State Monitoring Sample Clauses

The State Monitoring clause establishes the requirement for ongoing oversight and reporting of compliance with relevant state laws and regulations. Typically, this clause obligates one or both parties to track changes in state legal requirements and promptly notify the other party of any developments that may affect their obligations under the agreement. For example, if a new state regulation impacts the services provided, the responsible party must inform the other and potentially adjust their practices. The core function of this clause is to ensure that both parties remain informed and compliant with evolving state laws, thereby reducing legal risk and promoting transparency throughout the contractual relationship.
State Monitoring. A. DHCS Monitoring Reviews and Financial Audits of Contractor DHCS shall monitor the Contractor’s operations for compliance with the provisions of this Intergovernmental Agreement and applicable federal and state law and regulations, including 42 CFR 438.66, 42 CFR 438.200, 42 CFR 438.202, 42 CFR 438.204, and 42 CFR 438.6(g). Such monitoring activities shall include, but not be limited to, inspection and auditing of Contractor services, management systems and procedures, and books and records, as DHCS deems appropriate, at any time during the Contractor's or facility's normal business hours. When monitoring activities identify areas of non- compliance, DHCS shall issue reports to the Contractor detailing findings, recommendations, and corrective action. DHCS shall specifically monitor the following in accordance with 42 CFR 438.66: 1) Beneficiary enrollment and disenrollment 2) Processing of grievances and appeals 3) Violations subject to intermediate sanctions 4) Violations of the conditions for FFP 5) All other provisions of the Agreement, as appropriate. B. DHCS Imposition of Sanctions Upon the Contractor 1) Pursuant to 42 CFR 438.700, DHCS may impose sanctions upon the Contractor if DCHS makes any of the following determinations: a) The Contractor acted or failed to act as follows: i. Fails substantially to provide medically necessary services that the Contractor is required to provide, under law or under its Intergovernmental Agreement with DHCS, to a beneficiary covered under the Intergovernmental Agreement. ii. Imposes on beneficiaries premiums or charges that are in excess of the premiums or charges permitted under the Medicaid program. iii. Acts to discriminate among beneficiaries on the basis of their health status or need for health care services. This includes termination of enrollment or refusal to reenroll a beneficiary, except as permitted under the Medicaid program, or any practice that would reasonably be expected to discourage enrollment by beneficiaries whose medical condition or history indicates probable need for substantial future medical services. iv. Misrepresents or falsifies information that it furnishes to CMS or to DHCS. v. Misrepresents or falsifies information that it furnishes to a beneficiary, potential beneficiary, or health care provider. 2) DHCS may base its determinations of violations on findings from onsite surveys, enrollee or other complaints, financial status, or any other source. 3) The types of intermediate sancti...
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State Monitoring. 1. DHCS Monitoring Reviews and Financial Audits of Contractor The Department shall monitor the Contractor’s operations for compliance with the provisions of this contract, and applicable federal and state law and regulations. Such monitoring activities shall include, but not be limited to, inspection and auditing of Contractor services, management systems and procedures, and books and records, as the Department deems appropriate, at any time during the Contractor's or facility's normal business hours. When monitoring activities identify areas of non- compliance, the Department shall issue reports to the Contractor detailing findings, recommendations, and corrective action.
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State Monitoring. A. Contractor agrees and acknowledges that DHCS shall conduct Postservice Postpayment and Postservice Prepayment (PSPP) Utilization Reviews of DMC Contractors to determine whether the DMC services were provided in accordance with this agreement. DHCS shall issue the PSPP report to DBH with a copy to DMC Contractor. B. DHCS shall recover payments made if subsequent investigation uncovers evidence that the claim(s) should not have been paid, DMC-ODS services have been improperly utilized, and requirements were not met. C. All deficiencies identified by PSPP reports, whether or not a recovery of funds results, shall be corrected and the subcontractor that provided the services shall submit a DBH- approved corrective action plan (CAP) to DBH within 60 days of the date of the PSPP report.
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State Monitoring. In the event the District is scheduled to be monitored during the 2012-2013 year, the ERESC will provide assistance to the District in preparation for the monitoring.
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State Monitoring. 1. DHCS Monitoring Reviews and Financial Audits of Contractor The Department shall monitor the Contractor’s operations for compliance with the provisions of this contract, and applicable federal and state law and regulations. Such monitoring activities shall include, but not be limited to, inspection and auditing of Contractor services, management systems and procedures, and books and records, as the Department deems appropriate, at any time during the Contractor's or facility's normal business hours. When monitoring activities identify areas of non- compliance, the Department shall issue reports to the Contractor detailing findings, recommendations, and corrective action. 2. Postservice Postpayment Utilization Reviews a) After the DMC services have been rendered and paid, the Department shall conduct Postservice Postpayment (PSPP) Utilization Reviews of the subcontracted DMC providers to determine whether the DMC services were provided in accordance with Title 22, Section 51341.1. The DHCS shall issue the PSPP report to the Contractor with a copy to subcontracted DMC provider. The Contractor shall be responsible for their subcontracted providers and their county-run programs to ensure any deficiencies are remediated pursuant to Sections 1 and 2 herein. The Contractor shall attest the deficiencies have been remediated and are complete, pursuant to Section 4(A), Paragraph (c), herein.
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State Monitoring 
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Related to State Monitoring

  • Telephone Monitoring You agree that Chase and its third-party service providers may listen to and record telephone calls as part of providing program services.

  • Program Monitoring The Contractor will make all records and documents required under this Agreement as outlined here, in OEC Policies and NHECC Policies available to the SRO or its designee, the SR Fiscal Officer or their designee and the OEC. Scheduled monitoring visits will take place twice a year. The SRO and OEC reserve the right to make unannounced visits.

  • Compliance Monitoring Grantee must be subject to compliance monitoring during the period of performance in which funds are Expended and up to three years following the closeout of all funds. In order to assure that the program can be adequately monitored, the following is required of Grantee: a. Grantee must maintain a financial tracking system provided by Florida Housing that ensures that CRF funds are Expended in accordance with the requirements in this Agreement. b. Grantee must maintain records on all awards to Eligible Persons or Households. These records must include, but are not limited to: i. Proof of income compliance (documentation from submission month, including but not limited to paystub, Florida unemployment statement, social security and/or disability statement, etc.); ii. Lease; and iii. Documentation of rental assistance payments made.

  • Project Monitoring The Developer shall provide regular status reports to the NYISO in accordance with the monitoring requirements set forth in the Development Schedule, the Public Policy Transmission Planning Process Manual and Attachment Y of the OATT.

  • Monitoring In each case in which the Foreign Custody Manager maintains Foreign Assets with an Eligible Foreign Custodian selected by the Foreign Custody Manager, the Foreign Custody Manager shall establish a system to monitor (i) the appropriateness of maintaining the Foreign Assets with such Eligible Foreign Custodian and (ii) the contract governing the custody arrangements established by the Foreign Custody Manager with the Eligible Foreign Custodian. In the event the Foreign Custody Manager determines that the custody arrangements with an Eligible Foreign Custodian it has selected are no longer appropriate, the Foreign Custody Manager shall notify the Board in accordance with Section 3.2.5 hereunder.