Contract Management, Reporting, and Administration. A. Key Personnel and Other Staff The Contractor shall have Key Personnel and other staff as set forth in this Section. 1. The following roles shall be filled by the Contractor’s Key Personnel: a. The Contractor’s MassHealth Executive Director, who shall have primary responsibility for the management of this Contract and shall be authorized and empowered to represent the Contractor regarding all matters pertaining to this Contract; b. The Contractor’s Chief Medical Officer/Medical Director, who shall be a clinician licensed to practice in Massachusetts and shall oversee the Contractor’s care delivery responsibilities and Care Management activities as described in Section 2.3, and all clinical initiatives including quality improvement activities, including but not limited to clinical initiatives related to addressing the care needs of children; c. The Contractor’s Behavioral Health Director, who shall be responsible for the Contractor’s activities related to BH Services and related care delivery responsibilities and Care Management activities as described in Sections 2.3, and for all BH-related interaction with EOHHS and coordination with the Behavioral Health Vendor as described in Section 2.7; d. The Contractor’s Chief Financial Officer, who shall be authorized to sign and certify the Contractor’s financial documents, as described in this Contract and further specified by EOHHS; e. The Contractor’s Disability Coordinator, who shall oversee the Contractor’s and Affiliated Providers’ compliance with federal and state laws and regulations pertaining to persons with disabilities, including ensuring that Affiliated Providers provide physical access, communication access, accommodations, and accessible equipment for Enrollees with physical or mental disabilities; f. The Contractor’s State Agency Liaison, who shall coordinate the Contractor’s interaction with state agencies with which Enrollees may have an affiliation, including but not limited to the Department of Mental Health (DMH), the Department of Developmental Services (DDS), the Department of Children and Families (DCF), the Department of Youth Services (DYS), the Department of Public Health (DPH) and the DPH Bureau of Substance Abuse Services (BSAS); g. The Contractor’s Key Contact, who shall liaise with EOHHS and serve as the point of contact for EOHHS for all communications and requests related to this Contract; h. The Contractor’s Ombudsman Xxxxxxx, who shall liaise with EOHHS’ Ombudsman to resolve issues raised by Enrollees; i. The Contractor’s Quality Key Contact, who shall oversee the Contractor’s quality management activities including those described in Section 2.9 and other quality activities as further specified by EOHHS; and j. Any other positions designated by EOHHS including but not limited to any additional positions related to future policy changes such as the inclusion of LTSS as described in Section 6.6.C.
Appears in 4 contracts
Samples: Primary Care Accountable Care Organization Contract, Primary Care Accountable Care Organization Contract, Primary Care Accountable Care Organization Contract
Contract Management, Reporting, and Administration.
A. Key Personnel and Other Staff The Contractor shall have Key Personnel and other staff as set forth in this Section.
1. The following roles shall be filled by the Contractor’s Key Personnel:
a. The Contractor’s MassHealth Executive Director, who shall have primary responsibility for the management of this Contract and shall be authorized and empowered to represent the Contractor regarding all matters pertaining to this Contract;
b. The Contractor’s Chief Medical Officer/Medical Director, who shall be a clinician licensed to practice in Massachusetts and shall oversee the Contractor’s care delivery Care Delivery responsibilities and Care Management activities as described in Section 2.32.4, and all clinical initiatives including quality improvement activities, including but not limited to clinical initiatives related to addressing the care needs of children;
c. The Contractor’s Pharmacy Contact who shall be responsible for the Contractor’s activities related to pharmacy TCOC Included Services;
d. The Contractor’s Behavioral Health Director, who shall be responsible for the Contractor’s activities related to BH Services and related care delivery responsibilities and Care Management activities as described in Sections Section 2.3, and for all BH-related interaction with EOHHS and coordination with the Behavioral Health Vendor as described in Section 2.72.8;
d. e. The Contractor’s Chief Financial Officer, who shall be authorized to sign and certify the Contractor’s financial documentscondition, including but not limited to attesting to the accuracy of Contractor’s financial documents submitted to EOHHS, as described in this Contract and further specified by EOHHS;
e. The Contractor’s Disability Coordinator, who shall oversee the Contractor’s and Affiliated Providers’ compliance with federal and state laws and regulations pertaining to persons with disabilities, including ensuring that Affiliated Providers provide physical access, communication access, accommodations, and accessible equipment for Enrollees with physical or mental disabilities;
f. The Contractor’s State Agency LiaisonChief Data Officer, who shall coordinate the Contractor’s interaction with state agencies with which Enrollees may have an affiliation, including but not limited to the Department primary responsibility for ensuring management and compliance of Mental Health (DMH), the Department of Developmental Services (DDS), the Department of Children and Families (DCF), the Department of Youth Services (DYS), the Department of Public Health (DPH) and the DPH Bureau of Substance Abuse Services (BSAS);
g. The Contractor’s Key Contact, who shall liaise with EOHHS and serve as the point of contact for EOHHS for all communications and requests related to this Contract;
h. The Contractor’s Ombudsman Xxxxxxx, who shall liaise with EOHHS’ Ombudsman to resolve issues raised by Enrollees;
i. The Contractor’s Quality Key Contact, who shall oversee the Contractor’s quality management activities including those described in under Section 2.9 and other quality activities as further specified by EOHHS; and
j. Any other positions designated by EOHHS including but not limited to any additional positions related to future policy changes such as the inclusion of LTSS as described in Section 6.6.C.2.11
Appears in 2 contracts
Samples: Standard Contract, Standard Contract
Contract Management, Reporting, and Administration.
