Common use of Contract Management and Readiness Review Requirements Clause in Contracts

Contract Management and Readiness Review Requirements. ‌ 2.2.1. Contract Readiness Review Requirements 2.2.1.1. CMS and ODM, or their designee, will conduct a Readiness Review of each ICDS Plan, which must be completed successfully, as determined by CMS and ODM, prior to the Contract Operational Start Date. 2.2.1 2. CMS and ODM Readiness Review Responsibilities 2.2.1.2.1. CMS and ODM or their designee will conduct a Readiness Review of each ICDS Plan that will include, at a minimum, one on-site review. This review shall be conducted prior to marketing to and Enrollment of Beneficiaries into the ICDS Plan. CMS and ODM or their designee will conduct the Readiness Review to verify the ICDS Plan’s assurances that the ICDS Plan is ready and able to meet its obligations under the Contract. 2.2.1.2.2. The scope of the Readiness Review will include, but is not limited to, a review of the following elements: 2.2.1.2.2.1. Network Provider composition and access, in accordance with Sections 2.6, 2.7, 2.8 of this Contract; 2.2.1.2.2.2. Staffing, including key management positions and functions directly impacting Beneficiaries (e.g., adequacy of Beneficiary Services staffing), in accordance with Sections 2.2.3 and 2.9 of this Contract; 2.2.1.2.2.3. Capabilities of First Tier, Downstream and Related Entities, in accordance with Section 2.7 and Appendix C of this Contract; 2.2.1.2.2.4. Care Coordination capabilities, in accordance with Sections 2.5 of this Contract; 2.2.1.2.2.5. Beneficiary services capability (materials, processes and infrastructure, e.g., call center capabilities), in accordance with Section 2.9 of this Contract; 2.2.1.2.2.6. Comprehensiveness of quality management/quality improvement and Utilization Management strategies, in accordance with Section 2.11 of this Contract; 2.2.1.2.2.7. Internal Grievance and Appeal policies and procedures, in accordance with Section 2.10 of this Contract; 2.2.1.2.2.8. Fraud and abuse and program integrity, in accordance with Section 2.1 of this Contract; 2.2.1.2.2.9. Financial solvency, in accordance with Section 2.13 of this Contract; 2.2.1.2.2.10. Information systems, including Claims payment system performance, interfacing and reporting capabilities and validity testing of Encounter Data, in accordance with Sections 2.14 and 2.15 of this Contract, including IT testing and security assurances. 2.2.1.2.3. No individual shall be enrolled into the ICDS Plan unless and until CMS and the ODM determine that the ICDS Plan is ready and able to perform its obligations under the Contract as demonstrated during the Readiness Review. 2.2.1.2.4. CMS and ODM or their designee will identify to the ICDS Plan all areas where the ICDS Plan has been determined not ready and not able to meet its obligations under the Contract and provide an opportunity for the ICDS Plan to correct such areas to remedy all deficiencies prior to the start of marketing. 2.2.1.2.5. CMS or the ODM may, in its discretion, postpone the date the ICDS Plan may start marketing or the Contract Operational Start Date if the ICDS Plan fails to satisfy all Readiness Review requirements. If, for any reason, the ICDS Plan does not fully satisfy to CMS or the ODM that it is ready and able to perform its obligations under the Contract prior to the start of marketing or the Contract Operational Start Date, and CMS or the ODM does not agree to postpone the Contract Operational Start Date, or extend the date for full compliance with the applicable Contract requirement, then CMS or the ODM may terminate the Contract pursuant to Section 5.5 of this Contract. 2.2.1.1. ICDS Plan Readiness Review Responsibilities 2.2.1.1.1. Demonstrate to CMS and ODM’s satisfaction that the ICDS Plan is ready and able to meet all Contract requirements identified in the Readiness Review prior to the ICDS Plan engaging in marketing of its Demonstration product, and prior to the Contract Operational Start Date. 2.2.1.1.2. Provide CMS and ODM or its designee with the corrected materials requested by the Readiness Review report.

