Modifications to Section V Sample Clauses
Modifications to Section V. Scope of Services of the Contract Specific subsections are modified as stated herein.
a. Section V.A. Administration and Management, 1. Program Administration, h. Compliance with Department Policies i. is revised and restated as follows:
i. The PHP shall comply with Department policies as identified and required by the Department, including the following:
a) Medicaid Managed Care Enrollment Policy
b) Department Clinical Coverage Policies;
c) Transition of Care Policy;
d) Care Management Policy;
e) Advanced Medical Home Program Policy;
f) Care Management for High-Risk Pregnancy Policy;
g) Care Management for At-Risk Children Policy;
h) Management of Inborn Errors of Metabolism Policy;
i) Uniform Credentialing and Recredentialing Policy;
Modifications to Section V. Scope of Services Specific subsections are modified as stated herein.
a. Section V.D.
Modifications to Section V. Scope of Services of the Contract Specific subsections are modified as stated herein.
a. Section V.A. Administration and Management, 9. Staffing and Facilities, Section V.A.9.d.ii. -
Modifications to Section V. Scope of Services of the Contract. Specific subsections are modified as stated herein.
a. Section V.A. Administration and Management 5. Implementation e-g. are revised and restated as follows:
Modifications to Section V. Contract Performance
Modifications to Section V. Scope of Services of the Contract. Specific subsections are modified as stated herein.
a. Section V.A. Administration and Management 9. Staffing and Facilities h. Physical Presence in North Carolina is revised and restated as follows:
i. The PHP shall have a physical presence in North Carolina by having one or more offices located in the State.
a) The PHP shall establish an office in North Carolina at least ninety (90) days after Contract Award that shall be maintained for the duration of the contract.
b) The PHP shall establish call center(s) and staff in North Carolina at least ninety (90) days after Contract Award.
c) The Department requires the PHP establish an office in each of the six (6) Regions that is serves to support in care management functions and member, provider and stakeholder engagement requirements of the Contract by October 1, 2021 or a later date specified by the Department.
Modifications to Section V