Provision of Services Generally. Within the lawful scope of its practice and/or that of its providers, as applicable, and in accordance with the terms and conditions of this Agreement, Medical Services Entity shall ensure the availability and provision of those Covered Services to Members that Medical Services Entity usually and customarily makes available and provides to its patients. a. Additionally, Medical Services Entity shall furnish Covered Services to Members in a manner consistent with the requirements of Medicaid statutes, regulations, HCA/MAD pronouncements, Corporation’s policies and procedures, as well as professionally recognized standards of health care. b. Medical Services Entity shall further ensure that Covered Services are provided in a Culturally Competent manner to Members, including those with a hearing impairment, Limited English Proficiency, a speech or language disorder, physical disabilities, developmental disabilities, differential disabilities or diverse cultural and ethnic backgrounds. c. Medical Services Entity shall offer hours of operation that are no less than the hours of operation offered to commercially insured patients. d. Medical Services Entity shall report to Corporation any changes in its capacity to take new Members or serve current Members.
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Provision of Services Generally. Within the lawful scope of its practice and/or that of its providers, as applicable, and in accordance with the terms and conditions of this Agreement, Medical Services Entity shall ensure the availability and provision of those Covered Services to Members that Medical Services Entity usually and customarily makes available and provides to its patients.
a. Additionally, Medical Services Entity shall furnish Covered Services to Members in a manner consistent with the requirements of Medicaid statutes, regulations, HCAHSD/MAD pronouncements, Corporation’s policies and procedures, as well as professionally recognized standards of health care.
b. Medical Services Entity shall further ensure that Covered Services are provided in a Culturally Competent manner to Members, including those with a hearing impairment, Limited English Proficiency, a speech or language disorder, physical disabilities, developmental disabilities, differential disabilities or diverse cultural and ethnic backgrounds.
c. Medical Services Entity shall offer hours of operation that are no less than the hours of operation offered to commercially insured patients.
d. Medical Services Entity shall report to Corporation any changes in its capacity to take new Members or serve current Members.
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Provision of Services Generally. Within the lawful scope of its practice and/or that of its providers, as applicable, and in accordance with the terms and conditions of this AgreementAmendment, Medical Services Entity shall ensure the availability and provision of those Covered Services to Members that Medical Services Entity usually and customarily makes available and provides to its patientspatients generally.
a. Additionally, Medical Services Entity shall furnish Covered Services to Members in a manner consistent with the requirements of Medicaid statutes, regulations, HCAHSD/MAD pronouncements, Corporation’s policies and procedures, as well as professionally recognized standards of health care.
b. Medical Services Entity shall further ensure that Covered Services are provided in a Culturally Competent manner to Members, including those with a hearing impairment, Limited English Proficiency, a speech or language disorder, physical disabilities, developmental disabilities, differential disabilities or diverse cultural and ethnic backgrounds.
c. Medical Services Entity shall offer hours of operation that are no less than the hours of operation offered to commercially insured patients.
d. Medical Services Entity shall report to Corporation any changes in its capacity to take new Members or serve current Members.
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Sources: Medical Services Entity Agreement