Common use of Action Required for Noncompliance Clause in Contracts

Action Required for Noncompliance. If the standard is not met and the results are below TBD%, then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%, then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 4 contracts

Samples: Assistance Provider Agreement (Molina Healthcare Inc), Ohio Medical Assistance Provider Agreement (Wellcare Health Plans, Inc.), Medical Assistance Provider Agreement (Wellcare Health Plans, Inc.)

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Action Required for Noncompliance. If the standard is not met and the results are below TBD%42%, then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%42%, then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 3 contracts

Samples: Medical Assistance Provider Agreement (Molina Healthcare Inc), Ohio Medical Assistance Provider Agreement (Centene Corp), Provider Agreement (Centene Corp)

Action Required for Noncompliance. If the standard is not met and the results are below TBD%, then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, Quality Assessment and Performance Improvement Program, Corrective Action Plan to address the area of noncompliance. If the standard is not met and the results are at or above TBD%, then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 2 contracts

Samples: Provider Agreement (Molina Healthcare Inc), Provider Agreement (Wellcare Health Plans, Inc.)

Action Required for Noncompliance. If the standard is not met and the results are below TBD%42% (44% for SFY 2009), then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%42% (44% for SFY 2009), then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 2 contracts

Samples: Assistance Provider Agreement (Wellcare Health Plans, Inc.), Molina Healthcare Inc

Action Required for Noncompliance. If the standard is not met and the results are below TBD%71%, then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%71%, then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 2 contracts

Samples: Ohio Medical Assistance Provider Agreement (Centene Corp), Medical Assistance Provider Agreement (Molina Healthcare Inc)

Action Required for Noncompliance. If the standard is not met and the results are below TBD%40%, then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%40%, then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 2 contracts

Samples: Medical Assistance Provider Agreement (Molina Healthcare Inc), Ohio Medical Assistance Provider Agreement (Centene Corp)

Action Required for Noncompliance. If the standard is not met and the results are below TBD%, then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%, then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.. Appendix M

Appears in 2 contracts

Samples: Ohio Medical Assistance Provider Agreement (Wellcare Health Plans, Inc.), Molina Healthcare Inc

Action Required for Noncompliance. If the standard is not met and the results are below TBD%, then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%, then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.Appendix M

Appears in 2 contracts

Samples: Ohio Medical Assistance Provider Agreement (Wellcare Health Plans, Inc.), Molina Healthcare Inc

Action Required for Noncompliance. If the standard is not met and the results are below TBD%, then the MCP is required to complete a Performance Improvement Project, as described in Appendix M Appendix K, Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%, then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 2 contracts

Samples: Ohio Medical Assistance Provider Agreement (Wellcare Health Plans, Inc.), Molina Healthcare Inc

Action Required for Noncompliance. If the standard is not met and the results are below TBD%83%, then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%83%, then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 2 contracts

Samples: Medical Assistance Provider Agreement (Molina Healthcare Inc), Provider Agreement (Wellcare Health Plans, Inc.)

Action Required for Noncompliance. If the standard is not met and the results are below TBD%42%, then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, Quality Assessment and Performance Improvement Program, to address the area of noncompliance. Appendix M If the standard is not met and the results are at or above TBD%42%, then ODJFS OD.IFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance ofnoncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 1 contract

Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Wellcare Health Plans, Inc.)

Action Required for Noncompliance. If the standard is not met and the results are below TBD%, then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%, then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.of

Appears in 1 contract

Samples: Medical Assistance Provider Agreement (Wellcare Health Plans, Inc.)

Action Required for Noncompliance. If the standard is not met and the results are below TBD%40% (42% for SFY 2009), then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%40% (42% for SFY 2009), then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 1 contract

Samples: Assistance Provider Agreement (Wellcare Health Plans, Inc.)

Action Required for Noncompliance. If the standard is not met and the results are below TBD%40%, then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, Quality Assessment and Performance Improvement Program, to address the area of noncomplianceofnoncompliance. If the standard is not met and the results are at or above TBD%, 40%. then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance ofnoncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 1 contract

Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Wellcare Health Plans, Inc.)

Action Required for Noncompliance. If the standard is not met and the results are below TBD%48%, then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, Quality Quality/Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%48%, then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 1 contract

Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Wellcare Health Plans, Inc.)

Action Required for Noncompliance. If the standard is not met and the results are below TBD%, 40%. then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%, 40%. then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 1 contract

Samples: Provider Agreement (Wellcare Health Plans, Inc.)

