Common use of Statutes, Regulations, Policies, and Procedures Clause in Contracts

Statutes, Regulations, Policies, and Procedures. The CHC-MCO must comply with future changes in Federal and State statutes and regulations, and Department requirements and procedures related to changes in the MA Program, including any changes to 1915(b) or (c) Waivers and changes to MIPPA Agreements. The Department will issue CHC Operations (CHC OPS) Memos via the Pennsylvania HealthChoices Extranet ▇▇▇▇://▇▇▇.▇▇▇.▇▇.▇▇▇/cs/login/login.htm to provide clarifications to requirements pertaining to CHC and copies of required templates referenced in the Agreement. The CHC-MCOs must routinely check the Pennsylvania HealthChoices Extranet site. Should any part of the scope of work under this Agreement relate to a state program that is no longer authorized by law (e.g., which has been vacated by a court of law, or for which CMS has withdrawn federal authority, or which is the subject of a legislative repeal), CHC-MCOs must do no work on that part after the effective date of the loss of program authority. The state must adjust capitation rates to remove costs that are specific to any program or activity that is no longer authorized by law. If a CHC-MCO works on a program or activity no longer authorized by law after the date the legal authority for the work ends, the CHC- MCO will not be paid for that work. If the state paid a CHC-MCO in advance to work on a no-longer-authorized program or activity and under the terms of this Agreement the work was to be performed after the date the legal authority ended, the payment for that work should be returned to the state. However, if a CHC- MCO worked on a program or activity prior to the date legal authority ended for that program or activity, and the state included the cost of performing that work in its payments to the MCO, the MCO may keep the payment for that work even if the payment was made after the date the program or activity lost legal authority.

Statutes, Regulations, Policies, and Procedures. The CHC-MCO must comply with future changes in Federal and State statutes and regulations, and Department requirements and procedures related to changes in the MA Program, including any changes to 1915(b) or (c) Waivers and changes to MIPPA Agreements. The Department will issue CHC Operations (CHC OPS) Memos via the Pennsylvania HealthChoices Extranet ▇▇▇▇▇://▇▇▇▇▇.▇▇▇.▇▇▇▇▇▇▇.▇▇▇/cs/sites/login/login.htm to DHS- HC-Extranetto provide clarifications to requirements pertaining to CHC and copies of required templates referenced in the Agreement. The CHC-MCOs must routinely check the Pennsylvania HealthChoices Extranet site. Should any part of the scope of work under this Agreement relate to a state program that is no longer authorized by law (e.g., which has been vacated by a court of law, or for which CMS has withdrawn federal authority, or which is the subject of a legislative repeal), CHC-MCOs must do no work on that part after the effective date of the loss of program authority. The state must adjust capitation rates to remove costs that are specific to any program or activity that is no longer authorized by law. If a CHC-MCO works on a program or activity no longer authorized by law after the date the legal authority for the work ends, the CHC- MCO will not be paid for that work. If the state paid a CHC-MCO in advance to work on a no-longer-authorized program or activity and under the terms of this Agreement the work was to be performed after the date the legal authority ended, the payment for that work should be returned to the state. However, if a CHC- MCO worked on a program or activity prior to the date legal authority ended for that program or activity, and the state included the cost of performing that work in its payments to the MCO, the MCO may keep the payment for that work even if the payment was made after the date the program or activity lost legal authority.