Provider Contracts. a) Contractor shall include in all of its contracts with Participating Providers the requirement for all Covered Services to be provided by duly licensed, certified or accredited Participating Providers consistent with the scope of their license, certification or accreditation and in accordance with applicable laws, rules, regulations, the standards of medical practice in the community, and the terms set forth in agreements entered into by and between Contractor and Participating Providers (“Provider Agreement”). b) Contractor shall include in each Provider Agreement a requirement that Participating Providers comply with all other applicable laws, rules and regulations. c) Contractor shall use commercially reasonable efforts to require the provisions of Subsection
Appears in 9 contracts
Sources: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract
Provider Contracts. a) Contractor shall include in all of its contracts with Participating Providers the requirement for all Covered Services to be provided by duly licensed, certified or accredited Participating Providers consistent with the scope of their license, certification or accreditation and in accordance with applicable laws, rules, regulations, the standards of medical practice in the community, community and the terms set forth in agreements entered into by and between Contractor and Participating Providers (“Provider Agreement”).
b) Contractor shall include in each Provider Agreement a requirement that Participating Providers comply with all other applicable laws, rules and regulations.
c) Contractor shall use commercially reasonable efforts to require the provisions of Subsectionsubsection
Appears in 4 contracts
Sources: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract
Provider Contracts. a) Contractor shall include in all of its contracts with Participating Providers the requirement for all Covered Services to be provided by duly licensed, certified or accredited Participating Providers consistent with the scope of their license, certification or accreditation and in accordance with applicable laws, rules, regulations, the standards of medical practice in the community, community and the terms set forth in agreements entered into by and between Contractor and Participating Providers (“Provider Agreement”).
b) Contractor shall include in each Provider Agreement a requirement that Participating Providers comply with all other applicable laws, rules and regulations.
c) Contractor shall use commercially reasonable efforts to require the provisions of Subsection
Appears in 2 contracts
Sources: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract
Provider Contracts. a) Contractor shall include in all of its contracts with Participating Providers the requirement for all Covered Services to be provided by duly licensed, certified or accredited Participating Providers consistent with the scope of their license, certification or accreditation and in accordance with applicable laws, rules, regulations, the standards of medical practice in the community, and the terms set forth in agreements entered into by and between Contractor and Participating Providers (“Provider Agreement”).
b) Contractor shall include in each Provider Agreement a requirement that Participating Providers comply with all other applicable laws, rules and regulations.
c) Contractor shall use commercially reasonable efforts to require the provisions of SubsectionSubsection (d) to be included in each: (i) Provider Agreement entered into by and between Contractor and a Participating Provider, and (ii) any subcontracting arrangement entered into by a Participating Provider.
Appears in 2 contracts
Sources: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract
Provider Contracts.
a) Contractor shall include in all of its contracts with Participating Providers the requirement for all Covered Services to be provided by duly licensed, certified or accredited Participating Providers consistent with the scope of their license, certification or accreditation and in accordance with applicable laws, rules, regulations, the standards of medical practice in the community, and the terms set forth in agreements entered into by and between Contractor and Participating Providers (“Provider Agreement”).
b) Contractor shall include in each Provider Agreement a requirement that Participating Providers comply with all other applicable laws, rules and regulations.
c) Contractor shall use commercially reasonable efforts to require the provisions of Subsection
Appears in 1 contract
Provider Contracts.
a) Contractor shall include in all of its contracts with Participating Providers the requirement for all Covered Services to be provided by duly licensed, certified or accredited Participating Providers consistent with the scope of their license, certification or accreditation and in accordance with applicable laws, rules, regulations, the standards of medical practice in the community, community and the terms set forth in agreements entered into by and between Contractor and Participating Providers (“Provider Agreement”).
b) Contractor shall include in each Provider Agreement a requirement that Participating Providers comply with all other applicable laws, rules and regulations.
c) Contractor shall use commercially reasonable efforts to require the provisions of Subsectionsubsection
Appears in 1 contract