Common use of Change in Organizational Structure Clause in Contracts

Change in Organizational Structure. The CONTRACTOR shall notify and obtain prior written approval from HCA at least one hundred and eighty (180) Calendar Days prior to the effective date of a Change in Organizational Structure. The CONTRACTOR’s request for approval must include a description of the proposed Change in Organizational Structure; the new entity’s ability to meet the requirements of this Agreement; a detailed transition plan to ensure uninterrupted services to Members and Provider payments; and any other information requested by HCA to support the CONTRACTOR’s request. HCA may approve the CONTRACTOR’s request with or without conditions, including but not limited one (1) or more of the following: (i) executing an amendment to this Agreement, (ii) participating in a readiness review conducted by HCA to ensure the new entity demonstrates readiness to perform under this Agreement, (iii) allowing for an open enrollment or disenroll without cause, or (iv) changing the auto-assignment algorithm to manage the new entity’s share of enrollment. HCA may deny the CONTRACTOR’s request if HCA determines that the Change in Organizational Structure is not in the best interest of the State or Members. If the CONTRACTOR fails to obtain prior written approval from HCA or HCA denies the CONTRACTOR’s request and the CONTRACTOR moves forward with the Change in Organizational Structure, HCA may terminate this Agreement pursuant to Section 7.6 of this Agreement.

Change in Organizational Structure. The CONTRACTOR shall notify and obtain prior written approval from HCA HSD at least one hundred and eighty (180) Calendar Days prior to the effective date of a Change in Organizational Structure. The CONTRACTOR’s request for approval must include a description of the proposed Change in Organizational Structure; the new entity’s ability to meet the requirements of this Agreement; a detailed transition plan to ensure uninterrupted services to Members and Provider payments; and any other information requested by HCA HSD to support the CONTRACTOR’s request. HCA HSD may approve the CONTRACTOR’s request with or without conditions, including but not limited one (1) or more of the following: (i) executing an amendment to this Agreement, (ii) participating in a readiness review conducted by HCA HSD to ensure the new entity demonstrates readiness to perform under this Agreement, (iii) allowing for an open enrollment or disenroll without cause, or (iv) changing the auto-assignment algorithm to manage the new entity’s share of enrollment. HCA HSD may deny the CONTRACTOR’s request if HCA HSD determines that the Change in Organizational Structure is not in the best interest of the State or Members. If the CONTRACTOR fails to obtain prior written approval from HCA HSD or HCA HSD denies the CONTRACTOR’s request and the CONTRACTOR moves forward with the Change in Organizational Structure, HCA HSD may terminate this Agreement pursuant to Section 7.6 of this Agreement.