Contractor Appeal Process Sample Clauses

Contractor Appeal Process. If the Contractor disagrees with any decision or action taken by the County related to this Agreement, the Contractor may choose to file a formal grievance by following the procedures listed below: A. Notify the Adult and Long Term Care Services Division Director within ten (10) working days that a formal grievance exists, and describe the subject of the grievance and any desired remedy. Mail written grievance to: Adult and Long Term Care Services Division Director P.O. 1320 Santa Cruz, CA 95061 The Adult and Long Term Care Services Division Director, or designated representative must respond in writing within 10 working days. B. If the Contractor is not satisfied with the decision, the Contractor must notify the Administrator of Human Resources Agency within 10 working days of receipt of the Division Director’s response. Mail written grievance to: Administrator, Human Resources Agency P.O. 1320 Santa Cruz, CA 95061 The HRA Administrator, or designated representative, must respond in writing within 10 working days. C. If the Contractor is not satisfied with the Administrator’s decision regarding grievances with the MSSP Program, the grievance may be registered in writing with the California Department of Aging, Case Management Branch, at 0000 “X” Xxxxxx, Xxxxxxxxxx XX, 00000 within 10 days following the receipt of the Division Director’s decision. The California Department of Aging will have final authority for the decision of claims. Independent Contractor Agreement Agreement 0332
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Contractor Appeal Process. Contractor may appeal a denied or modified request for County payment authorization or a dispute with County concerning the processing or payment of a provider’s claim to county. 1. The written appeal shall be submitted to County within ninety (90) calendar days of the date of receipt of the non-approval of payment or within ninety (90) calendar days of County’s failure to act on the request in accordance with time frames required by the California Code of Regulations, Title 9, “Provider Appeal Process.” 2. County has sixty (60) calendar days from its receipt of the appeal to inform Contractor in writing of the decision, including a statement of the reasons for the decision that addresses each issue raised by Contractor, and any action required by Contractor to implement the decision. 3. If the appeal is not granted in full, Contractor shall be notified of any right to submit an appeal to the state as required by the California Code of Regulations, Title 9. 4. If applicable, Contractor shall submit a revised request for County payment authorization within thirty (30) calendar days from receipt of County’s decision.
Sample 1
Contractor Appeal Process. Contractor may appeal a denied or modified request for county payment authorization or a dispute with County concerning the processing or payment of a provider’s claim to county. i. The written appeal shall be submitted to County within ninety (90) calendar days of the date of receipt of the non-approval of payment or within ninety (90) calendar days of County’s failure to act on the request in accordance with time frames required by the California Code of Regulations, Title 9, “Provider Appeal Process.” ii. County has sixty (60) calendar days from its receipt of the appeal to inform Contractor in writing of the decision, including a statement of the reasons for the decision that addresses each issue raised by Contractor, and any action required by Contractor to implement the decision. iii. If the appeal is not granted in full, Contractor shall be notified of any right to submit an appeal to the state as required by the California Code of Regulations, Title 9.
Sample 1
Contractor Appeal Process. Contractor may appeal a denied or modified request for Behavioral Health payment authorization or a dispute with Behavioral Health concerning the processing or payment of Contractor’s claim to Behavioral Health. i. The written appeal shall be submitted to Behavioral Health within ninety (90) calendar days of the date of receipt of the non-approval of payment or within ninety (90) calendar days of Behavioral Health’s failure to act on the request in accordance with time frames required by the California Code of Regulations, Title 9, “Provider Appeal Process.” ii. Behavioral Health has sixty (60) calendar days from its receipt of the appeal to inform Contractor in writing of the decision, including a statement of the reasons for the decision that addresses each issue raised by Contractor, and any action required by Contractor to implement the decision. iii. If the appeal is not granted in full, Contractor shall be notified of any right to submit an appeal to the department as required by the California Code of Regulations, Title 9. iv. If applicable, Contractor shall submit a revised request for Behavioral Health payment authorization within thirty (30) calendar days from receipt of Behavioral Health’s decision. v. If applicable, Behavioral Health shall have fourteen (14) calendar days from the date of receipt of Contractor’s revised request for Behavioral Health payment authorization to submit the documentation to the Medi-Cal fiscal intermediary that is required to process Behavioral Health’s payment authorization vi. If Behavioral Health does not respond within sixty (60) calendar days to the appeal, the appeal shall be considered denied in full by the Mental Health Plan (MHP).
Sample 1
Contractor Appeal Process. If the Contractor disagrees with any decision or action taken by the County related to this Agreement, the Contractor may choose to file a formal grievance by following the procedures listed below: A. Notify the Adult and Long Term Care Services Division Director within ten (10) working days that a formal grievance exists, and describe the subject of the grievance and any desired remedy. Mail written grievance to: Adult and Long Term Care Services Division Director P.O. 1320 Santa Cruz, CA 95061 Th e Adu l t an d Lon g Term Care Services Division Director, or designated representative must respond in writing within 10 working days. B. If the Xxxxxxxxxx.xx not satisfied with the decision, the Contractor must notify the Administrator of Human Resources Agency within 10 working days of receipt of the Division Director’s response. Mail written grievance to: Administrator, Human Resources Agency P.O. 1320 Santa Cruz, CA 95061 The HRA Administrator, or designated representative, must respond in writing within 10 working days. C. If the Contractor is not satisfied with the Administrator’s decision regarding grievances with the MSSP Program, the grievance may be registered in writing with the California Department of Aging, Case Management Branch, at 0000 “X” Xxxxxx, Xxxxxxxxxx XX, 00000 within 10 days following the receipt of the Division Director’s decision. The California Department of Aging will have final authority for the decision of claims. 12 , Independent Contractor Agreement Agreement #
Sample 1

