Washington State Programs Regulatory Requirements Appendix Sample Contracts
DOWNSTREAM PROVIDERWashington State Programs Regulatory Requirements Appendix • July 9th, 2024
The requirements of this Appendix apply to “State Program” (as defined below) benefit plans sponsored, issued or administered by Carrier, including the State’s Apple Health and related programs, and Washington Benefit Plans for the Uninsured, as governed by the State’s designated regulatory agencies. In the event of a conflict between this Appendix and other appendices or any provision of the Agreement, the provisions of this Appendix shall control except with regard to benefit plans outside the scope of this Appendix or unless otherwise required by law. In the event Carrier is required to amend or supplement this Appendix as required or requested by the State to comply with federal or State regulatory requirements, Provider agrees that Carrier shall be permitted to unilaterally initiate such additions, deletions or modifications.
DOWNSTREAM PROVIDERWashington State Programs Regulatory Requirements Appendix • September 1st, 2016
This Appendix applies with respect to the provision of health care services that Provider provides directly to Covered Persons through Carrier’s (as defined herein) products or benefit plans including the State’s Apple Health and related programs as governed by the State’s designated regulatory agencies. Provider has agreed to provide Covered Services to Covered Persons who receive their coverage pursuant to a contract between the State and Carrier (the “State Contract,” as further defined below). The State Contract and applicable State and federal law require that the provisions contained in this Appendix be part of the Agreement. In the event of a conflict between this Appendix and other appendices or any provision of the Agreement, the provisions of this Appendix shall control except with regard to benefit plans outside the scope of this Appendix or unless otherwise required by law. In the event Subcontractor is required to amend or supplement this Appendix as required or requested