Contract Management and Readiness Review Requirements. ‌ 2.2.1. Contract Readiness Review Requirements 2.2.1.1. CMS and ODMCMS, or their its designee, with participation by DHCS, will conduct a Readiness Review of each ICDS PlanContractor, which must be completed successfully, as determined by CMS and ODM, successfully prior to the Contract Operational Start Date. 2.2.1 22.2.1.2. CMS and ODM DHCS Readiness Review Responsibilities 2.2.1.2.1. CMS and ODM DHCS, or their designee its designees, will conduct a Readiness Review of each ICDS Plan Contactor that will include, at a minimum, one on-site review. This review shall be conducted prior to marketing to and Enrollment enrollment of Beneficiaries beneficiaries into the ICDS Contractor’s Plan. CMS and ODM DHCS, or their designee its designees, will conduct the Readiness Review to verify the ICDS PlanContractor’s assurances that the ICDS Plan Contractor is ready and able to meet its obligations under the Contract. 2.2.1.2.2. The scope of the Readiness Review will include, but is not limited to, a review of the following elements: 2.2.1.2.2.1. Network Provider composition and access, in accordance with Sections 2.6, 2.7, 2.8 of this ContractSection 2.9; 2.2.1.2.2.2. Staffing, including key management positions Key Personnel and functions directly impacting Beneficiaries on Enrollees (e.g., adequacy of Beneficiary Enrollee Services staffing), in accordance with Sections 2.2.3 and 2.9 of this ContractSection 2.10; 2.2.1.2.2.3. Capabilities of First Tier, Downstream and Related Entities, in accordance with Section 2.7 and Appendix C of this ContractC; 2.2.1.2.2.4. Care Coordination capabilities, in accordance with Sections 2.5 of this ContractSection 2.5.1; 2.2.1.2.2.5. Beneficiary Provider contracts templates, including any Provider Performance Incentives, in accordance with Sections 2.9 and 5.1.7; 2.2.1.2.2.6. Enrollee services capability (materials, processes and infrastructure, e.g., call center capabilities), in accordance with Section 2.9 of this Contract2.12; 2.2.1.2.2.62.2.1.2.2.7. Comprehensiveness of quality management/quality improvement and Utilization Management utilization management strategies, in accordance with Section 2.11 of this Contract2.11.5 and 2.16; 2.2.1.2.2.72.2.1.2.2.8. Internal Grievance grievance and Appeal policies and procedures, in accordance with Section 2.10 of this Contract2.14 and 2.15; 2.2.1.2.2.82.2.1.2.2.9. Fraud and abuse and program integrity, in accordance with Section 2.1 of this Contract2.1.2; 2.2.1.2.2.92.2.1 2.2.10. Financial solvency, in accordance with Section 2.13 of this Contract2.18; 2.2.1.2.2.10. Information systems, including Claims payment system performance, interfacing and reporting capabilities and validity testing of Encounter Data, in accordance with Sections 2.14 and 2.15 of this Contract, including IT testing and security assurances. 2.2.1.2.3. No individual shall be enrolled into the ICDS Plan unless and until CMS and the ODM determine that the ICDS Plan is ready and able to perform its obligations under the Contract as demonstrated during the Readiness Review. 2.2.1.2.4. CMS and ODM or their designee will identify to the ICDS Plan all areas where the ICDS Plan has been determined not ready and not able to meet its obligations under the Contract and provide an opportunity for the ICDS Plan to correct such areas to remedy all deficiencies prior to the start of marketing. 2.2.1.2.5. CMS or the ODM may, in its discretion, postpone the date the ICDS Plan may start marketing or the Contract Operational Start Date if the ICDS Plan fails to satisfy all Readiness Review requirements. If, for any reason, the ICDS Plan does not fully satisfy to CMS or the ODM that it is ready and able to perform its obligations under the Contract prior to the start of marketing or the Contract Operational Start Date, and CMS or the ODM does not agree to postpone the Contract Operational Start Date, or extend the date for full compliance with the applicable Contract requirement, then CMS or the ODM may terminate the Contract pursuant to Section 5.5 of this Contract. 2.2.1.1. ICDS Plan Readiness Review Responsibilities 2.2.1.1.1. Demonstrate to CMS and ODM’s satisfaction that the ICDS Plan is ready and able to meet all Contract requirements identified in the Readiness Review prior to the ICDS Plan engaging in marketing of its Demonstration product, and prior to the Contract Operational Start Date. 2.2.1.1.2. Provide CMS and ODM or its designee with the corrected materials requested by the Readiness Review report.

