NCQA Accreditation Sample Clauses

NCQA Accreditation. As applicable in the performance of the Agreement, Provider is subject to all applicable accreditation standards (e.g., National Committee for Quality Assurance (“NCQA”) accreditation), as may be set forth in the Agreement and any applicable attachments thereto.
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NCQA Accreditation. The ICDS Plan must hold and maintain, or must be actively seeking and working towards, accreditation by the National Committee for Quality Assurance (NCQA) for the Ohio Medicare or Medicaid line of business. The ICDS Plan must achieve and/or maintain an excellent, commendable or accredited status from NCQA. For the purposes of meeting this accreditation requirement, ODM will only accept the use of the NCQA corporate survey to the extent deemed allowable by NCQA. Upon completion of the accreditation survey, the ICDS Plan must submit to ODM a copy of the “Final Decision Letter” no later than ten (10) calendar days upon receipt from NCQA. Thereafter and on an annual basis between accreditation surveys, the ICDS Plan must submit a copy of the “Accreditation Summary Report” issued as a result of the annual HEDIS update no later than ten (10) calendar days upon receipt from NCQA. Upon ODM’s request, the ICDS Plan must provide any and all documents related to achieving accreditation.
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NCQA Accreditation. 2.15.5.1 The CONTRACTOR shall obtain NCQA accreditation by November 30, 2009 and shall maintain it thereafter. Any accreditation status granted by NCQA under the New Health Plan (NHP) program or the MCO Introductory Survey option will not be acknowledged by TENNCARE. Accreditation obtained under the NCQA Full Accreditation Survey or Multiple Product Survey options will be acknowledged by TENNCARE if the TennCare product is specifically included in the NCQA survey. TENNCARE will accept the use of the NCQA Corporate Survey process, to the extent deemed allowable by NCQA, in the accreditation of the CONTRACTOR. In order to ensure that the CONTRACTOR is making forward progress, TENNCARE shall require that the following information and/or benchmarks be met: NCQA Accreditation Survey Application Submitted and Pre Survey Fee paid December 15, 2007 Submit copy of signed NCQA Survey contract to TENNCARE January 15, 2008 Purchase NCQA ISS Tool for 2009 MCO Accreditation Survey August 15, 2008 Copy of signed contract with NCQA approved vendor to perform 2009 CAHPS surveys (Adult, Child and Children with Chronic Conditions to TENNCARE) November 15, 2008 Copy of signed contract with NCQA approved vendor to perform 2009 HEDIS Audit to TENNCARE (The CONTRACTOR must perform the complete Medicaid HEDIS Data Set with the exception of dental related measures) November 15, 2008 Notify TENNCARE of date for ISS Submission and NCQA On-site review January 15, 2009 HEDIS Baseline Assessment Tool completed and submitted to Contracted HEDIS Auditor, TENNCARE, and the EQRO February 15, 2009 Audited Medicaid HEDIS and CAHPS results submitted to NCQA and TENNCARE June 15, 2009 Finalize preparations for NCQA Survey (Final payment must be submitted to NCQA sixty (60) calendar days prior to submission of ISS) Notify TennCare of final payment within five (5) business days of submission to NCQA. Submission of ISS to NCQA Notify TennCare within five (5) business days of submission to NCQA. NCQA Survey Completed and copy of NCQA Final Report to TENNCARE: November 30, 2009 • Excellent, Commendable, or Accredited • Provisional — Corrective Action required to achieve status of Excellent, Commendable, or Accredited; resurvey within twelve ( 12) months. • Accreditation Denied — Results in termination of this Agreement. 2.15.5.2 If the CONTRACTOR consistently fails to meet the timelines as described above, the CONTRACTOR shall be considered to be in breach of the terms of this Agreement and may be ...
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NCQA Accreditation. The Contractor shall maintain NCQA accreditation at a level of “accredited” or better.
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NCQA Accreditation. CONTRACTING PROVIDER agrees that if, during the term of this Agreement, NCQA develops criteria or standards for the accreditation of eye care organizations, then CONTRACTING PROVIDER shall use good faith efforts to obtain such accreditation. If CONTRACTING PROVIDER fails to secure such NCQA accreditation, following formal NCQA review, then Anthem BC&BS shall have the right to terminate this Agreement pursuant to Section 8.4 (b) hereof.
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NCQA Accreditation. Cimarron Health Plan, the Company’s subsidiary operating in New Mexico as a health maintenance organization (the “HMO Subsidiary”), is currently accredited by the National Committee for Quality Assurance (the “NCQA”) with a “commendable” rating for both its commercial and Medicaid lines of business. The Company previously has delivered to Acquiror true, correct and complete copies of the HMO Subsidiary’s most recent NCQA accreditation survey report and recommendations, if any. The Company and the HMO Subsidiary have taken all reasonable steps to address the recommendations as appropriate as described on Schedule 4.26 attached hereto. The most recent such NCQA accreditation survey report resulted in continued NCQA accreditation of the HMO Subsidiary for a period of up to three years.
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NCQA Accreditation. ‌ If the Contractor intends to continue provision of contracted managed care services for the HCA past December 31, 2014, the Contractor must provide evidence of application for NCQA certification for Medicaid no later than September 30, 2014. Such evidence may be application documents with verification from the NCQA that the application process has begun. If the Contractor is already NCQA certified for Medicaid, the Contractor shall submit its current NCQA accreditation certificate for Medicaid to HCA no later than September 30, 2014.‌
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Related to NCQA Accreditation

