Health Plan Program Standards Sample Clauses

Health Plan Program Standards. 1. Section 2.15.01.01 - Fee Schedule Increase, Adoption of Minimum/Maximum Fee Schedule and State Directed Payment Requirements is amended by REPLACING the State directed payments table with the table shown below:
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Health Plan Program Standards. Section 2.01.01.01 Alternative Payment Methodologies is amended by INSERTING a new paragraph to the end of the section to read as follows, “MCOs are required to participate in primary care capitation policy, planning, and design processes led by OHIC and EOHHS and leveraging the technical expertise of contractors, including but not limited to Bailit Health and CTC-RI. Participation shall include attendance at relevant meetings, providing requested data, financial analysis, design preferences, and any other such effort to support the development of both financial and clinical models to enable implementation of primary care capitation. The MCO shall also simulate practice revenues under the designed model to test the efficacy of the model per guidance from EOHHS.” This section is also amended by DELETING ‘Rhode Island Executive Office of Health and Human Services “Transitioning to Alternative Payment Methodologies: Requirements for Medicaid Managed Care Partners” and REPLACING with “Transitioning to Alternative Payment Methodologies: Requirements for Medicaid Managed Care Partners.”
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Health Plan Program Standards. 9. Section 2.01.01 Alternative Payment Methodologies (APMs), Health System Transformation Project (HSTP), and Accountable Entities (AEs), is hereby amended by changing the number in sentence three from 3,000 to 2,000 attributed lives.
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Health Plan Program Standards 
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Related to Health Plan Program Standards

  • HEALTH PROGRAM 3701 Health examinations required by the Employer shall be provided by the Employer and shall be at the expense of the Employer. 3702 Time off without loss of regular pay shall be allowed at a time determined by the Employer for such medical examinations and laboratory tests, provided that these are performed on the Employer’s premises, or at a facility designated by the Employer. 3703 With the approval of the Employer, a nurse may choose to be examined by a physician of her/his own choice, at her/his own expense, as long as the Employer receives a statement as to the fitness of the nurse from the physician. 3704 Time off for medical and dental examinations and/or treatments may be granted and such time off, including necessary travel time, shall be chargeable against accumulated income protection benefits.

  • Educational Program A. DSST PUBLIC SCHOOLS shall implement and maintain the following characteristics of its educational program in addition to those identified in the Network Contract at DSST ▇▇▇▇ MIDDLE SCHOOL (“the School” within Exhibit A-3). These characteristics are subject to modification with the District’s written approval:

  • Quality Assurance Program An employee shall be entitled to leave of absence without loss of earnings from her or his regularly scheduled working hours for the purpose of writing examinations required by the College of Nurses of Ontario arising out of the Quality Assurance Program.

  • Health Plan An appropriately licensed entity that has entered into a contract with Subcontractor, either directly or indirectly, under which Subcontractor provides certain administrative services for Health Plan pursuant to the State Contract. For purposes of this Appendix, Health Plan refers to UnitedHealthcare Insurance Company.

  • Training Program It is agreed that there shall be an Apprenticeship Training Program, the provisions of which are set forth in Exhibit "D", which is attached hereto and forms part of this Agreement.