Contract Management and Readiness Review Requirements. ‌ 2.2.1. Contract Readiness Review Requirements 2.2.1.1. CMS and ODMCMS, or their its designee, with participation by DHCS, will conduct a Readiness Review of each ICDS PlanContractor, which must be completed successfully, as determined by CMS and ODM, successfully prior to the Contract Operational Start Date. 2.2.1 22.2.1.2. CMS and ODM DHCS Readiness Review Responsibilities 2.2.1.2.1. CMS and ODM DHCS, or their designee its designees, will conduct a Readiness Review of each ICDS Plan Contactor that will include, at a minimum, one on-on- site review. This review shall be conducted prior to marketing to and Enrollment enrollment of Beneficiaries beneficiaries into the ICDS Contractor’s Plan. CMS and ODM DHCS, or their designee its designees, will conduct the Readiness Review to verify the ICDS PlanContractor’s assurances that the ICDS Plan Contractor is ready and able to meet its obligations under the Contract. 2.2.1.2.2. The scope of the Readiness Review will include, but is not limited to, a review of the following elements: 2.2.1.2.2.1. Network Provider composition and access, in accordance with Sections 2.6, 2.7, 2.8 of this ContractSection 2.10; 2.2.1.2.2.2. Staffing, including key management positions Key Personnel and functions directly impacting Beneficiaries on Enrollees (e.g., adequacy of Beneficiary Enrollee Services staffing), in accordance with Sections 2.2.3 and 2.9 of this ContractSection 2.11; 2.2.1.2.2.3. Capabilities of First Tier, Downstream and Related Entities, in accordance with Section 2.7 and Appendix C of this ContractC; 2.2.1.2.2.4. Care Coordination capabilities, in accordance with Sections 2.5 of this ContractSection 2.5.2; 2.2.1.2.2.5. Beneficiary Provider contracts templates, including any Provider Performance Incentives, in accordance with Sections 2.9 and 5.1.7; 2.2.1.2.2.6. Enrollee services capability (materials, processes and infrastructure, e.g., call center capabilities), in accordance with Section 2.9 of this Contract2.12; 2.2.1.2.2.62.2.1.2.2.7. Comprehensiveness of quality management/quality improvement and Utilization Management utilization management strategies, in accordance with Section 2.11 of this Contract2.11.6 and 2.16; 2.2.1.2.2.72.2.1.2.2.8. Internal Grievance and Appeal policies and procedures, in accordance with Section 2.10 of this Contract2.14 and 2.15; 2.2.1.2.2.82.2.1.2.2.9. Fraud and abuse and program integrity, in accordance with Section 2.1 of this Contract2.1.2; 2.2.1.2.2.92.2.1.2.2.10. Financial solvency, in accordance with Section 2.13 of this Contract; 2.2.1.2.2.102.18; 2.2.1.2.2.11. Information systems, including Claims claims payment system performance, interfacing and reporting capabilities and validity testing of Encounter Data, in accordance with Sections 2.14 and 2.15 of this ContractSection 2.19, including IT testing and security assurances. 2.2.1.2.3. For Contractors that are COHS plans, the scope of the Readiness Review will extend to the enrollment functions that the Contractor will be conducting as described in Section 2.3.1. 2.2.1.2.4. No individual shall be enrolled into the ICDS Contractor’s Cal MediConnect Plan unless and until CMS and the ODM DHCS determine that the ICDS Plan Contractor is ready and able to perform its obligations under the Contract as demonstrated during the Readiness Review. 2.2.1.2.42.2.1.2.5. CMS and ODM DHCS or their its designee will identify to the ICDS Plan Contractor all areas where the ICDS Plan has been determined Contractor is not ready and not able to meet its obligations under the Contract and provide an opportunity for the ICDS Plan Contractor to correct such areas to remedy all deficiencies prior to the start of marketing. 2.2.1.2.52.2.1.2.6. CMS or the ODM DHCS may, in its discretion, postpone the date the ICDS Plan Contractor may start marketing or the Contract Operational Start Date if the ICDS Plan for any Contractor that fails to satisfy all Readiness Review requirements. If, for any reason, the ICDS Plan Contractor does not fully satisfy to CMS or the ODM DHCS that it is ready and able to perform its obligations under the Contract prior to the start of marketing or the Contract Operational Start Date, and CMS or the ODM DHCS does not agree to postpone the Contract Operational Start Date, or extend the date for full compliance with the applicable Contract requirement, then CMS or the ODM DHCS may terminate the Contract pursuant to Section 5.5 of this Contract. 2.2.1.1. ICDS Plan Readiness Review Responsibilities 2.2.1.1.1. Demonstrate to CMS and ODM’s satisfaction that the ICDS Plan is ready and able to meet all Contract requirements identified in the Readiness Review prior to the ICDS Plan engaging in marketing of its Demonstration product, and prior to the Contract Operational Start Date. 2.2.1.1.2. Provide CMS and ODM or its designee with the corrected materials requested by the Readiness Review report.

