Horizon Government Programs Individual Provider Agreement

The provider/subcontractor does not charge any cost-sharing fees for any type of Medicaid or NJ FamilyCare A and B. Personal contributions for the care of NJ FamilyCare C participants and supplements for NJ FamilyCare D participants are collected in accordance with the attached schedule. Supplier/Subcontractor agrees to fulfill its obligations under applicable New Jersey laws, regulations, codes and codes, including New Jersey Licensing Board regulations, Medicaid State Plans, NJ KidCare and NJ FamilyCare, and in accordance with procedures and requirements that are announced from time to time by the U.S. Department of Health and Human Services; is mandatory. d. The Supplier/Subcontractor undertakes to cooperate with the efforts of the Contractor and the State to maximize the recovery of payments made by third parties by providing the Contractor with updates of the information required in this section. The supplier/subcontractor [insert name of CMO] must provide a written certificate attesting that it is well known to the requirements of the ADA, that it complies with the law and certifies that the supplier/subcontractor meets the requirements of the ADA to the best of its knowledge. The supplier/subcontractor guarantees that it maintains the State free and releases the State from any liability that may be imposed on the State as a result of a failure of the supplier/subcontractor to comply with the ADA. Where applicable, the supplier/subcontractor must comply with the provisions of Section 504 of the Federal Rehabilitation Act of 1973, as in force, regarding access to programs and facilities for persons with disabilities. one. The services shall be provided in connection with an emergency room visit or hospitalisation in a participating network hospital, whether or not the service provider(s) or the host doctor are a participating provider in the contractor`s network; or 1. The supplier/subcontractor also undertakes to comply with the provisions of the contractor`s contract with the State.

3. Collaborators. The supplier/subcontractor orders its employees to keep confidential information about the operations of the State, its financial affairs, its relations with its participants and collaborators, as well as any other information that may be expressly classified as confidential by law. 1. The provider/processor, where available, uses and reports other public or private third-party payment sources for services provided to subscribers. 5. The Supplier/Subcontractor agrees that any modification, modification, modification or deletion of this provision shall take effect no earlier than thirty (30) days after the approval of the State. The supplier/subcontractor must meet the following non-discrimination requirements: 3. .

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