Administration and Oversight Sample Clauses

Administration and Oversight a. Beneficiary Assignment and Enrollment: Intentionally Left Blank b. Monthly Eligibility File Submissions: Intentionally Left Blank

Administration and Oversight. SCD shall perform administrative duties and program oversight related to the tasks listed in the agreement. Activities will include: A. Maintaining clear records and files for all activities conducted under this contract B. Preparing progress reports, invoices, and other documentation as required under the contract

Administration and Oversight. IV.J.3.a.

Administration and Oversight. IV.J.3.a. Monthly Eligibility File Submissions: Beginning June 2013, Washington must submit a monthly eligibility file to CMS’ beneficiary alignment contractor. This data will be updated into CMS’ Master Database Management (MDM) system for beneficiary attribution purposes, and used by the evaluation contractor to identify the eligible population.

Administration and Oversight. The Secretary may, in addition, reserve up to $14,000,000 for administration and oversight of this title, including for program evaluation.

Administration and Oversight. The Executive Board will have final decision-making authority on behalf of SSHA3P over all legislative priorities and administrative matters within the scope of this Agreement. The Executive Board may delegate responsibility for general oversight of the operations of SSHA3P to an Executive Manager. The SSHA3P Executive Manager will submit quarterly budget performance and progress reports on the status of the work program elements to the Executive Board and annually to the legislative body of each Party. The reports and their contents will be in a form acceptable to the Executive Board. The Executive Board will, by two-thirds supermajority vote, designate one or more of the Parties to serve as the Administering Agency, which will provide administrative support services on behalf of SSHA3P. To change the Administering Agency, the Executive Board will, by two-thirds supermajority vote, designate one or more of the Parties to serve as the Administering Agency. Each Party that serves in the capacity of Administering Agency hereby agrees to comply with the terms of this Agreement applicable to the Administering Agency in order to permit SSHA3P to carry out its purposes. SSHA3P will be staffed with personnel funded by the Parties and/or independent contractors contracting with the Administering Agency on behalf of SSHA3P. Any Party providing personnel to SSHA3P will remain solely responsible for the continued payment of all compensation and benefits to those personnel as well as for any worker's compensation claims. All Parties will cooperate fully in assisting SSHA3P to provide the services authorized in this Agreement.

Administration and Oversight. A. Oversight Framework 1. Under the Demonstration, there will be a CMS-Commonwealth Contract Management Team that will ensure access, quality, program integrity, compliance with applicable laws, including but not limited to the Emergency Medical Treatment and Active Labor Act (EMTALA) and the ADA, and financial solvency, including reviewing and acting on data and reports, conducting studies, and taking corrective action. CMS and DMAS will require Participating Plans to have a comprehensive plan to detect, correct, prevent, and report fraud, waste, and abuse. Participating Plans must have policies and procedures in place to identify and address fraud, waste, and abuse at both the Plan and the third-party levels in the delivery of Plan benefits, including prescription drugs, medical care, behavioral health and LTSS. In addition, all Medicare Part D requirements and many Medicare Advantage requirements regarding oversight, monitoring, and program integrity will be applied to Participating Plans by CMS in the same way they are currently applied for Prescription Drug Plan (PDP) sponsors and Medicare Advantage organizations. These responsibilities are not meant to detract from or weaken any current DMAS or CMS oversight responsibilities, including oversight by the Medicare Drug Benefit Group and other relevant CMS groups and divisions, as those responsibilities continue to apply, but rather to assure that such responsibilities are undertaken in a coordinated manner. Neither party shall take a unilateral enforcement action relating to day- to-day oversight without notifying the other party in advance. B. The Contract Management Team 1. Structure- The Contract Management Team will include representatives from CMS and DMAS, authorized and empowered to represent CMS and DMAS about aspects of the three-way contract. Generally, the CMS members of the team will include the State Lead from the Medicare Medicaid Coordination Office (MMCO), Regional Office Lead from the Consortium for Medicaid and Children’s Health Operations (CMCHO), and an Account Manager from the Consortium for Health Plan Operations (CMHPO). The precise makeup will include individuals who are knowledgeable about the full range of services and supports utilized by the target population, particularly LTSS.

Administration and Oversight. The Executive Board will have final decision-making authority on behalf of SSHA3P over all legislative and administrative matters within the scope of this Agreement. The Executive Board may delegate responsibility for general oversight of the operations of SSHA3P to an Executive Manager. The SSHA3P Executive Manager will submit quarterly budget performance and progress reports on the status of the work program elements to the Executive Board and annually to the legislative body of each Party. The reports and their contents will be in a form acceptable to the Executive Board. Pierce County will be the SSHA3P Administering Agency serving as the fiscal agent (in accordance with the requirements of chapter 39.34 RCW) and providing administrative support services. To change the Administering Agency, the Executive Board will, by two- thirds supermajority vote, designate one or more of the Parties to serve as the Administering Agency. Each Party that serves in the capacity of Administering Agency hereby agrees to comply with the terms of this Agreement applicable to the Administering Agency in order to permit SSHA3P to carry out its purposes. SSHA3P will be staffed with personnel funded by the Parties and/or independent contractors contracting with the Administering Agency on behalf of SSHA3P. Any Party providing personnel to SSHA3P will remain solely responsible for the continued payment of all compensation and benefits to those personnel as well as for any worker's compensation claims. All Parties will cooperate fully in assisting SSHA3P to provide the services authorized in this Agreement.

Administration and Oversight. Compliance with all applicable federal regulations, including CDBG, ESG and Homeless Emergency Assistance and Rapid Transition to Housing (HEARTH); • Monitoring on a periodic basis, not less than annually, all contracts with subcontractors to ensure compliance with all applicable federal regulations; • Completion of applicable reporting required by HUD and the City; • Documentation of outcomes for each homeless shelter or service program, as defined within the applicable subrecipient agreement; • Oversight and storage of any equipment purchased by the Commission and/or subcontractors, when said equipment is not in use (e.g., cell phones for use during the operation of the emergency winter shelters); • Regular meetings with City staff responsible for HUD programs and administration, on a schedule to be determined by City staff but not expected to be more frequent than monthly, to exchange information and provide informal reporting as to the Commission’s activities related to this 2014 MOU; and • Notification to City staff responsible for HUD programs and administration of any public meetings regarding the Commission’s activities related to this 2014 MOU, with sufficient time to allow the City to identify a representative to appear on its behalf at any such meeting.