Contract Management and Readiness Review Requirements. ‌ 2.2.1. Contract Readiness Review Requirements 2.2.1.1. CMS and ODMDMAS, or their its designee, will conduct a Readiness Review of each ICDS PlanContractor, which must be completed successfully, as determined by CMS and ODMDMAS, prior to the Contract Operational Start Date. 2.2.1 22.2.1.2. CMS and ODM DMAS Readiness Review Responsibilities 2.2.1.2.1. CMS and ODM DMAS or their its designee will conduct a Readiness Review of each ICDS Plan Contactor that will include, at a minimum, one on-site review. This review shall be conducted prior to marketing to and Enrollment enrollment of Beneficiaries beneficiaries into the ICDS PlanContractor’s MMP. CMS and ODM DMAS or their its designee will conduct the Readiness Review to verify the ICDS PlanContractor’s assurances that the ICDS Plan Contractor is ready and able to meet its obligations under the Contract. 2.2.1.2.2. The scope of the Readiness Review will include, but is not limited to, a review of the following elements: 2.2.1.2.2.1. Network Provider composition and access, in accordance with Sections 2.6, 2.7, 2.8 of this ContractSection 2.8; 2.2.1.2.2.2. Staffing, including key management positions Key Personnel and functions directly impacting Beneficiaries Enrollees (e.g., adequacy of Beneficiary Enrollee Services staffing), in accordance with Sections 2.2.3 and 2.9 of this ContractSection 2.12); 2.2.1.2.2.3. Capabilities of First Tier, Downstream and Related Entities, in accordance with Section 2.7 and Appendix C of this ContractD; 2.2.1.2.2.4. Care Coordination management capabilities, in accordance with Sections 2.5 of this ContractSection 2.6.3; 2.2.1.2.2.5. Beneficiary services Content of Provider Contracts, including any Provider Performance Incentives, in accordance with Sections , 2.6.3.2, 5.1.7 and Appendix D; 2.2.1.2.2.6. Enrollee Services capability (materials, processes and infrastructure, e.g., call center capabilities), in accordance with Section 2.9 of this Contract2.12; 2.2.1.2.2.62.2.1.2.2.7. Comprehensiveness of quality management/quality improvement and Utilization Management strategies, in accordance with Section 2.11 of this Contract2.11.5; 2.2.1.2.2.72.2.1.2.2.8. Internal Grievance and Appeal policies and procedures, in accordance with Section 2.10 of this Contract2.13 and 2.14; 2.2.1.2.2.82.2.1.2.2.9. Fraud and abuse and program integrityintegrity policies and procedures, in accordance with Section 2.1 of this Contract2.1.3; 2.2.1.2.2.92.2.1.2.2.10. Financial solvency, in accordance with Section 2.13 of this Contract; 2.2.1.2.2.102.20; 2.2.1.2.2.11. Information systems, including Claims claims payment system performance, interfacing and reporting capabilities and validity testing of Encounter Data, in accordance with Sections 2.14 and 2.15 of this ContractSection 2.22, including IT testing and security assurances. 2.2.1.2.3. No individual shall be enrolled into the ICDS Plan Contractor’s MMP unless and until CMS and the ODM DMAS determine that the ICDS Plan Contractor is ready and able to perform its obligations under the Contract as demonstrated during the Readiness Review. 2.2.1.2.4. CMS and ODM DMAS or their its designee will identify to the ICDS Plan Contractor all areas where the ICDS Plan has been determined Contractor is not ready and not able to meet its obligations under the Contract and provide an opportunity for the ICDS Plan Contractor to correct such areas to remedy all deficiencies prior to the start of marketing. 2.2.1.2.5. CMS or the ODM DMAS may, in at its discretion, postpone the date the ICDS Plan Contractor may start marketing or the Contract Operational Start Date if the ICDS Plan Contractor fails to satisfy all Readiness Review requirements. If, for any reason, the ICDS Plan Contractor does not fully satisfy to CMS or the ODM DMAS that it is ready and able to perform its obligations under the Contract prior to the start of marketing or the Contract Operational Start Date, and CMS or the ODM does DMAS do not agree to postpone the Contract Operational Start Date, or extend the date for full compliance with the applicable Contract requirement, then CMS or the ODM DMAS may terminate the Contract pursuant to Section 5.5 of this Contract. 2.2.1.1. ICDS Plan Readiness Review Responsibilities 2.2.1.1.1. Demonstrate to CMS and ODM’s satisfaction that the ICDS Plan is ready and able to meet all Contract requirements identified in the Readiness Review prior to the ICDS Plan engaging in marketing of its Demonstration product, and prior to the Contract Operational Start Date. 2.2.1.1.2. Provide CMS and ODM or its designee with the corrected materials requested by the Readiness Review report.

