Service Authorizations Clause Samples
The Service Authorizations clause defines the process and requirements for obtaining approval before certain services are performed or expenses are incurred. Typically, this clause outlines which services require prior written consent from a designated party, such as the client or project manager, and may specify the format or documentation needed for such authorization. Its core practical function is to ensure that only approved services are undertaken, thereby controlling costs and preventing unauthorized work.
Service Authorizations. Ting shall obtain and maintain throughout the Term at its expense all necessary Authorizations relating to the provision of BIAS, Voice, Video and any other Services offered by ▇▇▇▇, and shall comply with all applicable laws and regulations relating to the provision of such Services.
Service Authorizations a. Each IRIS consultant must ensure appropriate service authorizations are in place for each service or support on the participant’s ISSP, at usual and customary rates and those service authorizations do not exceed the participant’s budget allocation without an approved budget amendment or one-time expense request. …
Service Authorizations. Service Provider shall obtain and maintain throughout the Term, at its expense, all necessary authorizations relating to the provision of Internet, Voice, and Video Services to customers and shall comply with all applicable laws and regulations relating the provision of such Services.
Service Authorizations. BSC-HMO shall authorize Benefits as set forth in the Provider Manual and in accordance with IPA procedures.
Service Authorizations. Provider shall comply with Health Plan’s policies and procedures for service authorizations. (§3.12.8)
Service Authorizations. 3.2.1 The contractor shall provide services upon receipt of authorization from the Department.
3.2.2 The contractor understands and agrees that the Department reserves the sole right to:
a. specify the process that will be utilized to authorize delivery of services to a consumer;
b. specify the number of units and or/frequency of services, dollar amounts and other authorization limits;
c. adjust or terminate authorizations; and
▇. resolve any dispute related to authorizations.
3.2.3 The contractor may decline to provide services to a consumer for any reason within ten (10) calendars days after the service authorization is issued by notifying the RO, in writing, of such decision to decline.
3.2.4 In the event the contractor is unable to provide any authorized residential or ancillary service to a particular consumer, the contractor shall notify the RO, in writing, at least fifteen (15) calendar days prior to the date proposed for curtailment of such services to that consumer.
a. For purposes of this contract, the term “ancillary service” shall mean any:
1) service included in the consumer’s personal plan which is arranged or provided by the contractor and is not included the contractor’s residential per-diem rate; or
2) approved, time-limited reimbursements for other consumer-specific costs.
Service Authorizations. 2.5.15.1. For standard authorization decisions, the Contractor shall provide notice as expeditiously as the Member’s health condition requires and within State- established timeframes that may not exceed fourteen (14) days after receipt of a request for service, with a possible extension of fourteen (14) days if the Member or provider requests and extension or the Contractor justifies the need for additional information and how the extension is in the Member’s interest.
2.5.15.2. When a provider indicates, or the Contractor determines, that following the standard authorization decision timeframe could seriously jeopardize the Member’s life or health or ability to attain, maintain, or regain maximum function, the Contractor must make an authorization decision and provide notice as expeditiously as the Member’s health condition requires and no later than three (3) working days after receipt of the request for the service.
2.5.15.2.1. The three (3) working day period may be extended by up to fourteen (14) days if the member requests an extension or the Contractor justifies a need for additional information and is able to demonstrate how the extension is the Member’s best interest.
2.5.15.3. Any decision to deny a service authorization request or to authorize a service in an amount, duration, or scope that is less than request, must be made by a health care professional who has appropriate clinical expertise in treating the Member’s condition or disease.
2.5.15.4. Compensation to individuals or entities that conduct utilization management activities shall not be structured so as to provide incentives for denying, limiting, or discontinuing medically necessary services to any member.
Service Authorizations