MCO Duty to Immediately Report Clause Samples

The "MCO Duty to Immediately Report" clause requires the Managed Care Organization (MCO) to promptly notify the other party of certain specified events or issues as soon as they become aware of them. In practice, this may include reporting incidents such as regulatory violations, data breaches, or other significant occurrences that could impact the agreement or the parties involved. By mandating immediate reporting, the clause ensures transparency and enables timely responses to potential problems, thereby minimizing risks and facilitating effective management of critical situations.
MCO Duty to Immediately Report. Certain Member Incidents 1. The MCO is required to report immediately to its DHS Member Care Quality Specialist any of the following: a. Upon learning a member’s whereabouts are not known for 24 hours or more, under any of the following circumstances: i. The member is under guardianship/protective placement; ii. The member has been identified as a vulnerable/high risk member as defined under Article I.127; iii. The MCO has reason to believe that the member’s health or safety is at risk; iv. The member is a potential threat to the community or self; v. The member has a significant medical condition that would deteriorate without medications/care; vi. The member lives in a residential facility; or vii. The area is experiencing potentially life-threatening weather conditions. b. Upon learning a member has died under any of the following circumstances: i. Death involving unexplained, unusual, or suspicious circumstances; ii. Death involving apparent abuse or neglect; iii. Apparent homicide; iv. Apparent suicide; v. Apparent poisoning; vi. Apparent accident, whether the resulting injury is or is not the primary cause of death; or vii. When a physician refuses to sign the death certificate. c. Upon learning a member has suffered an injury or accident related to any of the following circumstances: i. When unexplained, unusual, or suspicious circumstances exist; ii. When law enforcement or a court of law have investigated and/or are involved; iii. When the member was the victim of physical abuse, sexual abuse, or neglect by a caregiver; or iv. When the member has been poisoned. d. Upon learning a member has been admitted to a state IMD or to an Intensive Treatment Program (ITP). 2. In addition to the immediate reporting requirements provided by Article V.O. 1., MCOs shall also comply with all other reporting requirements in this contract, including, but not limited to, those provided in Addendum II.A.2.
View SourceView Similar (4)
MCO Duty to Immediately Report. Certain Member Incidents 1. The MCO is required to report immediately to its DHS Member Care Quality Specialist any of the following: a. Upon learning a member’s whereabouts are not known for 24 hours or more, under any of the following circumstances: i. The member is under guardianship/protective placement; ii. The member has been identified as a vulnerable/high risk member as defined under Article I.137; iii. The MCO has reason to believe that the member’s health or safety is at risk; iv. The member is a potential threat to the community or self; v. The member has a significant medical condition that would deteriorate without medications/care; vi. The member lives in a residential facility; or vii. The area is experiencing potentially life-threatening weather conditions. b. Upon learning a member has died under any of the following circumstances:
View Source

Related to MCO Duty to Immediately Report

  • Obligation to Update Disclosure The Indenture Trustee will notify and provide information, and certify that information in an Officer’s Certificate, to the Depositor on the occurrence of any event or condition relating to the Indenture Trustee or actions taken by the Indenture Trustee that (a) may be required to be disclosed by the Depositor under Item 2 (the institution of, material developments in, or termination of legal proceedings against U.S. Bank National Association that are material to the Noteholders) of Form 10-D under the Exchange Act within five days of a Responsible Person of the Indenture Trustee becoming aware of such proceeding, (b) the Depositor reasonably requests of the Indenture Trustee that the Depositor, believes is necessary to comply with Regulation AB within five days of the request, (c) is required to be disclosed under Item 5 (submission of matters to a vote of the Noteholders) of Form 10-D under the Exchange Act within five days of a Responsible Person of the Indenture Trustee becoming aware of the submission, (d) is required to be disclosed under Item 6.02 (resignation, removal, replacement or substitution of U.S. Bank National Association as Indenture Trustee) or Item 6.04 (failure to make a distribution when required) of Form 8-K under the Exchange Act within two days of a Responsible Person of the Indenture Trustee becoming aware of the occurrence or (e) causes the information given by the Indenture Trustee in any certificate delivered by a Responsible Person of the Indenture Trustee to be untrue or incorrect in any material respect or is necessary to make the statements given by the Indenture Trustee in light of the circumstances in which they were made not misleading within five days of a Responsible Person of the Indenture Trustee becoming aware of the event or condition.