Contract Management and Readiness Review Requirements. ‌ 2.2.1. Contract Readiness Review Requirements 2.2.1.1. CMS and ODM, or their designee, will conduct a Readiness Review of each ICDS Plan, which must be completed successfully, as determined by CMS and ODM, prior to the Contract Operational Start Date. 2.2.1 2. CMS and ODM Readiness Review Responsibilities 2.2.1.2.1. CMS and ODM or their designee will conduct a Readiness Review of each ICDS Plan that will include, at a minimum, one on-site review. This review shall be conducted prior to marketing to and Enrollment of Beneficiaries into the ICDS Plan. CMS and ODM or their designee will conduct the Readiness Review to verify the ICDS Plan’s assurances that the ICDS Plan is ready and able to meet its obligations under the Contract. 2.2.1.2.2. The scope of the Readiness Review will include, but is not limited to, a review of the following elements: 2.2.1.2.2.1. Network Provider composition and access, in accordance with Sections 2.6, 2.7, 2.8 of this Contract; 2.2.1.2.2.2. Staffing, including key management positions and functions directly impacting Beneficiaries (e.g., adequacy of Beneficiary Services staffing), in accordance with Sections 2.2.3 and 2.9 of this Contract; 2.2.1.2.2.3. Capabilities of First Tier, Downstream and Related Entities, in accordance with Section 2.7 and Appendix C of this Contract; 2.2.1.2.2.4. Care Coordination capabilities, in accordance with Sections 2.5 of this Contract; 2.2.1.2.2.5. Beneficiary services capability (materials, processes and infrastructure, e.g., call center capabilities), in accordance with Section 2.9 of this Contract; 2.2.1.2.2.6. Comprehensiveness of quality management/quality improvement and Utilization Management strategies, in accordance with Section 2.11 of this Contract; 2.2.1.2.2.7. Internal Grievance and Appeal policies and procedures, in accordance with Section 2.10 of this Contract; 2.2.1.2.2.8. Fraud and abuse and program integrity, in accordance with Section 2.1 of this Contract; 2.2.1.2.2.9. Financial solvency, in accordance with Section 2.13 of this Contract; 2.2.1.2.2.10. Information systems, including Claims payment system performance, interfacing and reporting capabilities and validity testing of Encounter Data, in accordance with Sections 2.14 and 2.15 of this Contract, including IT testing and security assurances. 2.2.1.2.3. No individual shall be enrolled into the ICDS Plan unless and until CMS and the ODM determine that the ICDS Plan is ready and able to perform its obligations under the Contract as demonstrated during the Readiness Review. 2.2.1.2.4. CMS and ODM or their designee will identify to the ICDS Plan all areas where the ICDS Plan has been determined not ready and not able to meet its obligations under the Contract and provide an opportunity for the ICDS Plan to correct such areas to remedy all deficiencies prior to the start of marketing. 2.2.1.2.5. CMS or the ODM may, in its discretion, postpone the date the ICDS Plan may start marketing or the Contract Operational Start Date if the ICDS Plan fails to satisfy all Readiness Review requirements. If, for any reason, the ICDS Plan does not fully satisfy to CMS or the ODM that it is ready and able to perform its obligations under the Contract prior to the start of marketing or the Contract Operational Start Date, and CMS or the ODM does not agree to postpone the Contract Operational Start Date, or extend the date for full compliance with the applicable Contract requirement, then CMS or the ODM may terminate the Contract pursuant to Section 5.5 of this Contract. 2.2.1.1. ICDS Plan Readiness Review Responsibilities 2.2.1.1.1. Demonstrate to CMS and ODM’s satisfaction that the ICDS Plan is ready and able to meet all Contract requirements identified in the Readiness Review prior to the ICDS Plan engaging in marketing of its Demonstration product, and prior to the Contract Operational Start Date. 2.2.1.1.2. Provide CMS and ODM or its designee with the corrected materials requested by the Readiness Review report.

