Administrative and Board Support Sample Clauses

Administrative and Board Support. Respondents must demonstrate adequate administrative and board support through descriptions of their organizations, and by submitting current organization charts (see Form D: Respondent Background). The chart must include the appropriate oversight structure (e.g., board, city council, county commissioners, etc.), CEO, CFO, medical and/or dental director licensed by the State of Texas and in good standing, and a staffing structure that will support service provision. The description must include:
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Administrative and Board Support. Respondents must demonstrate adequate administrative and board support through descriptions of their organizations, and by submitting current organization charts (see Form D: Respondent Background). The chart must include the appropriate oversight structure (e.g., board, city council, county commissioners, etc.), CEO, CFO, medical and/or dental director licensed by the State of Texas and in good standing, and a staffing structure that will support service provision. The description must include: A. An executive summary describing the organization’s vision, mission, and values statements, along with a description of how the board of directors is involved in the operations of the organization (see Form D: Respondent Background); B. A detailed description of the organizational structure, management systems, and lines of authority that are appropriate and adequate for the size and scope of the organization (see Form D: Respondent Background); C. Table of Contents from organization’s operating policies and procedures (see Form M - Service Delivery Plan for Child Health & Child Dental Services and Form Q: Service Delivery Plan for Prenatal Medical & Prenatal Dental Services); D. Resumes/curriculum vitae for the CEO, CFO, medical director licensed by the State of Texas and in good standing (including State of Texas medical license number and DEA number) and/or dental director licensed by the State of Texas and in good standing (including State of Texas dental license number), and clinical/program director (see Form D: Respondent Background); E. Employee job descriptions (see Form D: Respondent Background); F. Medicaid billing number for the organization, or application for Medicaid billing number (see G. Timeline for annual independent financial audit (see Form B: Administrative Information); H. Description of the organization’s outreach plan (e.g., media releases, outreach strategies for marketing organization to community) for the funded services (see Form M: Service Delivery Plan for Child Health & Child Dental Services and Form Q: Service Delivery Plan for Prenatal Medical & Prenatal Dental Services); and I. Agency’s quality assurance process (see Form M: Service Delivery Plan for Child Health & Child Dental Services and Form Q: Service Delivery Plan for Prenatal Medical & Prenatal Dental Services).
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Related to Administrative and Board Support

  • Administrative Support Employee shall be provided with office space and administrative support.

  • Administrative Matters (a) The Member is the sole member of the Company. Accordingly, for U.S. federal income tax purposes, the Company shall be disregarded as an entity separate from the Member, and the assets and liabilities and all items of income, gain, loss and deduction shall be treated as the assets and liabilities and items of income, gain, loss and deduction of the Member. (b) The fiscal year of the Company shall be the same as the fiscal year of the Member. (c) The Member’s Membership Interest shall be uncertificated.

  • Administrative Support Services Fees Within forty-five (45) days of the end of each calendar quarter or at such other period as deemed appropriate by the Distributor, the Fund will make payments in the aggregate amount of up to 0.25% on an annual basis of the average during the period of the aggregate net asset value of the Shares computed as of the close of each business day (the “Service Fee”). Such Service Fee payments received from the Fund will compensate the Distributor for providing administrative support services with respect to Accounts. The administrative support services in connection with Accounts may include, but shall not be limited to, the administrative support services that a Recipient may render as described in Section 3(b)(i) below.

  • Administrative Appeals An administrative appeal is a request for us to reconsider a full or partial denial of payment for covered healthcare services for the following reasons: • the services were excluded from coverage; • we determined that you were not eligible for coverage; • you or your provider did not follow BCBSRI’s requirements, including providing notification of service, when applicable; or • a limitation on an otherwise covered benefit exists. You are not required to file a complaint (as described above), before filing an administrative appeal. If you call our Customer Service Department, a Customer Service Representative will try to resolve your concern. If the issue is not resolved to your satisfaction, you may file a verbal or written administrative appeal with our Grievance and Appeals Unit. If you request an administrative appeal, you must do so within one hundred eighty (180) days of receiving a denial of payment for covered healthcare services. The Grievance and Appeals Unit will conduct a thorough review of your administrative appeal and respond within: • thirty (30) calendar days for a prospective review; and • sixty (60) calendar days for a retrospective review. The letter will provide you with information regarding our determination. A medical reconsideration or appeal is a request for us to reconsider a full or partial denial of payment for covered healthcare services because we determined: • the service was not medically necessary or appropriate; or • the service was experimental or investigational. You may request an expedited appeal when: • an urgent preauthorization request for healthcare services has been denied; • the circumstances are an emergency; or • you are in an inpatient setting. You or your physician may file a written or verbal request for reconsideration with our Grievance and Appeals Unit. The request for reconsideration must be submitted to us within one hundred and eighty (180) calendar days of the initial determination letter. If someone other than your provider is requesting a medical reconsideration on your behalf, you must provide us with a signed notice, authorizing the individual to represent you in this matter. You will receive written notification of our determination within fifteen (15) calendar days from the receipt of your request for reconsideration of a prospective, concurrent, or retrospective review. You may request an appeal if our denial was upheld during the initial reconsideration. Your appeal will be reviewed by a provider in the same or similar specialty as your treating provider. You must submit your request for an appeal within forty-five (45) calendar days of receiving of the reconsideration denial letter. You will receive written notification of our appeal determination following the same timeframes noted in the How to File a Medical Request for Reconsideration section above.

  • Administrative Duties 94 SECTION 12.2 Records.....................................................................97 SECTION 12.3 Additional Information to be Furnished to the Issuer........................97