Management of Subcontracts Sample Clauses

Management of Subcontracts. The Contractor must monitor the Subcontractor’s performance on an ongoing basis and subject it to formal review according to a periodic schedule established by the HCA, consistent with industry standards or state law and regulation. This review may be combined with a formal review of services performed pursuant to the Contractor’s Medicaid Contract between the Contractor and HCA. The review must be based on the specific delegation agreement with each Subcontractor, and must address compliance with Contract requirements for each delegated function, which may include but is not limited to: Documentation and appropriateness of medical necessity determinations. Enrollee record reviews to ensure services are appropriate based on diagnosis, the treatment plan is based on the Enrollee’s needs and progress notes support the use of each service. Enrollee record reviews to ensure the treatment plans are consistent with WAC ▇▇▇-▇▇▇-▇▇▇▇ and 246-341- 0640. Cultural, ethnic, linguistic, disability or age related needs are addressed. Coordination with primary care. Provider adherence to practice guidelines, as relevant. Provider compliance with reporting and managing critical incidents. Fiscal management, including documenting the provider’s cost allocations, revenues, expenditures and reserves in order to ensure that funds under this Contract are being spent appropriately. Licensing and certification reviews, including oversight of any issues noted during licensing and/or certification reviews conducted by the Department of Health and communicated to the Contractor. Unless a county is a licensed service provider and the Contractor is contracting with the county for direct services, the Contractor shall not provide GFS funds to a county without a contract or single-case agreement. The Contractor’s Subcontracts shall also contain the following provisions: A statement that Subcontractors receiving GFS funds shall cooperate with Contractor or HCA-sponsored Quality Improvement (QI) activities. For providers in twenty-four (24) hour settings, a requirement to provide discharge planning services which shall, at a minimum: Coordinate a community-based discharge plan for each Enrollee served under this Contract beginning at intake, including Tribal- community resources and services when applicable. Discharge planning shall apply to all Enrollees regardless of length of stay or whether they complete treatment; Coordinate exchange of assessment, admission, treatment progress, and...
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Management of Subcontracts. The Contractor shall monitor the Subcontractor’s performance on an ongoing basis and subject to formal review according to HCA, consistent with industry standards or state law and Regulation. The review shall be based on the specific delegation agreement with each Subcontractor, and shall address compliance with Contract requirements for each delegated function including, but not limited to: Documentation and appropriateness of medical necessity determinations. Patient record reviews to ensure services are appropriate based on diagnosis, and the treatment plan is based on the patient’s needs and progress notes support the use of each service. Timeliness of service.
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Management of Subcontracts. 9.4.1 The Contractor shall evaluate any prospective Subcontractor’s ability to perform the activities for which that Subcontractor is contracting, including the Subcontractor’s ability to perform delegated activities described in the Subcontracting document. 9.4.2 FBG funds may not be used to pay for services provided prior to the execution of Subcontracts, or to pay in advance of service delivery. 9.4.3 The Contractor shall not provide GFS or FBG funds to a county, unless a county is a licensed service provider and is providing direct services.
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Management of Subcontracts. 9.4.1 The Contractor must monitor the Subcontractor’s performance on an ongoing basis and subject to formal review according to a periodic schedule established by the HCA, consistent with industry standards or state law and Regulation. 9.4.1.1 The review must be based on the specific delegation agreement with each Subcontractor, and must address compliance with Contract requirements for each delegated function including, but not limited to: 9.4.1.1.1 Documentation and appropriateness of medical necessity determinations. 9.4.1.1.2 Patient record reviews to ensure services are appropriate based on diagnosis, and the treatment plan is based on the patient’s needs and progress notes support the use of each service. 9.4.1.1.3 Client record reviews to the treatment plans.
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Management of Subcontracts. 9.4.1 The Contractor shall monitor the Subcontractor’s performance on an ongoing basis and subject to formal review according to HCA, consistent with industry standards or state law and Regulation.
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Related to Management of Subcontracts

  • CONTINGENT ASSIGNMENT OF SUBCONTRACTS § 5.4.1 Each subcontract agreement for a portion of the Work is assigned by the Contractor to the Owner, provided that .1 assignment is effective only after termination of the Contract by the Owner for cause pursuant to Section 14.2 and only for those subcontract agreements that the Owner accepts by notifying the Subcontractor and Contractor; and

  • PAYMENT OF SUBCONTRACTORS Contractor shall pay any of its subcontractors not later than seven (7) days after receipt of any progress payment, unless otherwise agreed to in writing, the respective amounts allowed Contractor on account of the work performed by subcontractor(s), to the extent of each subcontractor’s interest therein, except as otherwise provided in Business and Professions Code Section 7108.5.