Action Required for Noncompliance. If the standard is not met and the results are below TBD%48%, then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%48%, then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 1 contract

Samples: Ohio Medical Assistance Provider Agreement (Centene Corp)

Action Required for Noncompliance. If the standard is not met and the results are below TBD%42%, then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, K. Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%42%, then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 1 contract

Samples: Provider Agreement (Wellcare Health Plans, Inc.)

Action Required for Noncompliance. If the standard is not met and the results are below TBD%71 %, then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%71%, then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 1 contract

Samples: Provider Agreement (Wellcare Health Plans, Inc.)

Action Required for Noncompliance. If the standard is not met and the results are below TBD%, then the MCP is required to complete a Performance Improvement Project, as described in Appendix KK-, Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%, then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 1 contract

Samples: Ohio Medical Assistance Provider Agreement (Wellcare Health Plans, Inc.)

Action Required for Noncompliance. If the standard is not met and the results are below TBD%48% (50% for SFY 2009), then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%48% (50% for SFY 2009), then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 1 contract

Samples: Assistance Provider Agreement (Wellcare Health Plans, Inc.)

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Action Required for Noncompliance. If the standard is not met and the results are below TBD%48%, then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, K. Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%48%, then ODJFS will issue a Quality Appendix M Improvement Directive which will notify the MCP of noncompliance ofnoncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 1 contract

Samples: Provider Agreement (Wellcare Health Plans, Inc.)

Action Required for Noncompliance. If the standard is not met and the results are below TBD%53%, then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%53%, then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 1 contract

Samples: Ohio Medical Assistance Provider Agreement (Centene Corp)

Action Required for Noncompliance. If the standard is not met and the results are below TBD%83%, then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, K. Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%83%, then ODJFS will Appendix M issue a Quality Improvement Directive which will notify the MCP of noncompliance ofnoncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 1 contract

Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Wellcare Health Plans, Inc.)

Action Required for Noncompliance. If the standard is not met and the results are below TBD%, then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%, then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.. Appendix M Aged, Blind or Disabled (ABD) population Page 8

Appears in 1 contract

Samples: Assistance Provider Agreement (Molina Healthcare Inc)

Action Required for Noncompliance. If the standard is not met and the results are below TBD%71% (74% for SFY 2009), then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%71% (74% for SFY 2009), then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 1 contract

Samples: Assistance Provider Agreement (Wellcare Health Plans, Inc.)

Action Required for Noncompliance. If the standard is not met and the results are below TBD%, then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%, then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.. AppendixM

Appears in 1 contract

Samples: Molina Healthcare Inc

Action Required for Noncompliance. If the standard is not met and the results are below TBD%, then the MCP is required to complete a Performance Improvement Project, as described in Appendix KK., Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%, then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 1 contract

Samples: Ohio Medical Assistance Provider Agreement (Wellcare Health Plans, Inc.)

Action Required for Noncompliance. If the standard is not met and the results are below TBD%71 %, then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, Quality Assessment and Performance Improvement Program, to address the area of noncomplianceofnoncompliance. If the standard is not met and the results are at or above TBD%71%, then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance ofnoncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 1 contract

Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Wellcare Health Plans, Inc.)

Action Required for Noncompliance. If the standard is not met and the results are below TBD%48%, then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%48%, then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.. Appendix M

Appears in 1 contract

Samples: Medical Assistance Provider Agreement (Molina Healthcare Inc)

Action Required for Noncompliance. If the standard is not met and the results are below TBD%, then the MCP is required to complete a Performance Improvement Project, as described in Appendix KM Appendix K., Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%, then ODJFS will issue a Quality Improvement Directive which will w'ill notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 1 contract

Samples: Ohio Medical Assistance Provider Agreement (Wellcare Health Plans, Inc.)

Action Required for Noncompliance. If the standard is not met and the results are below TBD%83% (84% for SFY 2009), then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%83% (84% for SFY 2009), then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 1 contract

Samples: Assistance Provider Agreement (Wellcare Health Plans, Inc.)

Action Required for Noncompliance. If the standard is not met and the results are below TBD%, then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, Quality Quality/Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%, then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 1 contract

Samples: Ohio Medical Assistance Provider Agreement (Wellcare Health Plans, Inc.)

Action Required for Noncompliance. If the standard is not met and the results are below TBD%above 7.6%, then the MCP is required to complete a Performance Improvement Project, as described in Appendix K, Quality Assessment and Performance Improvement Program, to address the area of noncompliance. If the standard is not met and the results are at or above TBD%below 7.6%, then ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.

Appears in 1 contract

Samples: Provider Agreement (Centene Corp)

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