Contract Management and Readiness Review Requirements. ‌ 2.2.1. Contract Readiness Review Requirements 2.2.1.1. CMS and ODM, or their designee, will conduct a Readiness Review of each ICDS Plan, which must be completed successfully, as determined by CMS and ODM, prior to the Contract Operational Start Date. 2.2.1 2. CMS and ODM Readiness Review Responsibilities 2.2.1.2.1. CMS and ODM or their designee will conduct a Readiness Review of each ICDS Plan that will include, at a minimum, one on-site review. This review shall be conducted prior to marketing to and Enrollment enrollment of Beneficiaries into the ICDS Plan. CMS and ODM or their designee will conduct the Readiness Review to verify the ICDS Plan’s assurances that the ICDS Plan is ready and able to meet its obligations under the Contract. 2.2.1.2.2. The scope of the Readiness Review will include, but is not limited to, a review of the following elements: 2.2.1.2.2.1. Network Provider composition and access, in accordance with Sections 2.6, 2.7, 2.8 of this Contract2.8; 2.2.1.2.2.2. Staffing, including key management positions and functions directly impacting Beneficiaries (e.g., adequacy of Beneficiary Services staffing), in accordance with Sections 2.2.3 and 2.9 of this Contract2.11; 2.2.1.2.2.3. Capabilities of First Tier, Downstream and Related Entities, in accordance with Section 2.7 and Appendix C of this ContractC; 2.2.1.2.2.4. Care Coordination capabilities, in accordance with Sections 2.5 of this Contract2.5; 2.2.1.2.2.5. Beneficiary services capability (materials, processes and infrastructure, e.g., call center capabilities), in accordance with Section 2.9 of this Contract2.9; 2.2.1.2.2.6. Comprehensiveness of quality management/quality improvement and Utilization Management strategies, in accordance with Section 2.11 of this Contract2.11; 2.2.1.2.2.7. Internal Grievance and Appeal policies and procedures, in accordance with Section 2.10 of this Contract2.10; 2.2.1.2.2.8. Fraud and abuse and program integrity, in accordance with Section 2.1 of this Contract2.1; 2.2.1.2.2.92.2.1. 2.2.9. Financial solvency, in accordance with Section 2.13 of this Contract2.13; 2.2.1.2.2.10. Information systems, including Claims payment system performance, interfacing and reporting capabilities and validity testing of Encounter Data, in accordance with Sections 2.14 and 2.15 of this Contract, including IT testing and security assurances. 2.2.1.2.3. No individual shall be enrolled into the ICDS Plan unless and until CMS and the ODM determine that the ICDS Plan is ready and able to perform its obligations under the Contract as demonstrated during the Readiness Review. 2.2.1.2.4. CMS and ODM or their designee will identify to the ICDS Plan all areas where the ICDS Plan has been determined not ready and not able to meet its obligations under the Contract and provide an opportunity for the ICDS Plan to correct such areas to remedy all deficiencies prior to the start of marketing. 2.2.1.2.5. CMS or the ODM may, in its discretion, postpone the date the ICDS Plan may start marketing or the Contract Operational Start Date if the ICDS Plan fails to satisfy all Readiness Review requirements. If, for any reason, the ICDS Plan does not fully satisfy to CMS or the ODM that it is ready and able to perform its obligations under the Contract prior to the start of marketing or the Contract Operational Start Date, and CMS or the ODM does not agree to postpone the Contract Operational Start Date, or extend the date for full compliance with the applicable Contract requirement, then CMS or the ODM may terminate the Contract pursuant to Section 5.5 of this Contract. 2.2.1.1. ICDS Plan Readiness Review Responsibilities 2.2.1.1.1. Demonstrate to CMS and ODM’s satisfaction that the ICDS Plan is ready and able to meet all Contract requirements identified in the Readiness Review prior to the ICDS Plan engaging in marketing of its Demonstration product, and prior to the Contract Operational Start Date. 2.2.1.1.2. Provide CMS and ODM or its designee with the corrected materials requested by the Readiness Review report.