A. Key Personnel and Other Staff Staff The Contractor shall have Key Personnel and other staff as set forth in this Section.
1. The following roles shall be filled by the Contractor’s Key Personnel:
a. The Contractor’s MassHealth Executive Director, who shall have primary responsibility for the management of this Contract and shall be authorized and empowered to represent the Contractor regarding all matters pertaining to this Contract;
b. The Contractor’s Chief Medical Officer/Medical Director, who shall be a clinician licensed to practice in Massachusetts and shall oversee the Contractor’s care delivery responsibilities and Care Management activities as described in Section 2.3, and all clinical initiatives including quality improvement activities, including but not limited to clinical initiatives related to addressing the care needs of children;
c. The Contractor’s Behavioral Health Director, who shall be responsible for the Contractor’s activities related to BH Services and related care delivery responsibilities and Care Management activities as described in Sections 2.3, and for all BH-related interaction with EOHHS and coordination with the Behavioral Health Vendor as described in Section 2.7;
d. The Contractor’s Chief Financial Officer, who shall be authorized to sign and certify the Contractor’s financial documents, as described in this Contract and further specified by EOHHS;
e. The Contractor’s Disability Coordinator, who shall oversee the Contractor’s and Affiliated Providers’ compliance with federal and state laws and regulations pertaining to persons with disabilities, including ensuring that Affiliated Providers provide physical access, communication access, accommodations, and accessible equipment for Enrollees with physical or mental disabilities;
f. The Contractor’s State Agency Liaison, who shall coordinate the Contractor’s interaction with state agencies with which Enrollees may have an affiliation, including but not limited to the Department of Mental Health (DMH), the Department of Developmental Services (DDS), the Department of Children and Families (DCF), the Department of Youth Services (DYS), the Department of Public Health (DPH) and the DPH Bureau of Substance Abuse Services (BSAS);
g. The Contractor’s Key Contact, who shall liaise with EOHHS and serve as the point of contact for EOHHS for all communications and requests related to this Contract;
h. The Contractor’s Ombudsman XxxxxxxLiaison, who shall liaise with EOHHS’ Ombudsman to resolve issues raised by Enrollees;
i. The Contractor’s Quality Key Contact, who shall oversee the Contractor’s quality management activities including those described in Section 2.9 and other quality activities as further specified by EOHHS; and
j. Any other positions designated by EOHHS including but not limited to any additional positions related to future policy changes such as the inclusion of LTSS as described in Section 6.6.C.
2. The Contractor shall appoint Key Personnel as follows:
a. The Contractor shall appoint an individual to each of the roles listed in Section 2.4.
Appears in 2 contracts
Samples: Contract for Primary Care Accountable Care Organization Services, Contract
Contract Management, Reporting, and Administration.
A. Key Personnel and Other Staff Staff The Contractor shall have Key Personnel and other staff as set forth in this Section.
