Agency Monitoring Clause. The Agency's Agreement manager or designee will: 1.4.7.2.1 Verify member counts and supporting documentation prior to payment; 1.4.7.2.2 Determine compliance with general Agreement terms, conditions, and requirements; 1.4.7.2.3 Review all plans and reports as required from the ACO; 1.4.7.2.4 Conduct random and secret shopper calls to assess 24-hour access for members and average wait time for scheduling appointments; and 1.4.7.2.5 Assess compliance with deliverables, performance measures, or other associated requirements in accordance with the monitoring activities as set forth in this Agreement. 1.4.7.2.6 The Agency reserves the right to deny approval of submitted plans.
Appears in 4 contracts
Samples: Iowa Medicaid Accountable Care Organization (Aco) Agreement, Iowa Medicaid Accountable Care Organization (Aco) Agreement, Iowa Medicaid Accountable Care Organization (Aco) Agreement