Contract Management and Readiness Review Requirements. ‌ 2.2.1. Contract Readiness Review Requirements 2.2.1.1. CMS and ODM, or their designee, will conduct a Readiness Review of each ICDS Plan, which must be completed successfully, as determined by CMS and ODM, prior to the Contract Operational Start Date. 2.2.1 22.2.1.2. CMS and ODM Readiness Review Responsibilities 2.2.1.2.1. CMS and ODM or their designee will conduct a Readiness Review of each ICDS Plan that will include, at a minimum, one on-site review. This review shall be conducted prior to marketing to and Enrollment of Beneficiaries into the ICDS Plan. CMS and ODM or their designee will conduct the Readiness Review to verify the ICDS Plan’s assurances that the ICDS Plan is ready and able to meet its obligations under the Contract. 2.2.1.2.2. The scope of the Readiness Review will include, but is not limited to, a review of the following elements: 2.2.1.2.2.1. Network Provider composition and access, in accordance with Sections 2.6, 2.7, 2.8 of this Contract; 2.2.1.2.2.2. Staffing, including key management positions and functions directly impacting Beneficiaries (e.g., adequacy of Beneficiary Services staffing), in accordance with Sections 2.2.3 and 2.9 of this Contract; 2.2.1.2.2.3. Capabilities of First Tier, Downstream and Related Entities, in accordance with Section 2.7 and Appendix C of this Contract; 2.2.1.2.2.4. Care Coordination capabilities, in accordance with Sections 2.5 of this Contract; 2.2.1.2.2.5. Beneficiary services capability (materials, processes and infrastructure, e.g., call center capabilities), in accordance with Section 2.9 of this Contract; 2.2.1.2.2.6. Comprehensiveness of quality management/quality improvement and Utilization Management strategies, in accordance with Section 2.11 of this Contract; 2.2.1.2.2.7. Internal Grievance and Appeal policies and procedures, in accordance with Section 2.10 of this Contract; 2.2.1.2.2.8. Fraud and abuse and program integrity, in accordance with Section 2.1 of this Contract; 2.2.1.2.2.9. Financial solvency, in accordance with Section 2.13 of this Contract; 2.2.1.2.2.10. Information systems, including Claims payment system performance, interfacing and reporting capabilities and validity testing of Encounter Data, in accordance with Sections 2.14 and 2.15 of this Contract, including IT testing and security assurances. 2.2.1.2.3. No individual shall be enrolled into the ICDS Plan unless and until CMS and the ODM determine that the ICDS Plan is ready and able to perform its obligations under the Contract as demonstrated during the Readiness Review. 2.2.1.2.4. CMS and ODM or their designee will identify to the ICDS Plan all areas where the ICDS Plan has been determined not ready and not able to meet its obligations under the Contract and provide an opportunity for the ICDS Plan to correct such areas to remedy all deficiencies prior to the start of marketing. 2.2.1.2.5. CMS or the ODM may, in its discretion, postpone the date the ICDS Plan may start marketing or the Contract Operational Start Date if the ICDS Plan fails to satisfy all Readiness Review requirements. If, for any reason, the ICDS Plan does not fully satisfy to CMS or the ODM that it is ready and able to perform its obligations under the Contract prior to the start of marketing or the Contract Operational Start Date, and CMS or the ODM does not agree to postpone the Contract Operational Start Date, or extend the date for full compliance with the applicable Contract requirement, then CMS or the ODM may terminate the Contract pursuant to Section 5.5 of this Contract. 2.2.1.1. ICDS Plan Readiness Review Responsibilities 2.2.1.1.1. Demonstrate to CMS and ODM’s satisfaction that the ICDS Plan is ready and able to meet all Contract requirements identified in the Readiness Review prior to the ICDS Plan engaging in marketing of its Demonstration product, and prior to the Contract Operational Start Date. 2.2.1.1.2. Provide CMS and ODM or its designee with the corrected materials requested by the Readiness Review report.