Related to Contractor Appeal Process

  • Appeal Process PROVIDER may appeal any adverse finding by the Contract Compliance Officer as set forth in sec. 25.08(20)(c), D.C. Ords.

  • Customer Service, Dispute Resolution If you have a question about your XOOM charges or service you may contact XOOM directly by calling 0-000-000-0000 Monday – Friday 8 (eight) a.m. to 11 (eleven)p.m.

  • Appeal Procedures A. Employees may appeal discipline imposed under this LOA through the Dispute Resolution Procedure contained in the Collective Bargaining Agreement (i.e. grievance procedure) or to the Minneapolis Civil Service Commission. B. Concerning disciplinary actions taken pursuant to this drug and alcohol testing LOA, available Civil Service Commission appeal procedures are as follows:

  • Appeal Procedure The Appeal will be deemed an appeal of the entire Arbitration Award. In conducting the Appeal, the Appeal Panel shall conduct a de novo review of all Claims described or otherwise set forth in the Arbitration Notice. Subject to the foregoing and all other provisions of this Paragraph 5, the Appeal Panel shall conduct the Appeal in a manner the Appeal Panel considers appropriate for a fair and expeditious disposition of the Appeal, may hold one or more hearings and permit oral argument, and may review all previous evidence and discovery, together with all briefs, pleadings and other documents filed with the Original Arbitrator (as well as any documents filed with the Appeal Panel pursuant to Paragraph 5.4(a) below). Notwithstanding the foregoing, in connection with the Appeal, the Appeal Panel shall not permit the parties to conduct any additional discovery or raise any new Claims to be arbitrated, shall not permit new witnesses or affidavits, and shall not base any of its findings or determinations on the Original Arbitrator’s findings or the Arbitration Award.

  • Office of Inspector General Investigative Findings Expert Review In accordance with Senate Bill 799, Acts 2021, 87th Leg., R.S., if Texas Government Code, Section 531.102(m-1)(2) is applicable to this Contract, Contractor affirms that it possesses the necessary occupational licenses and experience.

  • Contractor Certification for Contractor Employees Introduction Texas Education Code Chapter 22 requires entities that contract with school districts to provide services to obtain criminal history record information regarding covered employees. Contractors must certify to the district that they have complied. Covered employees with disqualifying criminal histories are prohibited from serving at a school district. Definitions: Covered employees: Employees of a contractor or subcontractor who have or will have continuing duties related to the service to be performed at the District and have or will have direct contact with students. The District will be the final arbiter of what constitutes direct contact with students. Disqualifying criminal history: Any conviction or other criminal history information designated by the District, or one of the following offenses, if at the time of the offense, the victim was under 18 or enrolled in a public school: (a) a felony offense under Title 5, Texas Penal Code; (b) an offense for which a defendant is required to register as a sex offender under Chapter 62, Texas Code of Criminal Procedure; or (c) an equivalent offense under federal law or the laws of another state. I certify that: NONE (Section A) of the employees of Contractor and any subcontractors are covered employees, as defined above. If this box is checked, I further certify that Contractor has taken precautions or imposed conditions to ensure that the employees of Contractor and any subcontractor will not become covered employees. Contractor will maintain these precautions or conditions throughout the time the contracted services are provided. OR SOME (Section B) or all of the employees of Contractor and any subcontractor are covered employees. If this box is checked, I further certify that: (1) Contractor has obtained all required criminal history record information regarding its covered employees. None of the covered employees has a disqualifying criminal history.

