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1993 - 09-20-93 Regular Meeting
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1993 - 09-20-93 Regular Meeting
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3/25/2009 4:40:21 PM
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Admin-Clerk
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Minutes
Committee
Board of Commissioners
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r,or ; 15 „rr 38`® 018 <br />3. To remit payment to local providers through contract payment or other <br />approved method of payment. <br />4. To withhold payments, if necessary, because of irregularity from whatever <br />cause until such irregularity or difference can be resolved. <br />4. To give reasonable notice of any impending change in the provider status <br />as a participating clinic. <br />5. To notify the Provider of any substantive change in Title XIX rules and <br />regulations. <br />The Department of Environment Health and Natural Resources <br />and the Provider Agree: <br />1. That in the event the Federal and/or State laws should be amended or <br />judicially interpreted so as to render the fulfillment of this Agreement <br />on the part of either party not feasible or possible, or if the parties <br />to this Agreement should be unable to agree upon modifying amendments <br />which would be needed to enable substantial continuation of this <br />Agreement, the Division of Medical Assistance, the Provider and the <br />Department of Environment, Health, and Natural Resources shall be <br />discharged from further obligation created under the terms of this <br />Agreement, except for equitable settlement of the respective accrued <br />claims up to the date of the termination. <br />2. That this Agreement shall not be transferable or assignable. <br />3. That if any part of this Agreement is found to be in conflict with any <br />Federal or State laws or regulations having equal weight of law or if any <br />part is placed in conflict by amendment of such laws, this Agreement is <br />so amended. <br />The Department of Environment Health and Natural Resources and the Provider <br />Understand That: <br />The Division of Medical Assistance may terminate this agreement upon giving <br />prior written notice or refuse to enter into an agreement when: <br />1. The provider fails to meet conditions for participation, including <br />failure to meet the terms and conditions stated in the provider <br />agreement, or <br />2. The provider has made false statements or misrepresentations of its <br />services in billing, or <br />3. It is determined that the provider has violated the rules or regulations <br />governing the Medicaid Program, or <br />4. Any person with ownership or controlling interest in the provider agency <br />or an agent or managing employee of the provider has been convicted of a <br />criminal offense related to services provided under Titles III, V, XIX or <br />XX of the Social Security Act, or <br />5. The provider fails to provide medically appropriate health care services, <br />or <br />
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