Common use of MCO Response Time Frames Clause in Contracts

MCO Response Time Frames. The MCO must submit required reports, documentation, ad hoc reports, data certification forms, or any other data required within the time frames provided by this Contract or by the Department. If an MCO does not submit a required or ad hoc report, documentation, data certification form, or data required to meet any State or Federal reporting requirements (e.g., drug utilization data, provider-preventable conditions) to the Department within the timeframes outlined in this contract or in the Department’s request, the Department may assess damages on the MCO. The MCO may have a one business day grace period following the due date of the data, report, documentation, or data certification form. However, for each additional day an item is overdue beyond the grace period, the Department may assess damages on the MCO as outlined in Article II, Section 6 and Exhibit H.

MCO Response Time Frames. The MCO must submit required reports, documentation, ad hoc reports, data certification forms, or any other data required within the time frames provided by this Contract contract or by the Department. If an MCO does not submit a required or ad hoc report, documentation, data certification form, or data required to meet any State or Federal reporting requirements (e.g., drug utilization data, provider-preventable conditions) to the Department within the timeframes outlined in this contract or in the Department’s request, the Department may assess damages on the MCO. The MCO may have a one business day grace period following the due date of the data, report, documentation, or data certification form. However, for each additional day an item is overdue beyond the grace period, the Department may assess damages on the MCO as outlined in Article II, Section 6 and Exhibit H.