Termination, Revocation and Sanctions. In addition to its termination rights under the Agreement, Subcontractor and Health Plan shall have the right to revoke any functions or activities Subcontractor and/or Health Plan delegates to Provider under the Agreement or impose other sanctions consistent with the State Contract if in Subcontractor and/or Health Plan’s reasonable judgment Provider’s performance under the Agreement is inadequate. Subcontractor and Health Plan shall also have the right to suspend, deny, refuse to renew or terminate Provider in accordance with the terms of the State Contract and applicable law and regulation. However, Subcontractor and Health Plan shall not exclude or terminate a Provider from participation in Subcontractor and/or Health Plan’s Provider Network due to the fact that the Provider has a practice that includes a substantial number of patients with expensive medical conditions, and shall not terminate a Provider for filing a Complaint, Grievance, or Appeal on a Covered Person’s behalf.
Appears in 3 contracts
Sources: Provider Agreement, Provider Agreement, Provider Agreement