CMS Contract definition

CMS Contract means the contract between Payer and CMS under the Medicare Advantage Program.
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CMS Contract means the contract between Aetna and CMS under which Aetna offers the Plan(s) in the applicable time period.
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CMS Contract means the contract between CMS and HealthSun for purposes of HealthSun’s participation in the Medicare Advantage and Medicare Part D Programs.
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Examples of CMS Contract in a sentence

  • Provider acknowledges and agrees that MA Organization receives federal payments under the CMS Contract and that payments Provider receives from or on behalf of MA Organization are, in whole or in part, from federal funds.

  • Provider also shall perform the services set forth in the Agreement in a manner consistent with and in compliance with Health Plan’s contractual obligations under the CMS Contract.

  • Provider acknowledges and agrees that Health Plan oversees and is accountable to the Department and CMS for any functions and responsibilities described in the applicable State Contract, the CMS Contract and applicable State and federal regulations, including those that Subcontractor may delegate to Provider or others.

  • In the event of Subcontractor’s or Health Plan’s insolvency or other cessation of operations or termination of the applicable State Contract or CMS Contract, Provider shall continue to provide Covered Services to Covered Persons for the later of: the period for which a premium has been paid to Health Plan on behalf of the Covered Person; or, in the case of Covered Persons who are hospitalized as of such period or date, the Covered Person’s discharge.

  • Health care services or products for which a Covered Person is enrolled with Health Plan to receive coverage under a State Contract or CMS Contract.

  • Agent or Agency acknowledges and agrees that Medica oversees and is ultimately accountable to CMS for any functions and responsibilities described in the applicable CMS Contract and applicable regulations or CMS sub-regulatory guidance, including those that Medica may delegate to Agent or Agency.

  • Provider shall grant MA Organization or its designees such audit, evaluation, collection and inspection rights identified in subsection 3.9(c) as are necessary for MA Organization to comply with its obligations under the CMS Contract.

  • Provider shall perform the services set forth in the Agreement in a manner consistent and compliant with MA Organization’s contractual obligations under the CMS Contract.

  • Provider acknowledges and agrees that the U.S. Department of Health and Human Services, the Comptroller General, or their designees shall have the right (directly or through the MA Organization) to audit, evaluate, collect, and inspect any pertinent books, contracts, computer or other electronic systems (including medical records and documentation), and other records and information of Provider related to the CMS Contract.

  • Any reference to HCSC herein shall mean the HCSC Affiliate in those instances where an HCSC Affiliate holds the CMS Contract.


More Definitions of CMS Contract

CMS Contract means the contract entered into by CMS and the Company pursuant to which the Company offers one or more MA Plans in a specified service area or region.
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CMS Contract means all the contracts between BlueLincs or its affiliates and CMS pursuant to which BlueLincs HMO or its affiliates sponsors Blue Cross Medicare Advantage HMO and Part D Plans
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CMS Contract means the contract between Health Plan or a Payor and CMS, or among Health Plan or a Payor, CMS and the State, that governs the terms of Health Plan’s or Payor’s participation in a Medicare Plan.
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CMS Contract means the contract between CMS and the Medicare Plan Sponsor.
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CMS Contract means all the contracts between The MA Plan or its affiliates and CMS pursuant to which The MA Plan or its affiliates sponsors Blue Cross Medicare Advantage PPO and Part D Plans
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CMS Contract means, with respect to a WellCare Plan, the contract between a WellCare Affiliate and CMS governing such plan.
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Related to CMS Contract

  • Service Contract means, with respect to a Financed Vehicle, the agreement, if any, financed under the related Receivable that provides for the repair of such Financed Vehicle.

  • CFD Contract or "CFD" shall mean a contract which is a contract for difference by reference to fluctuations in the price of the relevant security or index;

  • Project Contract means any Contract, excluding this Agreement and, as and when executed, the Ancillary Agreements [reserved], to which Seller is a party, or by which Seller or any of the Project Assets is bound, that relates to or has the primary purpose of supporting the Work or the Project, including, for the avoidance of doubt, any Contract pursuant to which Seller or any of its Affiliates is granted a real property or other interest in the Project Site (in whole or in part) or is licensed or granted the right to use, or holds or possesses, any Project Intellectual Property Rights.

  • Procurement Contract or “Contract” means any written agreement of the Authority for the acquisition of goods or services of any kind in the actual or estimated amount of $25,000, or more.

  • Prime Contract means the contract between LOCKHEED MARTIN and the U.S. Government or between LOCKHEED MARTIN and its higher-tier contractor who has a contract with the U.S. Government.