  • Oversight of Subcontractors In the event that Vendor engages subcontractors or other authorized persons or entities to perform one or more of its obligations under the Master Agreement (including subcontracting hosting of the Protected Data to a hosting service provider), it will require those subcontractors or other authorized persons or entities to whom it will disclose the Protected Data to execute legally binding agreements acknowledging their obligation under Section 2-d of the New York Education Law to comply with all applicable data protection, privacy and security requirements required of Vendor under the Master Agreement and applicable state and federal law and regulations.

  • Engineer Payment of Subproviders No later than ten (10) days after receiving payment from the State, the Engineer shall pay all subproviders for work performed under a subcontract authorized hereunder. The State may withhold all payments that have or may become due if the Engineer fails to comply with the ten-day payment requirement. The State may also suspend the work under this contract or any work authorization until subproviders are paid. This requirement also applies to all lower tier subproviders, and this provision must be incorporated into all subcontracts.

  • Appointment of Subservicer or Subcontractor (a) The Servicer may at any time appoint a subservicer to perform all or any portion of its obligations as Servicer hereunder; provided, however, that the Servicer shall remain obligated and be liable to the Issuer, the Owner Trustee, the Delaware Trustee, the Indenture Trustee, the Certificateholders and the Noteholders for the servicing and administering of the Receivables in accordance with the provisions hereof without diminution of such obligation and liability by virtue of the appointment of such subservicer and to the same extent and under the same terms and conditions as if the Servicer alone were servicing and administering the Receivables. The fees and expenses of the subservicer shall be as agreed between the Servicer and its subservicer from time to time, and none of the Issuer, the Owner Trustee, the Delaware Trustee, the Indenture Trustee, the Certificateholders or the Noteholders shall have any responsibility therefor. (b) The Servicer shall cause any Subservicer used by the Servicer (or by any Subservicer) for the benefit of the Issuer to comply with the reporting and compliance provisions of this Agreement to the same extent as if such Subservicer were the Servicer, and to provide the information required with respect to such Subservicer as is required to file all required reports with the Commission. The Servicer shall be responsible for obtaining from each Subservicer and delivering to the Issuer and the Administrator any servicer compliance statement required to be delivered by such Subservicer under Section 3.11, any assessment of compliance and attestation required to be delivered by such Subservicer under Section 3.12 and any certification required to be delivered to the Person that will be responsible for signing the Sarbanes Certification under Section 3.12(a)(iv) as and when required to be delivered. (c) The Servicer shall promptly upon request provide to the Issuer or the Administrator, acting on behalf of the Issuer, a written description (in form and substance satisfactory to the Issuer and the Administrator) of the role and function of each Subcontractor utilized by the Servicer or any Subservicer, specifying (i) the identity of each such Subcontractor, (ii) which, if any, of such Subcontractors are “participating in the servicing function” within the meaning of Item 1122 of Regulation AB, and (iii) which, if any, elements of the Servicing Criteria will be addressed in assessments of compliance provided by each Subcontractor identified pursuant to clause (ii) of this paragraph. As a condition to the utilization of any Subcontractor determined to be “participating in the servicing function” within the meaning of Item 1122 of Regulation AB, the Servicer shall cause any such Subcontractor used by the Servicer (or by any Subservicer) for the benefit of the Issuer and the Depositor to comply with the reporting and compliance provisions of Section 3.12(a) of this Agreement to the same extent as if such Subcontractor were the Servicer. The Servicer shall be responsible for obtaining from each Subcontractor and delivering to the Issuer and the Administrator any assessment of compliance and attestation required to be delivered by such Subcontractor, in each case as and when required to be delivered.