Initial Eligibility Determination and Ongoing Requirements Clause Samples

The "Initial Eligibility Determination and Ongoing Requirements" clause defines the process for assessing whether a party meets the necessary qualifications to participate in an agreement or program, both at the outset and throughout its duration. Typically, this involves an initial review of credentials, documentation, or other criteria, followed by periodic checks or ongoing compliance obligations to ensure continued eligibility. By establishing clear standards and procedures for eligibility, this clause helps prevent unqualified participation and ensures that all parties consistently meet the required conditions over time.
Initial Eligibility Determination and Ongoing Requirements. 1.2.1 LIDDA must complete all assessment activities required HHSC for individuals referred for CFC eligibility assessments to determine whether the individual meets an Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF/IID) level of care (LOC). 1.2.2 LIDDA must conduct initial service planning activities and assign a service 1.2.3 LIDDA must conduct reassessment activities for individuals who are receiving CFC services and communicate with the MCOs as directed by HHSC no later than 60 calendar days prior to the expiration of the ICF/IID LOC for an individual. 1.2.4 LIDDA must ensure assigned service coordinator provides service coordination to an individual 21 years of age or older while the individual is
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Initial Eligibility Determination and Ongoing Requirements. LIDDA must complete all assessment activities required HHSC for individuals referred for CFC eligibility assessments to determine whether the individual meets an Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF/IID) level of care (LOC).
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Initial Eligibility Determination and Ongoing Requirements. 1.2.1 LIDDA must complete all assessment activities required HHSC for individuals referred for CFC eligibility assessments to determine whether the individual meets an Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF/IID) level of care (LOC). 1.2.2 LIDDA must conduct initial service planning activities and assign a service 1.2.3 LIDDA must conduct reassessment activities for individuals who are receiving CFC services and communicate with the MCOs as directed by HHSC no later than 60 calendar days prior to the expiration of the ICF/IID LOC for an individual. 1.2.4 LIDDA must ensure assigned service coordinator provides service coordination to an individual 21 years of age or older while the individual is 1.2.5 LIDDA must participate in the fair hearing to explain why no services were 1.2.6 LIDDA staff providing service coordination for non-waiver CFC must complete Community First Choice Training as specified in the LIDDA Handbook, Section 17000, Non-Waiver Community First Choice before completing any CFC activities and annually thereafter.
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Related to Initial Eligibility Determination and Ongoing Requirements

  • Eligibility Determination EOHHS will have sole authority for determining whether individuals or families meet any of the eligibility criteria and therefore are eligible to enroll in a Health Plan.

  • Certification of Funds; Budget and Fiscal Provisions; Termination in the Event of Non-Appropriation This Agreement is subject to the budget and fiscal provisions of the City’s Charter. Charges will accrue only after prior written authorization certified by the Controller, and the amount of City’s obligation hereunder shall not at any time exceed the amount certified for the purpose and period stated in such advance authorization. This Agreement will terminate without penalty, liability or expense of any kind to City at the end of any fiscal year if funds are not appropriated for the next succeeding fiscal year. If funds are appropriated for a portion of the fiscal year, this Agreement will terminate, without penalty, liability or expense of any kind at the end of the term for which funds are appropriated. City has no obligation to make appropriations for this Agreement in lieu of appropriations for new or other agreements. City budget decisions are subject to the discretion of the Mayor and the Board of Supervisors. Contractor’s assumption of risk of possible non-appropriation is part of the consideration for this Agreement. THIS SECTION CONTROLS AGAINST ANY AND ALL OTHER PROVISIONS OF THIS AGREEMENT.

  • Contract Renegotiation, Suspension, or Termination Due to Change in Funding If the funds DSHS relied upon to establish this Contract or Program Agreement are withdrawn, reduced or limited, or if additional or modified conditions are placed on such funding, after the effective date of this contract but prior to the normal completion of this Contract or Program Agreement: a. At DSHS’s discretion, the Contract or Program Agreement may be renegotiated under the revised funding conditions. b. At DSHS’s discretion, DSHS may give notice to Contractor to suspend performance when DSHS determines that there is reasonable likelihood that the funding insufficiency may be resolved in a timeframe that would allow Contractor’s performance to be resumed prior to the normal completion date of this contract. (1) During the period of suspension of performance, each party will inform the other of any conditions that may reasonably affect the potential for resumption of performance. (2) When DSHS determines that the funding insufficiency is resolved, it will give Contractor written notice to resume performance. Upon the receipt of this notice, Contractor will provide written notice to DSHS informing DSHS whether it can resume performance and, if so, the date of resumption. For purposes of this subsubsection, “written notice” may include email. (3) If the Contractor’s proposed resumption date is not acceptable to DSHS and an acceptable date cannot be negotiated, DSHS may terminate the contract by giving written notice to Contractor. The parties agree that the Contract will be terminated retroactive to the date of the notice of suspension. DSHS shall be liable only for payment in accordance with the terms of this Contract for services rendered prior to the retroactive date of termination. c. DSHS may immediately terminate this Contract by providing written notice to the Contractor. The termination shall be effective on the date specified in the termination notice. DSHS shall be liable only for payment in accordance with the terms of this Contract for services rendered prior to the effective date of termination. No penalty shall accrue to DSHS in the event the termination option in this section is exercised.