Corrective Action Requests Sample Clauses
Corrective Action Requests. The MCO will notify the STATE and provide copies of any CMS corrective action requests and subsequent corrective plans submitted to CMS related to compliance with SNP Medicare Advantage or Part D requirements within thirty (30) days of submission to CMS.
Corrective Action Requests. The MCO will notify the STATE and provide copies of any CMS corrective action requests and subsequent corrective plans submitted to CMS related to compliance with SNP Medicare Advantage or Part D requirements within thirty (30) days of submission to CMS. Dual Demonstration. The MCO agrees to participate in the CMS Demonstration to Align Administrative Functions for Improvements in Beneficiary Experience (Demonstration) as a Fully Integrated Medicare Advantage Dual Eligible Special Needs Plan (FIDE SNP, as defined in 42 CFR § 422.2 and further defined by CMS in the 2014 SNP Application) for MSHO enrollees as outlined in the Memorandum of Understanding between CMS and the STATE. The demonstration’s goals will be to improve the integration of Medicare and Medicaid through increased participation of integrated provider health care delivery systems, improve enrollee health outcomes as measured through risk adjusted quality metrics appropriate to the enrolled population, and to align administrative systems to improve efficiency and beneficiary experience. The STATE will include the MCO in calls between CMS and the STATE to work out details of any provisions of the demonstration affecting the MCO’s Medicare SNP and Medicaid operations, provider networks, provider contracting and policies. The STATE will establish a work group for consultation with the MCOs on work plan development and implementation of the demonstration. Topics shall include:
Corrective Action Requests. The City may issue a Corrective Action Request if there is undue delay on the part of the Design- Builder in rectifying multiple Nonconformities which may have direct impacts (or anticipated direct impacts) on the Quality of the Infrastructure, the scope of the Project Work, the Construction Schedule or which may have financial impacts.
Corrective Action Requests.
10.1.1 Design-Builder shall develop and implement a written process for the handling of
(a) repeated instances of Nonconformities, Potential Nonconformities, and Nonconformity types; and
(b) amalgamations of Nonconformities, Deficiencies, defects or undesirable situations that share a set of common Root Causes (“Corrective Action Requests” or “CARs”).
10.1.2 The City may require the Design-Builder to submit a CAR if one or more of the following conditions are met:
(a) multiple Nonconformities with the same or similar result or outcome;
(b) multiple Nonconformities with the same or similar Root Cause;
(c) evidence that previous Corrective Actions were ineffective at addressing a particular root cause or Nonconformity or did not address a particular root cause or Nonconformity;
(d) submission of a Preventive Action or any other report that should be correctly identified as or re-submitted as a Nonconformity Report; and
(e) two or more Nonconformities having occurred in the same week.
10.1.3 If a Root Cause is found not to be adequately addressed by a previously-approved Final Plan, or if Corrective Action is unable to address the root cause as intended,
(a) it will form the basis of a new Potential Nonconformity Report; and
(b) it could form the basis of a new Corrective Action Request if multiple instances of closed Nonconformities need to be addressed by new Potential Nonconformity Reports.
10.1.4 Design-Builder shall maintain records of CARs as per Section 9.6 [Nonconformity Records] and maintain traceability of CAR statuses on the NCR Log as per Section 9.4 [