1. The following roles shall be filled by the Contractor’s Key Personnel:
a. The Contractor’s MassHealth Executive Director, who shall have primary responsibility for the management of this Contract and the Contractor’s Approved ACO Agreements and shall be authorized and empowered to represent the Contractor regarding all matters pertaining to this Contract;
b. The Contractor’s Chief Medical Officer/Medical Director, who shall be a clinician licensed to practice in Massachusetts and shall oversee the Contractor’s care delivery responsibilities and Care Management activities as described in Section 2.32.5, and all clinical initiatives including quality improvement activities, including but not limited to clinical initiatives related to addressing the care needs of children;
c. The Contractor’s Behavioral Health Director, who shall be responsible for the Contractor’s activities related to BH Services and related care delivery responsibilities and Care Management activities as described in Sections 2.3Section 2.5, and for all BH-related interaction with EOHHS and coordination with the Behavioral Health Vendor as described in Section 2.7EOHHS;
d. The Contractor’s Chief Financial Officer, who shall be authorized to sign and certify the Contractor’s financial documents, as described in this Contract and further specified by EOHHS;
e. The Contractor’s Disability Coordinator, who shall oversee the Contractor’s and Affiliated Providers’ compliance with federal and state laws and regulations pertaining to persons with disabilities, including ensuring that Affiliated Providers provide physical access, communication access, accommodations, and accessible equipment for Enrollees Attributed Members with physical or mental disabilities;
f. The Contractor’s State Agency Liaison, who shall coordinate the Contractor’s interaction with state agencies with which Enrollees Attributed Members may have an affiliation, including but not limited to the Department of Mental Health (DMH), the Department of Developmental Services (DDS), the Department of Children and Families (DCF), the Department of Youth Services (DYS), the Department of Public Health (DPH) and the DPH Bureau of Substance Abuse Services (BSAS);
g. The Contractor’s Ombudsman Liaison, who shall liaise with EOHHS’ Ombudsman to resolve issues raised by Attributed Members;
h. The Contractor’s Key Contact, who shall liaise with EOHHS and serve as the point of contact for EOHHS for all communications and requests related to this Contract;
h. The Contractor’s Ombudsman Xxxxxxx, who shall liaise with EOHHS’ Ombudsman to resolve issues raised by Enrollees;
i. The Contractor’s Quality Key Contact, who shall oversee Contract and the Contractor’s quality management activities including those described in Section 2.9 and other quality activities as further specified by EOHHSApproved ACO Agreements; and
j. i. Any other positions designated by EOHHS including but not limited to any additional positions related to future policy changes such as the inclusion of LTSS as described in Section 6.6.C.5.6.C.3.
2. The Contractor shall appoint Key Personnel as follows:
a. The Contractor shall appoint an individual to each of the roles listed in Section 2.3.A.
1. The Contractor may appoint a single individual to more than one such role;
b. The Contractor shall have appointments to all Key Personnel roles no later than 90 days prior to the Operational Start Date, and shall notify EOHHS of such initial appointments and provide the resumes of such individuals to EOHHS no later than ten (10) days after such appointments are made;
c. All individuals assigned to Key Personnel roles shall, for the duration of the Contract, be employed by the Contractor and assigned primarily to perform their job functions related to this Contract;
d. The Contractor shall, when subsequently hiring, replacing, or appointing individuals to Key Personnel roles, notify EOHHS of such a change and provide the resumes of such individuals to EOHHS no less than ten (10) days after such a change is made;
e. If EOHHS informs the Contractor that EOHHS is concerned that any Key Personnel are not performing the responsibilities described in this Contract, or are otherwise hindering Contractor’s successful performance of the responsibilities of this Contract, the Contractor shall investigate such concerns promptly, take any actions the Contractor reasonably determines necessary to ensure full compliance with the terms of this Contract, and notify EOHHS of such actions. If such actions fail to ensure such compliance to EOHHS’ satisfaction, EOHHS may invoke the remedies for poor performance described in Section 5.22.
Appears in 1 contract
Samples: Contract for Mco Administered Accountable Care Organization
Contract Management, Reporting, and Administration.
A. Key Personnel and Other Staff Staff The Contractor shall have Key Personnel and other staff as set forth in this Section.
