Common use of Close Out Procedures Clause in Contracts

Close Out Procedures. a) Upon termination or expiration of this Agreement in its entirety or in specified counties of the Contractor’s service area as defined in Appendix M and in the event that it is not scheduled for renewal, the Contractor shall comply with close-out procedures that the Contractor develops in conjunction with DOHMH and that the DOHMH and the SDOH have approved. The close-out procedures shall include the following: i) The Contractor shall promptly account for and repay funds advanced by SDOH for coverage of Enrollees for periods subsequent to the effective date of termination; ii) The Contractor shall give SDOH, DOHMH, and other authorized federal, state or local agencies access to all books, records, and other documents and upon request, portions of such books, records, or documents that may be required by such agencies pursuant to the terms of this Agreement; iii) If this Agreement is terminated in its entirety, the Contractor shall submit to SDOH, DOHMH, and other authorized federal, state or local agencies, within ninety (90) days of termination, a final financial statement, made by a certified public accountant, unless the Contractor requests of DOHMH and receives written approval from SDOH, DOHMH and all other governmental agencies from which approval is required, for an extension of time for this submission; iv) The Contractor shall establish an appropriate plan acceptable to and prior approved by the SDOH and DOHMH for the orderly transition of Enrollees. This plan shall include the provision of pertinent information to identified Enrollees who are: pregnant; currently receiving treatment for a chronic or life threatening condition; prior approved for services or surgery; or whose care is being monitored by a case manager to assist them in making decisions which will promote continuity of care; and v) SDOH shall promptly pay all claims and amounts owed to the Contractor. b) Any termination of this Agreement by either the Contractor or DOHMH shall be done by amendment to this Agreement, unless the Agreement is terminated by the DOHMH due to conditions in Section 2.7 (a)(i) or Appendix A of this Agreement.