Provision of Contract Services Clause Samples

Provision of Contract Services. 1. Promptly provide or arrange for the provision of all services required under s. 49.46(2), Wis. Stats., and HFS 107 Wis. Adm. Code; as further clarified in all Wisconsin Medicaid Program Provider Handbooks and Bulletins, and HMO Contract Interpretation Bulletins (CIBs) and as otherwise specified in this Contract except: a. County Transportation by common carrier or private motor vehicle (except as required in Article III. B (10). HealthCheck). HMOs are required to arrange for transportation for HealthCheck visits. When authorized by the Department, the HMO may provide non-emergency transportation by common carrier or private motor vehicle for HealthCheck visits and be reimbursed by the County. HMOs may negotiate arrangements with local county Departments of Health and Social Services for common carrier or private vehicle transportation for HMO services in general and not just for HealthCheck visits. The Department will facilitate the development of such arrangements between the HMO and the county. HMOs interested in developing a transportation arrangement with one or more counties and interested in Department assistance should contact the following office either by mail or phone: Bureau of Managed Health Care Programs ▇.▇. ▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇- 0309 Phone Number: (▇▇▇) ▇▇▇-▇▇▇▇ or ▇▇▇-▇▇▇▇ Fax Number: (▇▇▇) ▇▇▇-▇▇▇▇ b. Milwaukee County HMOs will provide common carrier transportation to enrollees. Transportation services will be limited to: . Transporting Medicaid/BadgerCare HMO members only. . Transportation of Medicaid/BadgerCare HMO members to and from Medicaid covered services. HMO Contract for January 1, 2000 - December 31, ▇▇▇▇ ▇▇▇ ▇▇▇ is responsible for arranging for the common carrier transportation and providing monthly costs incurred to Milwaukee County Department of Human Services (DHS), of common carrier transportation arranged. HMO agrees to submit costs to the DHS within 15 days following the end of each month to: Milwaukee County DHS Financial Assistant, Division Administrator ▇▇▇▇ ▇. ▇▇▇▇▇ Street Milwaukee, WI 53206 The DHS is responsible for reimbursing the HMO for mileage and an administration fee. The State Department of Health and Family Services reserves the right to adjust these rates. The HMO shall maintain adequate records for each enrollee which include all pertinent and sufficient information relating to common carrier transportation, and make this information readily available to the Department of Health and Family Services...

Provision of Contract Services. The PIHP must promptly provide or arrange for the provision of all services required under Wis. Stats., s. 49.46(2), s. 49.471(11), s.

Provision of Contract Services. Add as a new a. Non emergency medical transportation (NEMT).

Provision of Contract Services. 1. Promptly provide or arrange for the provision of all services as described in this Contract attached hereto and included herein by reference. 2. Be liable, when emergencies and County referrals to out-of-area or non-affiliated providers occur, for payment only to the extent that BadgerCare Plus pays, including Medicare deductibles, or would pay its fee-for-service providers for services to BadgerCare Plus members. For outpatient hospital services the Department will provide each managed care program per diem outpatient rates based on the BadgerCare Plus fee-for-service equivalent. This condition does not apply to: (1) Cases where prior payment arrangements were established; and (2) Specific subcontract agreements. The County is not required to make retroactive payment adjustments consistent with the Wisconsin BadgerCare Plus Maximum Allowable Fee Schedule and Hospital reimbursement made by the State of Wisconsin for fee- for-service providers including, but not limited to, payments for inpatient and outpatient hospital services. 3. Changes to BadgerCare Plus-covered services mandated by federal or state law subsequent to the signing of this Contract will not affect the Contract services for the term of this Contract, until agreed to by mutual consent, unless the change is necessary to continue receiving federal funds or is due to the action of a court of law. The Department may incorporate into the Contract any change in covered services mandated by federal or state law into the Contract effective the date the law goes into effect, if it adjusts the capitation rate accordingly. The Department will give the County at least 30 days notice before the intended effective date of any such change that reflects service increases and the County may elect to accept or reject the service increases for the remainder of that Contract year. The Department will give the County 60 days notice of any such change that reflects service decreases, with a right of the County to dispute the amount of the decrease within those 60 days. The County has the right to accept or reject service decreases for the remainder of the Contract year. The date of implementation of the change in coverage will coincide with the effective date of the increased or decreased funding. This section does not limit the Department’s ability to modify this Contract due to changes in State Appropriations. This Contract is contingent upon authorization of federal and state law and any material amendment...

Provision of Contract Services. Amend a. to read: Non Emergency Medical Transportation (NEMT). except in Regions 5 and 6 where HMOs must provide this service (Article III, E,6,a,2).

Provision of Contract Services. 3.1 Commencing on the Commencement Date specified in item 5 of the Schedule the Contractor shall provide and complete the Contract Services in a proper and professional manner with all due care skill and diligence by the Completion Date specified in item 6 of the Schedule to the reasonable satisfaction of Monash. 3.2 The Contractor must comply with any reasonable instructions, guidelines, policies or codes of conduct notified to the Contractor on or before the date of this Agreement. 3.3 Monash is committed to the safety and protection of all children involved in Monash's activities. Without limiting clause 3.2, the Contractor must comply with the Child Safe Standards Framework and the Code of Conduct available at ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇.▇▇▇/safer-community/initiatives/child-safe-standards. 3.4 If the engagement of the Contractor continues after the Completion Date, then unless and until the parties agree in writing to the terms to apply to any such further period of engagement, the terms of this Agreement will continue to apply. 3.5 The Contractor warrants that it and its personnel are competent and have the necessary skills to carry out the Contract Services. 3.6 The parties acknowledge that in providing the Contract Services the Contractor acts as an independent contractor and not as an employee, partner or agent of Monash and the Contractor shall have no authority to act for or to bind Monash in any manner whatsoever other than as expressly provided for in this Agreement. 3.7 As a consequence of the independent contractor relationship, the Contractor agrees that the Contractor is solely responsible for: (a) all payments of salary, holiday pay, sick pay, severance pay, long service leave or any other obligation which an employer has in respect of its, his or her employees; (b) all payments in relation to any taxes or any other payments imposed on an employer in respect of employees under the law of Australia and Victoria; (c) providing superannuation, sickness benefits and WorkCover in respect of its, his or her employees; and (d) ensuring compliance with all relevant laws of Australia and Victoria with respect to its provision of the Contract Services.