Readiness Review means the assurances made by a selected HMO and the examination conducted by HHSC, or its agents, of HMO’s ability, preparedness, and availability to fulfill its obligations under the Contract.
Readiness Review means the assurances made by a selected MCO and the examination conducted by HHSC, or its agents, of MCO’s ability, preparedness, and availability to fulfill its obligations under the Contract. Real-Time Captioning (also known as CART, Communication Access Real-Time Translation) means a process by which a trained individual uses a shorthand machine, a computer, and real-time translation software to type and simultaneously translate spoken language into text on a computer screen. Real Time Captioning is provided for individuals who are deaf, have hearing impairments, or have unintelligible speech. It is usually used to interpret spoken English into text English but may be used to translate other spoken languages into text. Request for Proposals or RFP means the procurement solicitation instrument issued by HHSC under which this Contract was awarded and all RFP addenda, corrections or modifications, if any. Revenue means all revenue received by the MCO pursuant to this Contract, including retroactive adjustments made by HHSC. Revenue includes any funds earned on Medicaid or CHIP managed care funds such as investment income and earned interest. Revenue excludes any reinsurance recoveries, which shall be shown as a contra-cost, or reported offset to reinsurance expense. Revenues are reported at gross, and are not netted for any reinsurance premiums paid. See also the Uniform Managed Care Manual’s “Cost Principles for Expenses.” Risk means the potential for loss as a result of expenses and costs of the MCO exceeding payments made by HHSC under the Contract.
Readiness Review means a determination by OHA that an Applicant or CCO is qualified to hold a CCO contract.
Examples of Readiness Review in a sentence
In addition to submitting the implementation plan with the proposal, the Contractor may be required to submit a revised implementation plan for review as part of the Readiness Review.
Prior to being eligible to accept Demonstration enrollments, each prospective Contractor selected to participate in the Demonstration must undergo a Readiness Review.
The Contractor shall undergo and must pass a two (2)-phase readiness review process and be ready to assume responsibility for contracted services upon the Contract effective date as described in further detail in the Readiness Review requirements and documentation.
The transition plan for this population must be submitted to CMS as part of the Readiness Review specified in paragraph 22.
Readiness Review Reports are kept confidential, including from any appointed External Expert Review Panel.
More Definitions of Readiness Review
Readiness Review means the process by which the Department or itsdesignee assesses Contractor’s ability to fulfill Contractor’s duties and obligations under the Contract, including reviewing Contractor’s model Provider agreements, Provider Network, QA program, staffing for operations, and information systems.
Readiness Review means the process by which the Department, or its designee, assesses Contractor’s ability to fulfill Contractor’s duties and obligations under the Contract, including, but not limited to, reviewing Contractor’s model Provider agreements, the Affiliated Provider network, the Quality Assurance Program, staffing for operations, and information systems.
Readiness Review means the examination conducted by HHSC of CONTRACTOR's ability, preparedness, and availability to fulfill its obligations under this Agreement.
Readiness Review means a review process conducted by TDHS or its agent(s) to assess HMOs capacity and capability to perform the duties and responsibilities required under the Contract. This process is required by Texas Government Code Section 533.007. Representative means a person who can make care-related decisions for a Member who is not able to make such decisions alone. A representative may, in the following order of priority, be a person who is:
Readiness Review means HHSC or its agent’s process of review, assessment, and determination of the MCO’s ability, preparedness, and availability to fulfill its obligations under the Contract.
Readiness Review means the process by which the Department or its designee assesses Contractor’s ability to fulfill Contractor’s duties and obligations under the Contract, including reviewing Contractor’s model Provider agreements, Provider Network, QA program, staffing for operations, and information systems. Recipient Identification Number (RIN) means a unique nine (9)-digit number assigned to each individual who receives medical benefits from the State. The number is utilized by the Department to identify and pay medical bills to Providers.
Readiness Review means the assurances made by a selected Dental Contractor and the examination conducted by HHSC of Dental Contractor’s ability, preparedness, and availability to fulfill its obligations under the Contract.