Common use of Additional Items Review Clause in Contracts

Additional Items Review. The IRO shall review up to five additional areas or practices (Additional Items) of the Friendship Entities identified by OIG in its sole discretion. 1. For purposes of identifying the Additional Items to be included in the Additional Items Review for a particular IRO Reporting Period, OIG may consider: (1) proposals submitted by the Friendship Entities or the IRO at least 120 days prior to the end of each Reporting Period; (2) internal risk assessment, audit, and monitoring work conducted by the Friendship Entities or the IRO; and (3) other information known to OIG. 2. The Friendship Entities may propose to OIG that their internal audit(s) be partially substituted for one or more of the Additional Items that would otherwise be reviewed by the IRO as part of the Additional Items Review. OIG retains sole discretion over whether, and in what manner, to allow the Friendship Entities’ internal audit work to be substituted for a portion of the Additional Items Review conducted by the IRO. 3. OIG shall notify the Friendship Entities and the IRO of the nature and scope of the IRO review for each of the Additional Items in the Additional Items Review at least 90 days prior to the end of each Reporting Period. Prior to undertaking the review of the Additional Items, the IRO and/or the Friendship Entities shall submit an audit work plan to OIG for approval and the IRO shall conduct the review of the Additional Items based on a work plan approved by OIG.

Additional Items Review. The IRO shall review perform the Additional Items Review annually to cover each of the five Reporting Periods. The Additional Items Review performed annually by the IRO shall consist of up to five additional reviews of other areas or practices (Additional Items) of CVS Health related to the Friendship Entities IPS Operations identified by OIG in its sole discretiondiscretion during the five-year term of the CIA. OIG shall determine the appropriate review methodology. The IRO shall perform all components of each Additional Items Review. 1. For purposes of identifying the Additional Items to be included in the Additional Items Review for a particular IRO Reporting Period, OIG may consider: : (1) proposals submitted by the Friendship Entities CVS Health or the IRO at least 120 days prior to the end of each Reporting Period; (2) internal risk assessment, audit, and monitoring work conducted by the Friendship Entities CVS Health or the IRO; and (3) other information known to OIG. For example, the Additional Items Review for a particular Reporting Period may include a systems review or claims review of CVS Health’s Automated Label Verification system, or other prescription labeling system, as they relate to the IPS Operations. 2. The Friendship Entities CVS Health may propose to OIG that their internal audit(s) be partially substituted for one or more of the Additional Items that would otherwise be reviewed by the IRO as part of the Additional Items Review. OIG retains sole discretion over whether, and in what manner, to allow the Friendship Entities’ CVS Health’s internal audit work to be substituted for a portion of the Additional Items Review conducted by the IRO. 3. OIG shall notify the Friendship Entities CVS Health and the IRO of the nature and scope of the IRO review for each of the Additional Items in the Additional Items Review at least 90 120 days prior to the end of each Reporting Period. Prior to undertaking the review of the Additional Items, the IRO and/or the Friendship Entities CVS Health shall submit an audit work plan to OIG for approval and the IRO shall conduct the review of the Additional Items based on a work plan approved by OIG.

Additional Items Review. The During the term of this CIA, the IRO shall review may be asked by OIG to perform the Additional Items Review of up to a total of five additional reviews of other areas or practices (Additional Items) of the Friendship Entities ION identified by OIG in its sole discretion, with input from ION and the IRO as stated in Section II.A.1, below, during the five-year term of the CIA. OIG shall determine the appropriate review methodology. The IRO shall perform all components of each Additional Items Review. 1. For purposes of identifying the Additional Items to be included in the Additional Items Review for a particular IRO Reporting Period, OIG may consider: : (1) proposals submitted by the Friendship Entities ION or the IRO at least 120 days prior to the end of each Reporting Period; (2) internal risk assessment, audit, and monitoring work conducted by the Friendship Entities ION or the IRO; and (3) other information known to OIG. 2. The Friendship Entities ▇▇▇ may propose to OIG that their internal audit(s) ), reviews, and/or monitoring activities be partially substituted for one or more of the Additional Items that would otherwise be reviewed by the IRO as part of the Additional Items Review. OIG retains sole discretion over whether, and in what manner, to allow the Friendship Entities’ ▇▇▇’s internal audit work work, reviews, and monitoring activities to be substituted for a portion of the Additional Items Review conducted by the IRO. In making its decision, the OIG agrees to consider, among other factors, the nature and scope of ▇▇▇’s planned internal audit work, reviews, and monitoring activities, the results of the Transactions Review(s) during prior Reporting Period(s), and ▇▇▇’s demonstrated audit capabilities to perform the proposed audit work internally. If the OIG denies ION’s request to permit its internal audit work, reviews, or monitoring activities to be substituted for a portion of the IRO’s review of Additional Items in a given Reporting Period, ION shall engage the IRO to perform the Additional Items Review as determined by OIG. If the OIG agrees to permit certain of ▇▇▇’s internal audit work, reviews, or monitoring activities for a given Reporting Period to be substituted for a portion of Additional Items review, such internal work may be subject to verification by the IRO (Verification Review). In such an instance, the OIG would provide additional details about the scope of the Verification Review to be conducted by the IRO. 3. OIG shall notify the Friendship Entities and the IRO ION of the nature and scope of the IRO review for each of the Additional Items in the Additional Items Review as well as the information to be included in the Additional Items Review Report at least 90 120 days prior to the end of each Reporting Period. Prior to undertaking the review of the Additional Items, the IRO and/or the Friendship Entities shall submit an audit work plan to OIG for approval and the IRO shall conduct the review of the Additional Items based on a work plan approved by OIG.