Common use of Restrictions on Referrals Clause in Contracts

Restrictions on Referrals. Provider shall not make inappropriate referrals for designated health services to health care entities with which Provider or a member of Provider’s family has a financial relationship, pursuant to federal anti-kickback and physician self-referral laws that prohibit such referrals.

Appears in 84 contracts

Sources: Tenncare Program Regulatory Requirements Appendix, Medicaid Provider Agreement, Mississippichip Program Regulatory Requirements Appendix

Restrictions on Referrals. Provider shall not make inappropriate referrals for designated health services to health care entities with which Provider or a member of Provider’s family has a financial relationshipFinancial Relationship, pursuant to federal anti-kickback and physician self-referral laws that prohibit such referrals.

Appears in 5 contracts

Sources: Provider Agreement, Hawaii State Programs Regulatory Requirements Appendix, Hawaii State Programs Regulatory Requirements Appendix

Restrictions on Referrals. Provider shall not make inappropriate referrals for designated health services to health care entities with which Provider or a member of Provider’s family has a financial relationship, pursuant to federal anti-kickback and physician self-self- referral laws that prohibit such referrals.

Appears in 5 contracts

Sources: Provider Agreement, Provider Agreement, Provider Agreement

Restrictions on Referrals. Provider shall not make inappropriate referrals for designated health services to health care entities with which Provider or a member of Provider’s family has a financial relationship, pursuant to federal anti-kickback and physician self-self- referral laws that prohibit such referrals. Provider will clearly specify referral approval requirements, as applicable, to its providers and in any subcontracts.

Appears in 2 contracts

Sources: Wisconsin Badgercare Plus and Medicaid Ssi Regulatory Requirements Appendix, Wisconsin Badgercare Plus and Medicaid Ssi Regulatory Requirements Appendix

Restrictions on Referrals. Provider shall not make inappropriate referrals for designated health services to health care entities with which Provider or a member of Provider’s family has a financial relationship, pursuant to federal anti-kickback and physician self-referral laws that prohibit such referrals.

Appears in 2 contracts

Sources: Maryland Medicaid Regulatory Requirements Appendix, Maryland Medicaid Regulatory Requirements Appendix

Restrictions on Referrals. Provider shall not make inappropriate referrals for designated health services to health care entities with which Provider or a member of Provider’s family has a financial relationship, pursuant to federal anti-kickback and physician self-referral laws that prohibit such referrals.financial

Appears in 1 contract

Sources: Mississippichip Regulatory Requirements Appendix

Restrictions on Referrals. Provider shall not make inappropriate referrals for designated health services to health care entities with which Provider or a member of Provider’s family has a financial relationship, pursuant to federal anti-kickback and physician self-referral selfreferral laws that prohibit such referrals.

Appears in 1 contract

Sources: Provider Agreement