Additional Requirements for Certain Provider Types Sample Clauses

Additional Requirements for Certain Provider Types. The requirements set forth in this Article II.A apply to Medical Services Entity only if Medical Services Entity and/or its providers are the type of provider identified herein. a. Primary Care Providers shall meet and fulfill all PCP requirements and responsibilities pursuant to the MMCSA as set forth in the Medicaid PRM, including but in no way limited to: (i) providing 24-hour, seven-day-a-week access to care, (ii) ensuring the coordination and continuity of care with providers within and outside of Corporation’s network (including Behavioral Health and Long-Term Care providers) according to Corporation’s policy, and (iii) ensuring that the Member receives appropriate prevention services for the Member’s age group. b. Laboratory service providers shall meet and fulfill all applicable requirements of the Clinical Laboratory Improvement Amendments (CLIA) of 1988. c. Nursing Facility providers shall promptly notify Corporation of (i) a Member’s admission or request for admission to the Nursing Facility regardless of payer source for the Nursing Facility stay, (ii) a change in a Member’s known circumstances and (iii) a Member’s pending discharge. d. Nursing Facility providers shall notify the Member and/or the Member’s Representative in writing prior to discharge in accordance with State and federal requirements. e. Agency-Based Community Benefit providers shall provide at least thirty (30) Calendar Days’ advance notice to Corporation when the provider is no longer willing or able to provide services to a Member, including the reason for the decision, and to cooperate with the Member’s care coordinator to facilitate a seamless transition to alternate providers. f. Community Benefit providers shall immediately report any deviations from a Member’s service schedule to the Member’s care coordinator. g. Emergency Services providers shall provide such services without the requirement of prior authorization of any kind. h. Omission in this Article II.A.7 of additional requirements for the foregoing provider types or any provider type not identified in this Article does not waive or excuse requirements established by State and federal statutes, rules and regulations and/or set forth in the Medicaid PRM or elsewhere in the Agreement, as may be applicable to a particular provider type. i. Community Benefit providers shall immediately report any deviations from a Member’s service schedule to the Member’s care coordinator. j. Community Benefit providers shall comply w...
Sample 1
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Additional Requirements for Certain Provider Types. The requirements set forth in this Article II.A.4 apply to Medical Services Entity only if Medical Services Entity and/or its providers are the type of provider identified herein. a. Primary Care Providers shall meet and fulfill all PCP requirements and responsibilities pursuant to the MMCSA as set forth in the Medicaid PRM, including but in no way limited to: (i) providing 24-hour, seven-day-a-week access to care, (ii) ensuring the coordination and continuity of care with providers within and outside of Corporation’s network (including Behavioral Health and Long-Term Care providers) according to Corporation’s policy, and (iii) ensuring that the Member receives appropriate prevention services for the Member’s age group. [4.9.2.13; 4.8.5.1; 8.305.3.10.B(3)(k); 8.305.6.12] b. Laboratory service providers shall meet and fulfill all applicable requirements of the Clinical Laboratory Improvement Amendments of 1988. [4.9.2.19] c. Nursing Facility providers shall promptly notify Corporation of (i) a Member’s admission or request for admission to the Nursing Facility regardless of payer source for the Nursing Facility stay, (ii) a change in a Member’s known circumstances and (iii) a Member’s pending discharge. [4.9.2.41] d. Nursing Facility providers shall notify the Member and/or the Member’s Representative in writing prior to discharge in accordance with State and federal requirements. [4.9.2.42] e. Agency-Based Community Benefit providers shall provide at least thirty (30) Calendar Days’ advance notice to Corporation when the provider is no longer willing or able to provide services to a Member, including the reason for the decision, and to cooperate with the Member’s care coordinator to facilitate a seamless transition to alternate providers. [4.9.2.44] f. Community Benefit providers shall immediately report any deviations from a Member’s service schedule to the Member’s care coordinator. [4.9.2.46] g. Emergency Services providers shall provide such services without the requirement of prior authorization of any kind. [4.9.2.5] h. Omission in this Article II.A.7 of additional requirements for the foregoing provider types or any provider type not identified in this Article does not waive or excuse requirements established by State and federal statutes, rules and regulations and/or set forth in the Medicaid PRM or elsewhere in the Agreement, as may be applicable to a particular provider type.
Sample 1

