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Asuris and KCPHD Agreement
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2018-06-05 10:00 AM - Commissioners' Agenda
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Asuris and KCPHD Agreement
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Last modified
5/31/2018 1:16:16 PM
Creation date
5/31/2018 1:14:19 PM
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Meeting
Date
6/5/2018
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Alpha Order
k
Item
Request to Approve an Agreement between Asuris Northwest Health and the Kittitas County Public Health Department
Order
11
Placement
Consent Agenda
Row ID
45299
Type
Agreement
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D. Medical Group agrees to maintain Participating Provider status in the Company's <br />Participating Provider Network. <br />E. Medical Group agrees to comply with the terms and conditions for Preferred Plan <br />Providers set forth in the Administrative Manual, which can be found on the Company's <br />website at http://www.asuris.com/provider/library/manual/index.htmi. <br />F. If a Medical Group Provider has admitting privileges, the Medical Group Provider shall <br />maintain admitting privileges in at least one hospital within the Preferred Plan Provider <br />Network. <br />G. Medical Group shall admit or arrange for hospital admissions and referral services of <br />Preferred Members only to Preferred Plan Providers, unless the Preferred Member is <br />covered under a Subscriber Agreement that provides incentives for Preferred Members <br />to seek services from Preferred Plan Providers and Participating Providers in the <br />Company's Participating Provider Network and the Preferred Member is being admitted <br />or referred to a Participating Provider in the Company's Participating Provider Network; <br />the Preferred Member's condition makes it impossible; the service is not available <br />through the Preferred Plan Provider Network; or the Preferred Member chooses care <br />outside the Preferred Plan Provider Network. Medical Group should advise the Preferred <br />Member whenever health care services are to be obtained outside of the Preferred Plan <br />Provider Network that the Preferred Member may be subject to additional out-of-pocket <br />expense. Any questions regarding network participation and benefit levels should be <br />directed to the Company. <br />H. Medical Group agrees to accept the Preferred payment set forth on the payment exhibit <br />as payment in full for covered services rendered to Preferred Members. <br />This Addendum shall continue in effect, unless terminated according to the process set forth <br />in the Medical Group Agreement. Either party may terminate this Addendum without <br />terminating the remainder of the Medical Group Agreement. However, in the event either <br />party terminates the Medical Group Agreement, this Addendum terminates as well. <br />The terms of this Addendum shall become a part of, and shall be specifically incorporated into, the <br />terms of the Medical Group Agreement. In the event of any conflict or inconsistency between the <br />terms of this Addendum and the terms of the Medical Group Agreement, the terms of this Addendum <br />shall prevail. <br />Asuris Northwest Health KITTITAS COUNTY HEALTH DEPT <br />Signature <br />John Partin <br />Name <br />Vice President. Network Management <br />Title <br />Date <br />Signature <br />_9pbin }fiee,A <br />Print Name <br />Admivii5frcfe <br />Title <br />Date <br />Asuris Medical Standard MGA Preferred Plan Addendum A18816854AA Page 2 of 2 <br />
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