  • Public Posting of Approved Users’ Research Use Statement The PI agrees that information about themselves and the approved research use will be posted publicly on the dbGaP website. The information includes the PI’s name and Requester, project name, Research Use Statement, and a Non-Technical Summary of the Research Use Statement. In addition, and if applicable, this information may include the Cloud Computing Use Statement and name of the CSP or PCS. Citations of publications resulting from the use of controlled-access datasets obtained through this DAR may also be posted on the dbGaP website.

  • Securities Act Updating Disclosure If any material pool characteristic differs by 5% or more at the time of issuance of the securities from the description in the final prospectus, provide updated Reg AB disclosure about the actual asset pool. Depositor If there are any new servicers or originators required to be disclosed under Regulation AB as a result of the foregoing, provide the information called for in Items 1108 and 1110 respectively. Depositor

  • Covenants for Reporting of Repurchase Demands due to Breaches of Representations and Warranties (a) The Owner Trustee will (i) in accordance with its obligations pursuant to Section 3.2 of the Sale and Servicing Agreement, provide prompt written notice upon the discovery of any breach of the Seller’s representations and warranties, (ii) no later than five (5) Business Days after the end of each calendar quarter, provide to the Servicer, GM Financial and the Seller, a notice in substantially the form of Exhibit C, or any other form agreed upon between the Owner Trustee and the Seller, which shall be deemed acceptable to the Seller unless the Seller notifies the Owner Trustee within five (5) Business Days of its receipt thereof, with respect to any requests (in writing or orally) for the repurchase of any Receivable pursuant to Section 5.1 of the Purchase Agreement or Section 3.2 of the Sale and Servicing Agreement received by a Responsible Officer of the Owner Trustee during the immediately preceding calendar quarter (or, in the case of the initial notice, since the Closing Date) and (iii) promptly upon reasonable written request by the Servicer, GM Financial or the Seller, provide to them any other information reasonably requested in good faith that is in actual possession of the Owner Trustee and necessary to facilitate compliance by them with Rule 15Ga-1 under the Exchange Act, and Items 1104(e) and 1121(c) of Regulation AB. (b) In no event will the Owner Trustee or the Trust have any responsibility or liability in connection with (i) the compliance by the Servicer, GM Financial, the Seller or any other Person with the Exchange Act or Regulation AB or (ii) any filing required to be made by a securitizer under the Exchange Act or Regulation AB. The Owner Trustee will not have a duty to conduct any affirmative investigation as to the occurrence of any conditions requiring the repurchase of any Receivable pursuant to Section 5.1 of the Purchase Agreement or Section 3.2 of the Sale and Servicing Agreement.

  • Company to Provide Copy of the Prospectus in Form That May be Downloaded from the Internet If requested by the Representatives, the Company shall cause to be prepared and delivered, at its expense, within one business day from the effective date of this Agreement, to the Representatives an “electronic Prospectus” to be used by the Underwriters in connection with the offering and sale of the Offered Shares. As used herein, the term “electronic Prospectus” means a form of Time of Sale Prospectus, and any amendment or supplement thereto, that meets each of the following conditions: (i) it shall be encoded in an electronic format, satisfactory to the Representatives, that may be transmitted electronically by the Representatives and the other Underwriters to offerees and purchasers of the Offered Shares; (ii) it shall disclose the same information as the paper Time of Sale Prospectus, except to the extent that graphic and image material cannot be disseminated electronically, in which case such graphic and image material shall be replaced in the electronic Prospectus with a fair and accurate narrative description or tabular representation of such material, as appropriate; and (iii) it shall be in or convertible into a paper format or an electronic format, satisfactory to the Representatives, that will allow investors to store and have continuously ready access to the Time of Sale Prospectus at any future time, without charge to investors (other than any fee charged for subscription to the Internet as a whole and for on-line time). The Company hereby confirms that it has included or will include in the Prospectus filed pursuant to ▇▇▇▇▇ or otherwise with the Commission and in the Registration Statement at the time it was declared effective an undertaking that, upon receipt of a request by an investor or his or her representative, the Company shall transmit or cause to be transmitted promptly, without charge, a paper copy of the Time of Sale Prospectus.