Related to Additional Requirements for Certain Provider Types

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  • SERVICE REQUIREMENTS FOR REFERRED CLIENTS A. Agent agrees to respond to any communications from a Referred Client within two (2) hours after receipt if such communication is received between 9:00am to 5:00pm local time. For communications received outside of these hours, Agent agrees to respond by 10:00am the next day. B. Agent agrees to update XXXX.xxx with status updates within 48 hours after initial communication with a Referred Client and upon every significant status change until closing or abandoned. Updates shall be made by Agent via email to xxxxxxxxxxxx@xxxx.xxx. C. Vacations or extended absences shall be reported, with length of pause, to XXXX.xxx via email to D. Agent will not add Referred Client to any email list or calling list without the express permission of Referred Client. E. Agent agrees XXXX.xxx has the right to survey the Referred Client at any time. F. If Agent is contacted by a Referred Client that Agent is unwilling or unable to assist, Agent shall direct such Referred Client back to XXXX.xxx for assistance and notify XXXX.xxx at xxxxxxxxxxxx@xxxx.xxx. G. Agent agrees that XXXX.xxx has no obligation to provide Agent with any number of referrals and that prospective clients are free to select the agent they wish to work with for any particular real estate transaction.

  • Additional Requirements for Sleeping Rooms The Contractor shall provide departing Attendees a secured area for storing belongings.

  • Additional Requirements As a condition precedent to the execution and Delivery, the registration of issuance, transfer, split-up, combination or surrender, of any ADS, the delivery of any distribution thereon, or the withdrawal of any Deposited Property, the Depositary or the Custodian may require (i) payment from the depositor of Shares or presenter of ADSs or of an ADR of a sum sufficient to reimburse it for any tax or other governmental charge and any stock transfer or registration fee with respect thereto (including any such tax or charge and fee with respect to Shares being deposited or withdrawn) and payment of any applicable fees and charges of the Depositary as provided in Section 5.9 and Exhibit B, (ii) the production of proof reasonably satisfactory to it as to the identity and genuineness of any signature or any other matter contemplated by Section 3.1, and (iii) compliance with (A) any laws or governmental regulations relating to the execution and Delivery of ADRs or ADSs or to the withdrawal of Deposited Securities and (B) such reasonable regulations as the Depositary and the Company may establish consistent with the provisions of the representative ADR, if applicable, the Deposit Agreement and applicable law.

  • Selection of Subcontractors, Procurement of Materials and Leasing of Equipment The contractor shall not discriminate on the grounds of race, color, religion, sex, national origin, age or disability in the selection and retention of subcontractors, including procurement of materials and leases of equipment. The contractor shall take all necessary and reasonable steps to ensure nondiscrimination in the administration of this contract. a. The contractor shall notify all potential subcontractors and suppliers and lessors of their EEO obligations under this contract. b. The contractor will use good faith efforts to ensure subcontractor compliance with their EEO obligations.

  • Child Abuse Reporting Requirements A. Grantees shall comply with child abuse and neglect reporting requirements in Texas Family Code Chapter 261. This section is in addition to and does not supersede any other legal obligation of the Grantee to report child abuse. B. Grantee shall use the Texas Abuse Hotline Website located at xxxxx://xxx.xxxxxxxxxxxxxx.xxx/Login/Default.aspx as required by the System Agency. Grantee shall retain reporting documentation on site and make it available for inspection by the System Agency.