  • Complaints Procedure (a) A formal complaint must be submitted in writing within six months of the last alleged occurrence. (b) A complaint must be submitted through the Union and/or directly to the Executive Director (or the equivalent or designate). When the Executive Director has received a complaint, they will notify the respondent and the union staff representative of the substance of the complaint in writing within 15 days. (c) The complaint must contain the specific instance(s) and date(s) that the alleged harassment occurred, the names of any witnesses, an explanation of how the action constitutes a violation of Article 29 (Harassment), and the remedy sought. (d) The Executive Director or their designate will investigate the complaint and will complete their report in writing within 30 days. (e) The Employer will take action to resolve the complaint within 10 days of receiving the investigator's report. (f) The Employer will advise the respondent, the complainant and the Union in writing of the substance of the investigator's report and the resolution of the complaint. (g) If the resolution involves separating employees, reasonable efforts will be made to relocate or reschedule the respondent. The complainant may agree in writing to be transferred or rescheduled. (h) If the resolution involves separating an employee and a respondent who is not an employee, reasonable efforts will be made to remedy the situation. (i) If the respondent is the Executive Director (or equivalent), or where there are possible systemic issues or multiple complaints, the following process will be used: (1) The complainant will contact the Union. (2) As soon as possible but within 30 days the Union will notify the Executive Director (or equivalent) and CSSEA. Clause 29.4 (a) and (c) apply to the notice. CSSEA will inform the Employer's Board of Directors. (3) CSSEA and the Union will appoint either Xxxxx Xxxxx or Xxxxxx Xxxx to resolve the complaint. (The person appointed is referred to below as "the Appointee".) (4) After consultation with the parties involved, the Appointee will establish the process to resolve the complaint. The process may include - at the Appointee's discretion - any of the following (or any combination of them): fact-finding, mediation, making recommendations or a full report, or conducting an expedited arbitration. In exercising their discretion with respect to the process, the Appointee will consider the parties' desire that the process be fair and expeditious, that it minimizes disruption in the workplace, that it respects individual privacy to the degree possible in the circumstances, and that it keeps costs to a reasonable level. The Appointee will submit any report or recommendations to CSSEA and the Union. The report and recommendations will remain confidential, except for distribution to the Employer's Board of Directors, the complainant and the respondent. The Appointee may stipulate conditions she/he deems appropriate with respect to distribution. Any outcomes of the process are without prejudice or precedent for other proceedings. (5) The Appointee's fees and expenses will be shared by the Employer and the Union. (j) The Employer may take appropriate action, including discipline, against a complainant if the investigation determines that the complaint is frivolous, vindictive or vexatious.

  • Data Protection Impact Assessment and Prior Consultation Processor shall provide reasonable assistance to the Company with any data protection impact assessments, and prior consultations with Supervising Authorities or other competent data privacy authorities, which Company reasonably considers to be required by article 35 or 36 of the GDPR or equivalent provisions of any other Data Protection Law, in each case solely in relation to Processing of Company Personal Data by, and taking into account the nature of the Processing and information available to, the Contracted Processors.

  • Approval Process Tenant shall notify Landlord whether it approves of the submitted working drawings within three business days after Landlord’s submission thereof. If Tenant disapproves of such working drawings, then Tenant shall notify Landlord thereof specifying in reasonable detail the reasons for such disapproval, in which case Landlord shall, within five business days after such notice, revise such working drawings in accordance with Tenant’s objections and submit the revised working drawings to Tenant for its review and approval. Tenant shall notify Landlord in writing whether it approves of the resubmitted working drawings within one business day after its receipt thereof. This process shall be repeated until the working drawings have been finally approved by Landlord and Tenant. If Tenant fails to notify Landlord that it disapproves of the initial working drawings within three business days (or, in the case of resubmitted working drawings, within one business day) after the submission thereof, then Tenant shall be deemed to have approved the working drawings in question. Any delay caused by Tenant’s unreasonable withholding of its consent or delay in giving its written approval as to such working drawings shall constitute a Tenant Delay Day (defined below). If the working drawings are not fully approved (or deemed approved) by both Landlord and Tenant by the 15th business day after the delivery of the initial draft thereof to Tenant, then each day after such time period that such working drawings are not fully approved (or deemed approved) by both Landlord and Tenant shall constitute a Tenant Delay Day.

  • Complaints Process The School shall establish and adhere to a process for resolving public complaints which shall include an opportunity for complainants to be heard. The final administrative appeal shall be heard by the School's Governing Board, except where the complaint pertains to a possible violation of any law or term under this Contract. The complaints process shall be readily accessible from the School’s website, as described in Section 11.4.1.

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