Delegate’s Obligations Sample Clauses
Delegate’s Obligations. Delegate agrees that it shall:
1.1 Acknowledge and agree that Delegate’s policies and procedures are subject to Delegator’s review and written approval prior to any delegation of credentialing functions.
1.2 Accept responsibility and the obligation for all delegated credentialing and recredentialing functions and activities in TABLE 1, which is included hereto and is incorporated by reference herein as it relates to Delegate’s organizational providers who are or will be rendering services to Members. All delegated credentialing and recredentialing functions and activities shall be carried out in accordance with the obligations in the Addendum and this Credentialing Attachment.
1.3 Agree to cooperate and comply with the standards and requirements provided by Delegator, which will be updated from time to time, including without limitation, the credentialing criteria and credentialing policies. Delegate further represents and acknowledges that Delegate's credentialing and recredentialing program, policies and processes must meet or exceed the standards and criteria requirements set forth by Delegator.
1.4 Maintain a credentialing committee, a credentialing and recredentialing program, and all related policies procedures and processes in compliance with state and federal law and Accreditation Organization requirements as they may be amended from time to time.
1.5 Delegate shall cooperate with Delegator’s efforts to implement quality improvement and other activities related to the credentialing and recredentialing program.
1.6 Acknowledge that Delegator, or its designee, retains the right to approve or deny new or renewing organizational providers and sites and to terminate or suspend organizational providers and sites from participation in any of Delegator’s networks. Delegator retains the ultimate responsibility for the credentialing and recredentialing of all providers in any of Delegator’s networks.
1.7 Acknowledge and agree that all organizational providers must be fully credentialed / recredentialed by the Delegate prior to rendering any services to Members.
1.8 Obtain, evaluate, verify and provide to Delegator or its designee, upon request, any and all information necessary and appropriate for the credentialing of applicants and recredentialing of participating organizational providers. All verifications shall be thoroughly documented according to state and federal law and Accreditation Organization requirements.
1.9 Provide a complete report of all part...
Delegate’s Obligations. Delegate agrees that it shall:
1.1 Acknowledge and agree that Delegate’s policies and procedures are subject to Delegator’s review and written approval prior to any delegation of Complex Case Management (CCM) functions.
1.2 Accept the responsibility and the obligation for performing all CCM delegated functions and activities specified in TABLE 1, which is attached hereto and incorporated by reference herein, as they relate to services rendered to Members assigned to physicians, employees, Subcontractors and independent contractors.
1.3 Acknowledges and agrees that clinical assessments of Members are required to be performed by licensed registered nurses (RN) in accordance with nurse practice guidelines and licensure requirements.
1.4 Comply with Delegator’s policies, procedures, and program requirements and all applicable state and federal laws, rules and regulations and Accreditation Organization requirements pertaining to CCM and the delivery of medical and related health care services.
1.5 Demonstrate Delegate’s CCM program plan, previous plan evaluation, and subsequent revisions have been approved by Delegate’s internal quality/utilization management (UM) committee.
1.6 Not provide incentives to deny, limit, or discontinue Medically Necessary services. Nothing contained in this CCM Attachment or the Agreement is intended by Delegator to be a financial incentive or payment, which directly or indirectly acts as an inducement for the Delegate to limit Medically Necessary services.
1.7 Retain all Member-related information and records created for a period of not less than ten (10) years.
1.8 Acknowledge that Delegator retains all other CCM functions not specified as the Delegate’s
Delegate’s Obligations. Delegate agrees that it shall:
1.1 Acknowledge and agree that Delegate’s policies and procedures are subject to Delegator’s review and written approval prior to any delegation of utilization review and utilization management (collectively UR/UM) functions. .
1.2 Accept the responsibility and the obligation for performing all UR/UM delegated functions and activities specified in the TABLE 1 and Table 2, which are attached hereto and incorporated by reference herein, as they relate to services rendered to Members assigned to physicians, employees, Subcontractors and independent contractors.
Delegate’s Obligations. Delegate agrees that it shall:
1. 1Acknowledge and agree that Delegate’s policies and procedures are subject to Delegator’s review and written approval prior to any delegation of Disease Management (DM) functions.
