Contractor Requirements for State Operations Clause Samples

The "Contractor Requirements for State Operations" clause sets out the specific obligations and standards that contractors must meet when performing work for state-run projects or agencies. Typically, this clause details compliance with state laws, background checks for personnel, security protocols, and reporting procedures that contractors must follow while operating within state facilities or on state business. Its core function is to ensure that contractors align with the state's operational policies and legal requirements, thereby safeguarding the state's interests and maintaining consistent standards across all contracted services.
Contractor Requirements for State Operations. Through this Capitated Financial Alignment Model initiative, CMS and RI EOHHS will work in partnership to offer Eligible Beneficiaries the option of enrolling into Contractor’s MMP, which consists of a comprehensive network of Health Care Professionals and social service providers. The Contractor will deliver and coordinate all components of Medicare and Medicaid Covered Services for Enrollees. Licensure and Certification 2.1.1.2.1. Contractor certifies that it is licensed in Rhode Island as an Health Maintenance Organization (HMO) under the provisions of Rhode Island General Laws R.I. Gen. Laws §27-41-1 et. seq., “the Health Maintenance Organization Act.” If Contractor is not a licensed HMO in Rhode Island, Contractor certifies that it is either a nonprofit hospital service corporation that is licensed by the RI Department of Business Regulation (RI DBR) under R.I. Gen. Laws §27-19-1 et. seq., a nonprofit medical service corporation that is licensed by RI DBR under R.I. Gen. Laws §27-20-1 et. seq., or another health insurance entity licensed by RI DBR, and that it meets the following requirements: 2.1.1.2.1.1. Is certified by the Rhode Island Department of Health (RI DOH) as a Health Plan under the Rules and Regulations for the Certification of Health Plans (R23-17.13-CHP); and 2.1.1.2.1. 2. Meets the requirements of R23-17.13-CHP §§ 3.4, 5.2, 6.1.4, and 6.4.7; and
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Contractor Requirements for State Operations. 2.1.2.1. Licensure 2.1.2.1.1. The Contractor shall obtain and retain at all times during the period of this Contract a valid license issued with Health Maintenance Organization Lines of Authority by the State Corporation Commission and comply with all applicable terms and conditions set forth in the Code of Virginia §§ 38.2-4300 through 38.2-4323, 14 VAC 5-210-10 et seq. and any and all other applicable laws of the Commonwealth of Virginia, as amended. 2.1.2. 2. Certification 2.1.2.2.1. Pursuant to § 32.1-137.1 through § 32.137.7 Code of Virginia, and 12 VAC 5-408-10 et seq., all managed care health insurance plan licensees must obtain service area approval certification and remain certified by the State Health Commissioner of the Office of Licensure and Certification.
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Contractor Requirements for State Operations. Through this Capitated Financial Alignment Model initiative, CMS and RI EOHHS will work in partnership to offer Eligible Beneficiaries the option of enrolling into Contractor’s MMP, which consists of a comprehensive network of Health Care Professionals and social service providers. The Contractor will deliver and coordinate all components of Medicare and Medicaid Covered Services for Enrollees. Licensure and Certification 2.1.1.2.1. Contractor certifies that it is licensed in Rhode Island as an Health Maintenance Organization (HMO) under the provisions of Rhode Island General Laws R.I. Gen. Laws §27-41-1 et. seq., “the Health Maintenance Organization Act.” If Contractor is not a licensed HMO in Rhode Island, Contractor certifies that it is either a nonprofit hospital service corporation that is licensed by the RI Department of Business Regulation (RI DBR) under R.I. Gen. Laws §27-19-1 et. seq., a nonprofit medical service corporation that is licensed by RI DBR under R.I. Gen. Laws §27-20-1 et. seq., or another health insurance entity licensed by RI DBR, and that it meets the following requirements: 2.1.1.2.1.1. Is certified by the Rhode Island Department of Health (RI DOH) as a Health Plan under the Rules and Regulations for the Certification of Health Plans (R23-17.13-CHP); and 2.1.1.2.1.2. Meets the requirements of R23-17.13-CHP §§ 3.4, 5.2, 6.1.4, and 6.4.7; and 2.1.1.2.1.3. Meets the requirements under the RI DOH Rules and Regulations for the Utilization Review of Health Care Services (R23-17.12). 2.1.1.2.2. Contractor agrees to provide to RI EOHHS, or its designees, any information requested pertaining to its licensure or certification. 2.1.1.2.3. Contractor agrees to provide a copy to RI EOHHS of any correspondence to RI DBR and/or RI DOH concerning its license, Contract status with any institution or provider group and/or certification. Contractor agrees to provide RI EOHHS a copy of any complaints, decisions, orders or notices from RI DBR, RI DOH or any other regulatory or oversight entities (e.g., Rhode Island Department of Attorney General) within thirty (30) days of Contractor’s receipt of any complaints, decisions, orders or notices. Accreditation 2.1.1.3.1. The Contractor is accredited by the NCQA as a Medicaid managed care organization. 2.1.1.3.2. The Contractor must submit to RI EOHHS a PDF copy of its current NCQA accreditation certificate for a Medicaid managed care organization and must maintain such accreditation for the duration of this...
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Contractor Requirements for State Operations. ‌ 2.1.1.1. Through this Capitated Financial Alignment Model initiative, CMS and RI EOHHS will work in partnership to offer Eligible Beneficiaries the option of enrolling into Contractor’s MMP, which consists of a comprehensive network of Health Care Professionals and social service providers. The Contractor will deliver and coordinate all components of Medicare and Medicaid Covered Services for Enrollees.
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Related to Contractor Requirements for State Operations

  • Subcontractor Requirements The Supplier must ensure that any subcontract entered into for the purpose of this Agreement contains an equivalent clause granting the rights specified in this clause.

  • Additional Requirements for Sleeping Rooms The Contractor shall provide departing Attendees a secured area for storing belongings.

  • Contractor Requirements The Firm shall be construed, during the entire term of this contract, to be an independent contractor. Nothing in this contract is intended to nor shall be construed to create an employer- employee relationship, or a joint venture relationship. The Firm represents that it is qualified to perform the duties to be performed under this contract and that it has, or will secure, if needed, at its own expense, applicable personnel who are qualified to perform the duties required under this contract. Such personnel shall not be deemed in any way, directly or indirectly, expressly or by implication, to be employees of the District. Any person assigned by the firm to perform the services hereunder shall be the employee or a subcontractor of the Firm, who shall have the sole right to hire and discharge its employee or subcontractors. The Firm or its subcontractors shall pay, when due, all salaries and wages of their employees and accepts exclusive responsibility for the payment of federal income tax, social security, unemployment compensation and any other withholdings that may be required. Neither the Firm, its subcontractors nor their employees are entitled to state retirement or leave benefits. It is further understood that the consideration expressed herein constitutes full and complete compensation for all services and performance hereunder, and that any sum due and payable to the Firm shall be paid as a gross sum with no withholdings or deductions being made by the District for any purpose from said contract sum, except as permitted in paragraphs 16, 17 and 18.

  • Solicitations for Subcontractors, Including Procurements of Materials and Equipment In all solicitations either by competitive bidding or negotiation made by the contractor for work to be performed under a subcontract, including procurements of materials or leases of equipment, each potential subcontractor or supplier shall be notified by the contractor of the contractor's obligations under this contract and the Regulations relative to nondiscrimination on the grounds of race, color, or national origin, sex, age, and disability/handicap.

  • Supervision of Contractor Personnel The Contractor must supply all necessary and sufficient supervision over the work that is being performed and will be held solely responsible for the conduct and performance of his employees or agents involved in work under the Agreement.