1. The following roles shall be filled by the Contractor’s Key Personnel:
a. The Contractor’s MassHealth Executive Director, who shall have primary responsibility for the management of this Contract and shall be authorized and empowered to represent the Contractor regarding all matters pertaining to this Contract;
b. The Contractor’s Chief Medical Officer/Medical Director, who shall be a clinician licensed to practice in Massachusetts and shall oversee the Contractor’s care delivery responsibilities and Care Management activities as described in Section 2.3, and all clinical initiatives including quality improvement activities, including but not limited to clinical initiatives related to addressing the care needs of children;
c. The Contractor’s Behavioral Health Director, who shall be responsible for the Contractor’s activities related to BH Services and related care delivery responsibilities and Care Management activities as described in Sections 2.3, and for all BH-related interaction with EOHHS and coordination with the Behavioral Health Vendor as described in Section 2.7;
d. The Contractor’s Chief Financial Officer, who shall be authorized to sign and certify the Contractor’s financial documents, as described in this Contract and further specified by EOHHS;
e. The Contractor’s Disability Coordinator, who shall oversee the Contractor’s and Affiliated Providers’ compliance with federal and state laws and regulations pertaining to persons with disabilities, including ensuring that Affiliated Providers provide physical access, communication access, accommodations, and accessible equipment for Enrollees with physical or mental disabilities;
f. The Contractor’s State Agency Liaison, who shall coordinate the Contractor’s interaction with state agencies with which Enrollees may have an affiliation, including but not limited to the Department of Mental Health (DMH), the Department of Developmental Services (DDS), the Department of Children and Families (DCF), the Department of Youth Services (DYS), the Department of Public Health (DPH) and the DPH Bureau of Substance Abuse Services (BSAS);
g. The Contractor’s Key Contact, who shall liaise with EOHHS and serve as the point of contact for EOHHS for all communications and requests related to this Contract;
h. The Contractor’s Ombudsman Xxxxxxx, who shall liaise with EOHHS’ Ombudsman to resolve issues raised by Enrollees;
i. The Contractor’s Quality Key Contact, who shall oversee the Contractor’s quality management activities including those described in Section 2.9 and other quality activities as further specified by EOHHS; and
j. Any other positions designated by EOHHS including but not limited to any additional positions related to future policy changes such as the inclusion of LTSS as described in Section 6.6.C.
2. The Contractor shall appoint Key Personnel as follows:
a. The Contractor shall appoint an individual to each of the roles listed in Section 2.4.
Appears in 1 contract
Samples: Contract for Primary Care Accountable Care Organization Services
Contract Management, Reporting, and Administration.
A. Key Personnel and Other Staff The Contractor shall have Key Personnel and other staff as set forth in this Section.
1. The following roles shall be filled by the Contractor’s Key Personnel:
a. The Contractor’s MassHealth Executive Director, who shall have primary responsibility for the management of this Contract and shall be authorized and empowered to represent the Contractor regarding all matters pertaining to this Contract;
b. The Contractor’s Chief Medical Officer/Medical Director, who shall be a clinician licensed to practice in Massachusetts and shall oversee the Contractor’s care delivery Care Delivery responsibilities and Care Management activities as described in Section 2.32.4, and all clinical initiatives including quality improvement activities, including but not limited to clinical initiatives related to addressing the care needs of children;
c. The Contractor’s Pharmacy Contact who shall be responsible for the Contractor’s activities related to pharmacy TCOC Included Services;
d. The Contractor’s Behavioral Health Director, who shall be responsible for the Contractor’s activities related to BH Services and related care delivery responsibilities and Care Management activities as described in Sections Section 2.3, and for all BH-related interaction with EOHHS and coordination with the Behavioral Health Vendor as described in Section 2.72.8;
d. e. The Contractor’s Chief Financial Officer, who shall be authorized to sign and certify the Contractor’s financial documentscondition, including but not limited to attesting to the accuracy of Contractor’s financial documents submitted to EOHHS, as described in this Contract and further specified by EOHHS;
e. The Contractor’s Disability Coordinator, who shall oversee the Contractor’s and Affiliated Providers’ compliance with federal and state laws and regulations pertaining to persons with disabilities, including ensuring that Affiliated Providers provide physical access, communication access, accommodations, and accessible equipment for Enrollees with physical or mental disabilities;
f. The Contractor’s State Agency LiaisonChief Data Officer, who shall coordinate the Contractor’s interaction with state agencies with which Enrollees may have an affiliation, including but not limited to the Department primary responsibility for ensuring management and compliance of Mental Health (DMH), the Department of Developmental Services (DDS), the Department of Children and Families (DCF), the Department of Youth Services (DYS), the Department of Public Health (DPH) and the DPH Bureau of Substance Abuse Services (BSAS);
g. The Contractor’s Key Contact, who shall liaise with EOHHS and serve as the point of contact for EOHHS for all communications and requests related to this Contract;
h. The Contractor’s Ombudsman Xxxxxxx, who shall liaise with EOHHS’ Ombudsman to resolve issues raised by Enrollees;
i. The Contractor’s Quality Key Contact, who shall oversee the Contractor’s quality management activities including those described in under Section 2.9 and other quality activities as further specified by EOHHS; and
j. Any other positions designated by EOHHS including but not limited to any additional positions related to future policy changes such as the inclusion of LTSS as described in Section 6.6.C.2.11
Appears in 1 contract
