Correction of Issues Identified During External Reviews, Monitoring and Audits Sample Clauses

Correction of Issues Identified During External Reviews, Monitoring and Audits. The AE is responsible to complete and submit a CAP to address issues resulting from external reviews, monitoring and audits within the specified time frame provided of receipt of the identified issue(s) or finding to the appropriate regional ODP. For situations involving imminent Health and Welfare issues, the AE shall implement immediate corrective action to address the issues. If the Department submits questions or concerns to the AE in response to a submitted CAP, the AE shall respond to those questions or concerns within the specified time frame provided. For issues related to non-compliance with Waiver requirements, the Department reserves the right to provide a Directed CAP to the AE, if the AE’s follow-up submissions and/or response to questions or concerns do not fully address the issues or noncompliance areas. The AE is responsible for implementation of the CAP upon the approval from the Department or upon receipt of a DCAP from the Department, as referenced in Section 6.4 of this Agreement. In the event a non-compliance issue(s) identified through the monitoring of Waiver requirements involves issues related to the performance of a Provider, including a SCO, the AE shall notify the Provider of the issues and request the submission of a CAP. The AE has the authority to request a Provider’s CAP in a timeframe that allows the AE to submit its CAP as directed by the Department, to address the AE’s and/or ODP’s findings. If after consultation with the Provider, the AE finds that the Provider’s CAP is unsatisfactory, the AE shall notify the appropriate regional ODP. The Department will, in collaboration with the AE, address an unsatisfactory Provider CAP. The AE shall validate and document all corrective activities. If the AE identifies Provider performance issues through its validation efforts, the AE shall make efforts to resolve the issues and shall notify the appropriate regional ODP. Notification to the regional ODP must include documentation of the remediation efforts. The Department will assist the AE in addressing Provider performance issues as needed.
Sample 1
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Related to Correction of Issues Identified During External Reviews, Monitoring and Audits

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