Delegate’s Obligations. In order to fulfill the purposes and objective of this Addendum, the Delegate agrees:
2.1 To accept the obligation to perform all delegated functions and activities described in this Addendum and in each Attachment which are each incorporated by reference into the Agreement.
2.2 To comply with Delegator’s policies, procedures, and program requirements, Member’s Plan (coverage agreement), and all applicable state and federal laws, rules and regulations and instructions including but not limited to the CMS Standards and Accreditation Organization requirements pertaining to all functions and activities described in each Attachment.
a. Delegate agrees to monitor all providers, employees and Subcontractors supporting any Medicare and/or Medicaid lines of business for debarments and exclusions from federal and state government programs. This must be conducted upon initial hire or contract and on a monthly basis thereafter. Accurate records of such monitoring activity must be maintained and retained for a period of a minimum of ten (10) years. Any provider, Subcontractor or employee found excluded from any Federal and state government program must be removed from providing direct or indirect services for Medicare/Medicaid or other state or federal governmental program Members immediately and shall be reported promptly to the Delegator.
Delegate’s Obligations. Delegate agrees that it shall:
1.1 Acknowledge and agree that Delegate’s policies and procedures are subject to Delegator’s review and written approval prior to any delegation of credentialing functions.
1.2 Accept responsibility and the obligation for all delegated credentialing and recredentialing functions and activities. Delegated credentialing and recredentialing functions and activities in TABLE 1 and TABLE 2, which are included hereto and are incorporated by reference herein as they relate to Delegate’s employed and/or contracted practitioners and organizational providers who are or will be rendering services to Members. All delegated credentialing and recredentialing functions and activities shall be carried out in accordance with the obligations in the Addendum and this Credentialing Attachment.
1.3 Agree to cooperate and comply with the standards and requirements provided by Delegator, which will be updated from time to time, including, but not limited to, the credentialing criteria and credentialing policies. Delegate further represents and acknowledges that Delegate's credentialing and recredentialing program, policies and processes must meet or exceed the standards and criteria requirements set forth by Delegator.
Delegate’s Obligations. The delegate undertakes to execute in good faith his obligations and is responsible for fulfilling his duty of cooperation toward the Kinetic Events (Pty) Ltd as well as toward the staff, during the event. A delegate who finds himself / herself unable to attend may be represented by another executive of his company of similar stature, upon acceptance by the Kinetic Events (Pty) Ltd. Any further communication after the signature of the foregoing, specifically any claims from the delegate must be made in written form by registered mail with acknowledgement of receipt sent to ▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ .
Delegate’s Obligations. Delegate agrees that it will:
1.1 Accept the obligation to perform all delegated functions and activities for the quality improvement functions and activities described in Table 1, which is attached and hereby incorporated by reference, as they relate to services rendered to Members assigned to physicians, employees, sub-delegates and independent contractors.
1.2 Comply with Delegator’s policies, procedures (Provider Manual), and program requirements, and all applicable state and federal laws rules and regulations and Accreditation Organization requirements pertaining to any quality related activities or services.
1.3 Demonstrate Delegate’s quality improvement program plan, previous plan evaluation, and subsequent revisions have been approved by Delegate’s internal quality improvement committee. Acknowledge and agree that any delegation of quality improvement activities or services is subject to Delegator’s review and written approval of Delegate’s policies and procedures.
1.4 Acknowledge the Delegator retains all other quality improvement functions not specified in this agreement as the Delegate’s responsibility.
1.5 Delegate agrees to obtain and or maintain full NCQA/URAC or AAAHC Accreditation status for the term of this contract as required by Delegator.
Delegate’s Obligations. 4.1 The Delegate undertakes to provide BA Cyber Management Alliance Private Limited promptly with any information which BA Cyber Management Alliance Private Limited may reasonably require from time to time to enable BA Cyber Management Alliance Private Limited to comply with its obligations under this Agreement without undue delay or impediment. This will include Names and Email addresses of all the attendees for each course.
4.2 The Delegate shall:
(a) accept that it is their responsibility that the course booked is suitable for the requirements and abilities of the delegates attending.
(b) Registrants on qualification courses should note that successful completion of such courses requires participants to sit and successfully pass the examination.