Common use of Required Components Clause in Contracts

Required Components. a) The Contractor shall impose obligations and duties on its subcontractors, including its Participating Providers, that are consistent with this Agreement, and that do not impair any rights accorded to LDSS, SDOH, or DHHS. b) No subcontract, including any Provider Agreement shall limit or terminate the Contractor's duties and obligations under this Agreement. c) Nothing contained in this Agreement between LDSS and the Contractor shall create any contractual relationship between any subcontractor of the Contractor, including Participating Providers, and the County or LDSS. SECTION 22 (PROVIDER AGREEMENTS) October 1, 2004 d) Any subcontract entered into by the Contractor shall fulfill the requirements of 42 CFR Part 434 that are appropriate to the service or activity delegated under such subcontract. e) The Contractor shall also ensure that, in the event the Contractor fails to pay any subcontractor, including any Participating Provider in accordance with the subcontract or Provider Agreement, the subcontractor or Participating Provider will not seek payment from the LDSS, the Enrollees, or their eligible dependents. f) The Contractor shall include in every Provider Agreement a procedure for the resolution of disputes between the Contractor and its Participating Providers. g) The Contractor shall ensure that all Provider Agreements entered into with Providers require acceptance of a woman's enrollment in the MCO as sufficient to provide services to her newborn, unless the newborn is excluded from participating in Medicaid managed care.

Appears in 1 contract

Sources: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)

Required Components. a) The Contractor shall impose obligations and duties on its subcontractors, including its Participating Providers, that are consistent with this Agreement, and that do not impair any rights accorded to LDSS, SDOH, or DHHS. b) No subcontract, including any Provider Agreement shall limit or terminate the Contractor's duties and obligations under this Agreement. c) Nothing contained in this Agreement between LDSS and the Contractor shall create any contractual relationship between any subcontractor of the Contractor, including Participating Providers, and the County or LDSS. SECTION 22 (PROVIDER AGREEMENTS) October 1, 20042004 22-1 d) Any subcontract entered into by the Contractor shall fulfill the requirements of 42 CFR Part 434 that are appropriate to the service or activity delegated under such subcontract. e) The Contractor shall also ensure that, in the event the Contractor fails to pay any subcontractor, including any Participating Provider in accordance with the subcontract or Provider Agreement, the subcontractor or Participating Provider will not seek payment from the LDSS, the Enrollees, or their eligible dependents. f) The Contractor shall include in every Provider Agreement a procedure for the resolution of disputes between the Contractor and its Participating Providers. g) The Contractor shall ensure that all Provider Agreements entered into with Providers require acceptance of a woman's enrollment in the MCO as sufficient to provide services to her newborn, unless the newborn is excluded from participating in Medicaid managed care.

Appears in 1 contract

Sources: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)

Required Components. a) The Contractor shall impose obligations and duties on its subcontractors, including its Participating Providers, that are consistent with this Agreement, and that do not impair any rights accorded to LDSS, SDOH, or DHHS.. Section 22 (PROVIDER AGREEMENTS) October 1, 1999 22-1 b) No subcontract, including any Provider Agreement shall limit or terminate the Contractor's duties and obligations under this Agreement. c) Nothing contained in this Agreement between LDSS and the Contractor shall create any contractual relationship between any subcontractor of the Contractor, including Participating Providers, and the County or LDSS. SECTION 22 (PROVIDER AGREEMENTS) October 1, 2004. d) Any subcontract sub contract entered into by the Contractor shall fulfill the requirements of 42 CFR C FR Part 434 that are appropriate to the service or activity delegated under such subcontract. e) The Contractor shall also ensure that, in the event the Contractor fails to t o pay any subcontractor, including any Participating Provider in accordance with the subcontract or Provider Agreement, the subcontractor or Participating Provider will not seek payment from the LDSS, the Enrollees, or their eligible dependents. f) The Contractor shall include in every Provider Agreement a procedure for the resolution of disputes between the Contractor and its Participating Providers. g) The Contractor shall ensure that all Provider Agreements entered into with Providers require acceptance of a woman's enrollment in the MCO as sufficient to provide services to her newborn, unless the newborn is excluded from participating in Medicaid managed care.

Appears in 1 contract

Sources: Contractor Agreement (Americhoice Corp)