All Providers. The following provisions apply to all Providers who participate in the program offered pursuant to contract with ADHS/DBHS for the Regional Behavioral Health Authority (“RBHA”):
All Providers. The Provider’s rate of reimbursement will be based upon a review of the approved child care schedule, the Provider’s public rate sheet, provider’s invoiced amount on the attendance sheet, and payment guidelines not to exceed the California Department of Education (CDE) Regional Market Rate (RMR) ceilings.
All Providers. The Provider shall work and communicate with CCRC staff and participants in a mutually respectful and professional manner. Any inappropriate conduct may result in the termination of the Provider’s CCSA.
All Providers. All providers of services subject to this Rider E shall have written protocols and/or policies for the following:
1. The Provider shall have in place a grievance policy and procedure in compliance with the Rights of Recipients of Mental Health Services.
2. The Provider shall notify all clients who apply for services of their rights under the AMHI Consent Decree and under the Rights of Recipients of Mental Health Services. Furthermore, the Provider shall notify clients of their right to name a designated representative or representatives to assist them. The Provider shall also provide information to clients regarding available advocacy programs.
3. Providers of mental health services with a Board of Directors must have a consumer as a voting member on their Board of Directors. This may be a current or former consumer who self discloses as a consumer and does not have to be a consumer of the Provider’s services. Other mental health entities without a Board must have a consumer advisory committee.
4. The Provider shall submit a written treatment or service plan, or a signed service agreement, to the community support worker when requested by the community support program, to support the consumer's ISP. The written treatment or service plan shall include a description of the service to be provided and any applicable terms included in the ISP. The written treatment or service plan or written service agreement shall also include a statement that the Provider agrees that it will not discontinue or otherwise interrupt services which the Provider agrees to deliver to the client, without complying with the following terms:
a) The Provider shall obtain prior written approval from the Department for class members to interrupt or discontinue services.
b) If written approval is obtained as specified above, and, as a result, services to the client will be discontinued or otherwise interrupted, the Provider shall give thirty days advance written notice to the client, to the client’s guardian, if any, and to the client’s community support worker. If the client poses a threat of imminent harm to persons employed or served by the Provider, the Provider shall give notice which is reasonable under the circumstances;
c) The Provider shall give notice as may be required by law or regulation, following whichever is more stringent: Chapter II of the MaineCare Benefits Manual, the Department’s Licensing Regulations, or the AMHI Consent Decree, whichever is the most stringent.
d) Th...
All Providers. The Provider will report to CCRC plans to relocate at least two (2) weeks prior. This Agreement is in effect and applicable ONLY at the care address reported on page 1. When a Provider relocates, the Agreement is null and void.
All Providers. CCRC reserves the right to inspect and audit the Provider’s compliance with any and all provisions of this Agreement. This right to inspect and audit may be with or without notice to the Provider. The Provider specifically agrees to fully cooperate in providing any and all information including, but not limited to, documents concerning children being cared for, attendance sheets, and other business records of any kind whatsoever.
All Providers. 1.1.1.1 This Agreement between Provider and the Texas Health and Human Services Commission (HHSC) is authorized by Texas Government Code Chapter 531 and Human Resources Code Chapter 32 and is in compliance with the provisions of the Code of Federal Regulations (CFR), including 42 CFR § 431.107, and the Texas Administrative Code (TAC), including 1 TAC § 352.5 and 352.7.
All Providers. 2.2.1.1 HHSC Program-specific provider procedures manuals (Provider Manual) and provider handbooks (Provider Handbook) may be accessed via the Internet at xxx.xxxx.xxx and xxxxx://xxx.xxxxx.xxx/. Provider agrees to comply with the requirements of each Provider Manual relating to each Program that the Provider enrolls in. Provider also agrees to comply with all state and federal laws governing or regulating each Program in which Provider is enrolled. This Agreement incorporates by reference all Program requirements and the Provider application, including all revisions thereto.
2.2.1.2 For purposes of this Agreement, “Subcontractor” means an individual or entity that that the Provider has contracted with or delegated some of its management functions or responsibilities for providing all or a part of the services that are required to be performed under this Agreement. Provider may not subcontract any or all of the work and/or obligations due under the contract without prior written approval of the HHSC. Provider must require all Subcontractors to execute documents that bind the Subcontractors to comply with the provisions of this Agreement. Provider expressly understands and acknowledges that in entering into any subcontract, HHSC is in no manner liable to any Subcontractor of Provider. In no event shall this term relieve Provider of the responsibility for ensuring that the services performed under all subcontracts are rendered in compliance with the Agreement.
All Providers. 2.4.1.1 No payments can be made for any items or services directed or prescribed by a physician or other person authorized to direct or prescribe items or services who is excluded from Medicare, Medicaid, or any federal or state health care program when the individual or entity furnishing the items or services either knew or should have known of the exclusion. This prohibition applies even when the payment itself is made to another provider, practitioner, or supplier who is not excluded.
2.4.1.2 The Provider assigns to HHSC all claims for overcharges associated with this Agreement arising under the anti- trust laws of the United States, 15 U.S.C. §§ 1-38, or the anti-trust laws of the State of Texas, Tex. Bus. & Com. Code §§ 15.01-.40.
All Providers. 2.9.1.1 The Provider’s obligation begins at discovery of any unauthorized disclosure of HHSC Confidential Information or any privacy or security incident that may compromise HHSC Confidential Information. “Incident” is defined as an attempted or successful unauthorized access, use, disclosure, modification, or destruction of information or interference with system operations in an information system. The Provider’s obligation continues until all effects of the Incident are resolved to HHSC’s satisfaction, hereafter referred to as the "Incident Response Period."
