Common use of Department Oversight Clause in Contracts

Department Oversight. ‌ The Department reserves the right to review the Contractor’s policies and procedures and determine conditions for formal notification to the Department of situations involving quality of care. During the conduct of contract monitoring activities, the Department may assess the Contractor’s compliance with any requirements set forth in this Contract and in the documents referenced herein. The Department reserves the right to audit, formally and/or informally, for compliance with any term(s) of this Contract, for compliance with the laws and regulations of the Federal Government and the Commonwealth of Virginia, and for compliance in the implementation of any term(s) of this Contract. The right to audit under this section exists for ten (10) years from the final date of the contract period or from the date of completion of any audit, whichever is later. Records must be maintained in a searchable electronic format. The Department shall be responsible for the administration of this Contract. Administration of the Contract shall be conducted in good faith within the resources of the State, but in the best interest of the members. The Department shall retain full authority for the administration of the Medicaid and FAMIS programs in accordance with the requirements of Federal and State laws and regulations. See Section 16.2 regarding conflicts between the Department’s administration of the Medicaid program and the Contractor’s policies and its subcontractor’s contracts.

Department Oversight. ‌ The Department reserves the right to review the Contractor’s policies and procedures and determine conditions for formal notification to the Department of situations involving quality of care. During the conduct of contract monitoring activities, the Department may assess the Contractor’s compliance with any requirements set forth in this Contract and in the documents referenced herein. The Department reserves the right to audit, formally and/or informally, for compliance with any term(s) of this Contract, for compliance with the laws and regulations of the Federal Government and the Commonwealth of Virginia, and for compliance in the implementation of any term(s) of this Contract. The right to audit under this section exists for ten (10) years from the final date of the contract period or from the date of completion of any audit, whichever is later. Records must be maintained in a searchable electronic format. The Department shall be responsible for the administration of this Contract. Administration of the Contract shall be conducted in good faith within the resources of the State, but in the best interest of the members. The Department shall retain full authority for the administration of the Medicaid and FAMIS programs in accordance with the requirements of Federal and State laws and regulations. See Section 16.2 regarding conflicts between the Department’s administration of the Medicaid program and the Contractor’s policies and its subcontractor’s contracts.