No Incentives to Limit Medically Necessary Services. United shall not structure compensation provided to individuals or entities that conduct utilization management and concurrent review activities so as to provide incentives for the individual or entity to deny, limit, or discontinue Medically Necessary services to any Covered Person.
Appears in 30 contracts
Sources: Arizona Long Term Care Program Regulatory Requirements Appendix, Medicaid Provider Agreement, Provider Agreement
No Incentives to Limit Medically Necessary Services. United shall not structure compensation provided to individuals or entities that conduct utilization management and concurrent review activities so as to provide incentives for the individual or entity to deny, limit, or discontinue Medically Necessary services Covered Services to any Covered Person.
Appears in 4 contracts
Sources: Tenncare Program Regulatory Requirements Appendix, Provider Agreement, Provider Agreement
No Incentives to Limit Medically Necessary Services. United shall not structure compensation provided to individuals or entities that conduct utilization management and concurrent review activities so as to provide incentives for the individual or entity to deny, limit, or discontinue Medically Necessary services to any Covered PersonCustomer.
Appears in 3 contracts
Sources: Pennsylvania Government Programs Regulatory Requirements Appendix, Provider Agreement, Provider Agreement
No Incentives to Limit Medically Necessary Services. United shall not structure compensation provided to individuals or entities that conduct utilization management and concurrent review activities so as to provide incentives for the individual or entity to deny, limit, or discontinue Medically Necessary services to any Covered PersonMember.
Appears in 1 contract
Sources: Florida Medicaid Program Regulatory Requirements Appendix