  • Minimum Site Requirements for TIPS Sales (when applicable to TIPS Sale). Cleanup: When performing work on site at a TIPS Member’s property, Vendor shall clean up and remove all debris and rubbish resulting from their work as required or directed by the TIPS Member or as agreed by the parties. Upon completion of work, the premises shall be left in good repair and an orderly, neat, clean and unobstructed condition. Preparation: Vendor shall not begin a project for which a TIPS Member has not prepared the site, unless Vendor does the preparation work at no cost, or until TIPS Member includes the cost of site preparation in the TIPS Sale Site preparation includes, but is not limited to: moving furniture, installing wiring for networks or power, and similar pre‐installation requirements. Registered Sex Offender Restrictions: For work to be performed at schools, Vendor agrees that no employee of Vendor or a subcontractor who has been adjudicated to be a registered sex offender will perform work at any time when students are, or reasonably expected to be, present unless otherwise agreed by the TIPS Member. Vendor agrees that a violation of this condition shall be considered a material breach and may result in the cancellation of the TIPS Sale at the TIPS Member’s discretion. Vendor must identify any additional costs associated with compliance of this term. If no costs are specified, compliance with this term will be provided at no additional charge. Safety Measures: Vendor shall take all reasonable precautions for the safety of employees on the worksite, and shall erect and properly maintain all necessary safeguards for protection of workers and the public. Vendor shall post warning signs against all hazards created by the operation and work in progress. Proper precautions shall be taken pursuant to state law and standard practices to protect workers, general public and existing structures from injury or damage. Smoking: Persons working under Agreement shall adhere to the TIPS Member’s or local smoking statutes, codes, ordinances, and policies.

  • Basic Requirements To be eligible for PayPal’s Seller Protection program, all of the following basic requirements must be met, as well as any applicable additional requirements: • The primary address for your PayPal account must be in the United States. • The item must be a physical, tangible good that can be shipped, except for items subject to the Intangible Goods Additional Requirements. Transactions involving items that you deliver in person in connection with payment made in your physical store, may also be eligible for PayPal’s Seller Protection program so long as the buyer paid for the transaction in person by using a PayPal goods and services QR code. • You must ship the item to the shipping address on the Transaction Details page in your PayPal account for the transaction. If you originally ship the item to the recipient’s shipping address on the Transaction Details page but the item is later redirected to a different address, you will not be eligible for PayPal’s Seller Protection program. We therefore recommend not using a shipping service that is arranged by the buyer, so that you will be able to provide valid proof of shipping and delivery. • The shipping requirement does not apply to eligible transactions involving items that you deliver in person; provided, however, that you agree to provide us with alternative evidence of delivery or such additional documentation or information relating to the transaction that we may request. • You must respond to PayPal’s requests for documentation and other information in a timely manner as requested in our email correspondence with you or in our correspondence with you through the Resolution Center. If you do not respond to PayPal’s request for documentation and other information in the time requested, you may not be eligible for PayPal’s Seller Protection program. • If the sale involves pre-ordered or made-to-order goods, you must ship within the timeframe you specified in the listing. Otherwise, it is recommended that you ship all items within 7 days after receipt of payment. • You provide us with valid proof of shipment or delivery. • The payment must be marked “eligible” or “partially eligible” in the case of Unauthorized Transaction claims, or “eligible” in the case of Item Not Received claims, for PayPal’s Seller Protection program on the Transaction Details page. • In the case of an Unauthorized Transaction claim, you must provide valid proof of shipment or proof of delivery that demonstrates that the item was shipped or provided to the buyer no later than two days after PayPal notified you of the dispute or reversal. For example, if PayPal notifies you of an Unauthorized Transaction claim on September 1, the valid proof of shipment must indicate that the item was shipped to the buyer no later than September 3 to be eligible for PayPal’s Seller Protection program. PayPal determines, in its sole discretion, whether your claim is eligible for PayPal’s Seller Protection program. PayPal will make a decision, in its sole discretion, based on the eligibility requirements, any information or documentation provided during the resolution process, or any other information PayPal deems relevant and appropriate under the circumstances. To be eligible for PayPal’s Seller Protection program for a buyer’s Item Not Received claim, you must meet both the basic requirements and the additional requirements listed below: • Where a buyer files a chargeback with the issuer for a card-funded transaction, the payment must be marked “eligible” for PayPal’s Seller Protection on the Transaction Details page. • You must provide proof of delivery as described below.

  • Functional Requirements Applications must implement controls that protect against known vulnerabilities and threats, including Open Web Application Security Project (OWASP) Top 10 Risks and denial of service (DDOS) attacks.

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