of the Agreement;
e. Disqualification from future participation in the Maryland Medicaid Managed Care Program; and
f. Those actions outlined in 42 CFR 438.700–438.708, as amended.
2. To provide the MCO notice of appeal rights under COMAR 10.67.10.02 (Appendix MO).
3. To permit the MCO the opportunity to take corrective action in accordance with a plan approved by the Department and with COMAR 10.67.10.01B (Appendix MO).
Appears in 1 contract
Sources: Healthcare Agreements
Imposition of Sanctions. 1. To give the MCO timely written notice explaining the basis and nature of any sanctions imposed, in accordance with COMAR 10.67.10.01A (Appendix MQ). Sanctions may include, but are not limited to:
a. Fines▇. ▇▇▇▇▇;
b. B. Suspension of further enrollment;
c. C. Withholding all or part of the capitation payment;
d. D. Termination of the Agreement;
e. E. Disqualification from future participation in the Maryland Medicaid Managed Care Program; and
f. F. Those actions outlined in 42 CFR 438.700–438.708, as amended.
2. To provide the MCO notice of appeal rights under COMAR 10.67.10.02 (Appendix MQ).
3. To permit the MCO the opportunity to take corrective action in accordance with a plan approved by the Department and with COMAR 10.67.10.01B (Appendix MQ).
Appears in 1 contract
Sources: Managed Care Organization Agreement
Imposition of Sanctions. 1. To give the MCO timely written notice explaining the basis and nature of any sanctions imposed, in accordance with COMAR 10.67.10.01A (Appendix MS). Sanctions may include, but are not limited to:
a. A. Fines;
b. B. Suspension of further enrollment;
c. C. Withholding all or part of the capitation payment;
d. D. Termination of the Agreement;
e. E. Disqualification from future participation in the Maryland Medicaid Managed Care Program; and
f. F. Those actions outlined in 42 CFR 438.700–438.708, as amended.
2. To provide the MCO notice of appeal rights under COMAR 10.67.10.02 (Appendix MS).
3. To permit the MCO the opportunity to take corrective action in accordance with COMAR 10.67.10.01B (Appendix S), through a plan approved by the Department and with COMAR 10.67.10.01B (Appendix M)MDH.
Appears in 1 contract
Sources: Managed Care Organization Agreement
Imposition of Sanctions. 1. To give the MCO timely written notice explaining the basis and nature of any sanctions imposed, in accordance with COMAR 10.67.10.01A 10.09.73.01A (Appendix MN). Sanctions may include, but are not limited to:
a. Fines;
b. Suspension of further enrollment;
c. Withholding all or part of the capitation payment;
d. Termination of the Agreement;
e. Disqualification from future participation in the Maryland Medicaid Managed Care Program; and
f. Those actions outlined in 42 CFR 438.700–438.708, as amended.
2. To provide the MCO notice of appeal rights under COMAR 10.67.10.02 10.09.73.02 (Appendix MN).
3. To permit the MCO the opportunity to take corrective action in accordance with a plan approved by the Department and with COMAR 10.67.10.01B 10.09.73.01B (Appendix MN).
Appears in 1 contract
Sources: Managed Care Organization Agreement