Accountability/Oversight. Plan delegates to Provider its responsibility under its Medicare Advantage contract with CMS to provide the services as set forth in this Attachment to Covered Individuals. Plan may revoke this delegation, including, if applicable, the delegated responsibility to meet CMS reporting requirements, and thereby terminate the Attachment if CMS or Plan determine that Provider has not performed satisfactorily. Such revocation shall be consistent with the termination provisions of this Attachment. Performance of the Provider shall be monitored by Plan on an ongoing basis as provided for in this Attachment. Provider further acknowledges that Plan is accountable to CMS for the functions and responsibilities described in the Medicare Advantage regulatory standards and ultimately responsible to CMS for the performance of all services. Provider acknowledges that Plan shall oversee and is accountable to CMS for the functions and responsibilities described in the Medicare Advantage regulatory standards. Further, Provider acknowledges that Plan may only delegate such functions and responsibilities in a manner consistent with the standards as set forth in 42 CFR § 422.504(i)(4).
Accountability/Oversight. WellPoint delegates to the PBM its responsibility under its Medicare Part D contract with CMS to provide the services set forth in the Agreement and this Part D Exhibit to Covered Individuals. WellPoint may revoke this delegation, including, if applicable, the delegated responsibility to meet CMS reporting requirements, and thereby terminate the Agreement if CMS or WellPoint determines that the PBM has not performed satisfactorily. Such revocation shall be consistent with the termination provisions of the Agreement. The PBM’s performance shall be monitored by WellPoint on an ongoing basis as provided for in this Part D Exhibit. The PBM further acknowledges that WellPoint is accountable to CMS for the functions and responsibilities described in this Part D Exhibit and ultimately responsible to CMS for the performance of all services. The PBM acknowledges that WellPoint shall oversee and is accountable to CMS for the functions and responsibilities described in the Part D regulatory standards and that WellPoint may only delegate such functions and responsibilities in a manner consistent with the standards set forth under 42 CFR §423.505(i)(4) . The PBM further acknowledges that WellPoint retains the right to approve, suspend, or terminate any arrangement with a pharmacy to provide services in connection with WellPoint’s Programs if the pharmacy fails to comply with applicable laws, regulations, CMS instructions, or the terms of WellPoint’s Prescription Drug Program contracts with CMS.
Accountability/Oversight. 6.1 The NWT PFP will be administered by:
a. the Partners, through the Partners Table;
b. the Directors of the Our Land for the Future Trust through the Governance Committee and the Financial Committee;
c. the Fund Managers; and
d. a secretariat.