  • Accreditation The School shall be accredited as provided by rule of the state board of education.

  • Licensing and Accreditation Except where the failure to do so could not reasonably be expected to have a Material Adverse Effect, each of the Borrower and the Restricted Subsidiaries, and to the knowledge of the Responsible Officers of the Loan Parties, each Contract Provider (i) has obtained (or been duly assigned) all required certificates of need or determinations of need as required by the relevant state Governmental Authority for the acquisition, construction, expansion of, investment in or operation of its businesses as currently operated; (ii) has obtained and maintains accreditation from one or more generally recognized accreditation agencies where such accreditation is customary in the industry in which it is engaged; (iii) in the case of each HMO Subsidiary, has entered into and maintains in good standing its contract with CMS or such other agreement to be able to provide managed health care services to Medicare or Medicaid; and (iv) has taken all necessary action to obtain, preserve and maintain each certificate of authority, license, permit, authorization and other approval of any Governmental Authority required for the conduct of its business and material to the business of the Borrower and its Restricted Subsidiaries taken as a whole, and all of such certificates, licenses, permits, authorizations or approvals are in full force and effect and have not been revoked or suspended or otherwise limited, including action to obtain, preserve and maintain with respect to each HMO Subsidiary all certificates of authority, licenses, permits, authorizations and other approvals required under the HMO Regulations or other regulations issued by the applicable Governmental Authority, including approvals required to ensure that such HMO Subsidiary and Insurance Subsidiary is eligible for all reimbursements available under the HMO Regulations or other regulations issued by the applicable Governmental Authority, and all of such certificates, licenses, permits, authorizations or approvals are in full force and effect and have not been revoked or suspended or otherwise limited. To the knowledge of the Responsible Officers of the Loan Parties, each Contract Provider is duly licensed (where license is required) by each state or state agency or commission, or any other Governmental Authority having jurisdiction over the provisions of such services by such Person in the locations in which the Loan Parties conduct business, required to enable such Person to provide the professional services provided by such Person and otherwise as is necessary to enable the Loan Parties to operate as currently operated and as presently contemplated to be operated except to the extent that the failure to do so could not reasonably be expected to have a Material Adverse Effect. To the knowledge of the Responsible Officers of the Loan Parties, all such required licenses are in full force and effect on the date hereof and have not been revoked or suspended or otherwise limited except to the extent that the failure to do so could not reasonably be expected to have a Material Adverse Effect.

  • LICENSING, ACCREDITATION AND REGISTRATION The Contractor shall comply with all applicable local, state, and federal licensing, accreditation and registration requirements or standards necessary for the performance of this Contract.

  • Licensure The Contractor covenants that it has: (a) obtained all of the applicable licenses or permits, permanent, temporary or otherwise as required by Title 27 of the Virgin Islands Code; and (b) familiarized itself with the applicable provisions of Title 27 of the Virgin Islands Code pertaining to professions and occupations.

  • Authorization, Etc This Agreement and the Notes have been duly authorized by all necessary corporate action on the part of the Company, and this Agreement constitutes, and upon execution and delivery thereof each Note will constitute, a legal, valid and binding obligation of the Company enforceable against the Company in accordance with its terms, except as such enforceability may be limited by (i) applicable bankruptcy, insolvency, reorganization, moratorium or other similar laws affecting the enforcement of creditors’ rights generally and (ii) general principles of equity (regardless of whether such enforceability is considered in a proceeding in equity or at law).