Contractor must. 1. Be a qualified analytical laboratory, meeting requirements for certification by the California Department of Health Services Environmental Laboratory Accreditation Program (ELAP).
2. Have participated in BIGHT or SMC intercalibration exercises for all relevant categories consistent with Contractor’s proposed services. Continued usage of analytical services from Contractor is contingent upon Contractor’s participation in future SMC or BIGHT intercalibration exercises during the Contract term.
3. Cover all fees related to labor, courier services, materials (coolers, sample containers (cubitainers), jars, etc.), special equipment and permits (where applicable) needed to provide analytical services.
4. Provide weekend service and operate at extended hours when necessary for special projects, water pollution spill response events, and stormwater runoff sample pick-up including nights and holiday weekends, when necessary, for preliminary analyses.
5. Be available for services, when necessary, when provided an advanced notice by County personnel, on major holiday’s (Thanksgiving week, Christmas Eve and Christmas Day, New Year’s Eve and New Year’s Day, Memorial Day, Fourth of July, and Labor Day). These rare occasions include storm events or a major water pollution investigation. Contractor is expected to perform essential analyses or sample preparation that will deem the samples suitable for analysis during normal business hours.
6. Accept, on a contractual basis, penalties for not reporting finalized analytical results on or before the 21st day after receipt of samples (48 hour or 7 days for rush samples) from County. Contractor must provide a draft report of analytical results within 1 business day for rush samples. All samples analyses specifically requested for 7 day rush service may be surcharged 30% over the quoted contract price. Must accept penalties for failure to perform within this time period. The County will grant time extensions beyond the reporting time limit to Contractor only a pre-approved case by case basis.
7. Accept the following analytical quality control provisions and penalties for failure to perform to stated levels of accuracy and precision as listed below:
a. Accept quality control provisions
b. Accept reporting limit provisions c. Accept penalties for performance failure d. Actual limits and penalties are described in Section F.
Contractor must. 1. Cover all fees related to labor, courier services, materials (coolers, sample containers (cubitainers), jars, sample bottles, etc.), special equipment and permits (where applicable) needed to provide analytical services.
2. Provide weekend service and operate at extended hours when necessary for special projects, water pollution spill response events, and stormwater runoff sample pick-up including nights and holiday weekends, when necessary, for preliminary analyses.
3. Be available for services, when necessary, when provided an advanced notice by County personnel, on major holiday’s (Thanksgiving week, Christmas Eve and Christmas Day, New Year’s Eve and New Year’s Day, Memorial Day, Fourth of July, and Labor Day). These rare occasions include storm events or a major water pollution investigation. Contractor is expected to perform essential analyses or sample preparation that will deem the samples suitable for analysis during normal business hours.
4. Accept, on a contractual basis, penalties for not reporting finalized analytical results on or before the 21st day after receipt of samples (48 hour or 7 days for rush samples) from County. Contractor must provide a draft report of analytical results within 1 business day for rush samples. All samples analyses specifically requested for 7 day rush service may be surcharged 30% over the quoted contract price. Must accept penalties for failure to perform within this time period. The County will grant time extensions beyond the reporting time limit to Contractor only on a pre-approved case by case basis.
5. Accept the following analytical quality control provisions and penalties for failure to perform to stated levels of accuracy and precision as listed below:
a. Accept quality control provisions
b. Accept reporting limit provisions c. Accept penalties for performance failure d. Actual limits and penalties are described in Section F.
Contractor must. 13.1.1 Comply with applicable state and federal laws, rules and regulations regarding conflicts of interest in the performance of its duties under this Contract;
13.1.2 Cooperate with complete independence and objectivity without real or actual conflict of interest with respect to the activities conducted under this Contract;
13.1.3 Establish safeguards to prohibit its board members, officers and employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain; and
13.1.4 Have no interest nor acquire any direct or indirect interest that would conflict in any manner or degree with its performance under this Contract.
Contractor must. 1) Not give names or addresses to internees.
2) Not receive any names or addresses from internees.
3) Not disclose the identity of any internee to anyone outside the facility.
4) Not give any materials to internees.
Contractor must in connection with the Services or facilities used for the Services - give Pfizer prompt written notice of any material non-compliance with applicable environmental, health and safety laws that pose a significant threat to the environment, health or safety.
Contractor must. (a) provide insurance certificates to the State’s Contract Administrator, containing the Contract number, at Contract formation and within twenty
Contractor must. 1.1 Meet timeliness standards, complete regular reviews, and communicate the decision as specified by HHSC within 10 calendar days from the date of the assignment. Expedited reviews, as determined by HHSC, must be completed no later than the next Business Day from the date of the assignment.
1.2 Review assignments and identify Conflicts of Interest not identified by HHSC and return to HHSC for reassignment to another IRO/contractor.
1.3 Accurately complete clinical reviews and determine if the services are medically necessary in accordance with Texas Medicaid guidelines, this OE, managed care contracts, and the Texas Medicaid Provider Procedures Manual (TMPPM), as directed by HHSC. HHSC reserves the right to audit Contractor files and evaluate the accuracy of Contractor determinations.
1.4 Submit a monthly report detailing all contract-related activities in a format specified by HHSC no later than the 10th calendar day of the month.
1.5 Upon written request of the provider associated with the denied services of the Member requesting the EMR, provide written notice of the EMR decision to the requesting provider, following HIPAA standards outlined in Exhibit C of this Open Enrollment.
1.6 Have Reviewers available for cases that represent the full range of expertise needed to accept and process appeals for (1) service reductions or denials that may be covered or sought to be covered by Texas Medicaid, and (2) eligibility benefits for medical and functional necessity determinations. Reviewers may be a Contractor employee or subcontractor.
1.7 Have licensed, certified, or credentialed Reviewers, as applicable, by the State of Texas licensing, certifying, or credentialing body for their respective specialty or area of practice that would generally provide the type of treatment that is the subject of the assigned review.
1.8 Ensure each Reviewer is in good standing with their respective State of Texas licensing, certifying, or credentialing body and must contractually require that all Reviewers immediately disclose to Contractor any action taken by a licensing, certification or credentialing body, health care facility or health plan to condition, suspend or revoke the Reviewer’s license, certification, or credentials. When such notification is received, Contractor must immediately exclude that Reviewer from all Texas EMRs.
1.9 Meet or exceed the objectives set forth in this Contract. All areas of responsibility and all requirements listed in this Contract will be...
Contractor must. (i) develop written policies and procedures by which Contractor will manage the admission, service delivery, continuity of care, and discharge requirements outlined in Section 3.3 of this Attachment to the Contract; (ii) coordinate with local mental health authorities (“LMHAs”)/local behavioral health authorities (“LBHAs”) or local intellectual and developmental disability authorities (“LIDDAs”), courts, county jails, or other parties involved with the patient’s care; and (iii) report to HHSC in accordance with the terms and conditions of this Contract.
Contractor must. Ensure delivery to the Laboratory is received by the Laboratory personnel according to the specifics in Section 2, Required Service Hours (same day, next day, weekend, or disaster response as defined by service area).
Contractor must a. Submit an accurate sales report weekly to County at that same time payment is made.
b. Report to the County monthly all expenses using an itemized expense report in a form acceptable by the County.
