Delegation of Activities Sample Clauses

Delegation of Activities. The Parties agree that to the extent that The Plan delegates to Group performance of any function, duty, obligation, or responsibility, including reporting responsibilities, imposed on The Plan under the CMS Contract (“Delegated Activity”):

Delegation of Activities. The Plan and Group agree that, to the extent that The Plan delegates to Group the performance of any function, duty, obligation, or responsibility, including reporting responsibilities (“Delegated Activity”):

Delegation of Activities. (a) Newco has delegated certain obligations under the applicable CMS Contract and DHS Contract to Vendor. Vendor acknowledges and agrees that Newco may revoke such delegation of Services or sanction Vendor in instances where CMS, DHS or Newco determines that Vendor has not performed satisfactorily with respect to Services provided to Newco members. Vendor acknowledges and agrees that to the extent CMS or DHS directs revocation, Newco shall provide immediate written notice of such to Vendor, and such revocation shall become effective as directed by CMS or DHS. Vendor shall cooperate with Newco regarding the transition of any delegated activities or reporting requirements that have been revoked by Newco. No additional financial obligations shall accrue to Newco with respect to such revoked activities from and after the date of such revocation in accordance with this section. (b) If Newco delegates any of its obligations under the applicable CMS Contract to Vendor, other than the activities described herein and in the Agreement, Newco and Vendor agree to update the Agreement and this Addendum, as applicable, to reflect the newly delegated activities and to specify the reporting obligations of Vendor to Newco or its contractors. (c) If Newco has delegated to Vendor any activities related to the credentialing of health care providers, Vendor must comply with all applicable CMS and DHS requirements for credentialing including, but not limited to, the requirement that the credentials of medical professionals must either by reviewed by Newco or its designee, or the credentialing process must be reviewed, pre-approved and audited on an ongoing basis by Newco or its designee. (d) If Newco has delegated to Vendor the selection of health care providers, to be participating providers in Newco’s Medicare provider network, or the selection of any other contractor, subcontractor, or other Downstream Entity, Newco retains the right to approve, suspend or terminate the participation status of such health care providers or arrangement with such contractors, subcontractors, or other Downstream Entities.

Delegation of Activities. The Parties agree that to the extent that The MA Plan delegates to Hospital performance of any function, duty, obligation, or responsibility, including reporting responsibilities, imposed on The MA Plan under the CMS Contract (“Delegated Activity”):

Delegation of Activities. Subdivision 1. AIK CHB hereby delegates, and Delegated Entity hereby accepts delegation of those activities outlined in the attached Exhibits. The attached Exhibits may be amended from time to time by the AIK CHB provided that such change is communicated to Delegated Entity at least ninety (90) calendar days prior to implementation of the change. Delegated Entity may raise an objection to the proposed change by notifying AIK CHB no later than sixty (60) calendar days after such change is communicated. Disputes as to the propriety of any change to the Exhibits as outlined in this Subdivision 1 shall be resolved by decision of the AIK CHB Board to the extent that the change does not result in additional cost to the Delegated Entity. Disputes over changes that would result in additional cost to the Delegated Entity will require the prior approval of at least two or the three Member Counties in addition to approval of AIK CHB. Subdivision 2. It is expressly understood that this Agreement does not address or provide for financial considerations for the delegated activities except as outlined in the attached Exhibits. AIK CHB will not assume financial responsibility for the delegated activities except to the extent that AIK CHB is the holder of a grant or third-party payment that allows payment to the Delegated Entity for some or all of the delegated activities. Subdivision 3. It is expressly understood that this Agreement does not alter the responsibility of AIK CHB for the performance of duties specified in law.

Delegation of Activities. As required by law or applicable accreditation standards, the parties to this Agreement agree to enter into a written Credentialing Delegation Addendum, attached hereto as Exhibit C and made a part hereof, and such other delegation addendums as applicable that provide for the delegation of activities from United to Vendor. The activities to be delegated may include, but are not limited to, credentialing and recredentialing, utilization management, claims payment and management, and quality improvement. Vendor agrees to cooperate with United’s requirements for delegation, including but not limited to an annual delegation audit review. Vendor’s performance of delegated activities shall be subject to the monitoring, oversight and approval of United. United retains the right to revoke the delegation of some or all if the activities delegated to Vendor without terminating the entire Agreement in the event that Vendor fails to perform the delegated activities to the satisfaction of United.