Delivery Systems. [ * ] shall be responsible for the payment of any royalties or other payments to Third Parties in respect of the use of a Third Party Delivery System, so long as such Delivery System is not required for Basic Therapeutic Utility.
Delivery Systems. The State will implement this Demonstration by expanding upon the existing ACC Program. Under the MFFS Financial Alignment Model and as defined in this MOU, the State is eligible to benefit from savings resulting from this Demonstration if it meets the applicable quality standards. The State will ensure coordination and facilitate access to all necessary services across the Medicare and Medicaid programs. The vision of the ACC Program is to transform the health care delivery system from a traditional, unmanaged FFS model to a regional, outcome-focused, client/family-centered coordinated system of care. Under the ACC, payment to providers continues to be on a FFS basis, and beneficiaries remain free to choose among all participating Medicaid (and, in this Demonstration, Medicare) providers. However, through the seven Regional Care Collaborative Organizations, the ACC creates an accountability structure missing from a typical unmanaged FFS delivery system. Each beneficiary in the Demonstration will be enrolled with the RCCO serving his/her area of the State. RCCOs offer care coordination, either through RCCO staff or arrangements with local providers. RCCOs also manage virtual networks of providers to promote beneficiary access to care and support providers with clinical tools, data, and analytics. The ACC model drives primary care reform through Primary Care Medical Providers. PCMPs provide whole-person, coordinated, culturally-competent care for beneficiaries. Through the ACC, participating PCMPs are eligible to receive per member per month payments, and required to offer increased access to beneficiaries through, for example, extended office hours or same-day appointments. The State has contractual relationships with all RCCOs and PCMPs. RCCO and PCMP contracts include their distinct, shared, and/or delegated responsibilities in the ACC Program. Under this Demonstration, RCCOs and PCMPs will be responsible for working together and with the State to ensure the integration and coordination of primary care, acute care, prescription drugs, behavioral health care, and LTSS across Medicare and Medicaid for those eligible Medicare-Medicaid enrollees who participate in the Demonstration. RCCOs and PCMPs will work with existing service delivery systems, authorizing entities, and specialty care/case managers and will not duplicate functions provided within these systems of care. The State will monitor and hold RCCOs accountable for total Medicare and Medicaid costs...
Delivery Systems. Washington will implement a Managed Fee-for-Service model built around Medicaid health homes. Under the Managed Fee-for-Service model and as defined in this MOU, the State is eligible to benefit from savings resulting from this Demonstration if it meets the applicable quality standards. The State will ensure coordination and facilitate access to all necessary services across the Medicare and Medicaid programs. Under this Demonstration, health homes will be responsible for integration and coordination of primary, acute, prescription drug, behavioral health, and long-term supports and services across Medicare and Medicaid for those eligible Medicare-Medicaid enrollees who opt to receive health home services. The health home will work with existing service delivery systems, authorizing entities, and specialty care/case managers, and will not duplicate functions provided within these systems of care. The State is accountable for ensuring the provision of person-centered care coordination, which must include robust and meaningful mechanisms to involve the beneficiary in improving health outcomes and in getting the right care at the right time and place. A number of functions are critical to this work, including ensuring smooth care transitions to maximize continuity of care. Examples of strategies to improve care transitions include: a notification system between the health home and hospitals, nursing facilities, and residential/rehabilitation facilities to provide prompt communication of a beneficiary’s admission or discharge; and the active participation of the Health Home Care Coordinator in all phases of care transition, including in-person visits during hospitalizations or nursing home stays, post-hospital/institutional stay home visits, and telephone calls. To facilitate the delivery of person-centered health home services, health home providers must also work with beneficiaries and their caregivers to create a Health Action Plan. A Health Action Plan is a beneficiary-prioritized plan identifying what the beneficiary plans to do to improve her or his health; at least one beneficiary-prioritized goal; the actions the beneficiary is taking to achieve the goal; and the actions of the Health Home Care Coordinators (including the use of health, social or community resources and services that support the Health Action Plan). Washington delivers mental health services through a 1915(b) specialty managed care plan administered through the Regional Support Network...
Delivery Systems. All pipelines, powerlines and other fixtures and improvements to the Bayer Baytown Plant (including, without limitation, pipe racks and other related fixtures) that comprise the systems that are necessary to transport to or from the Battery Limits: (i) Ammonia to be used ***INDICATES CERTAIN INFORMATION IN THIS DOCUMENT WHICH HAS BEEN OMITTED FROM THIS PUBLIC FILING PURSUANT TO A REQUEST BY THE COMPANY FOR CONFIDENTIAL TREATMENT BY THE SECURITIES AND EXCHANGE COMMISSION. THE OMITTED INFORMATION HAS BEEN FILED SEPARATELY WITH THE SECRETARY OF THE SECURITIES AND EXCHANGE COMMISSION FOR PURPOSES OF SUCH REQUEST. in the Nitric Acid Facility; (ii) Utilities and Additives to be supplied to the Nitric Acid Facility, including water treatment sewers and pipelines; (iii) Nitric Acid produced at the Nitric Acid Facility; (iv) Excess Steam (as defined herein) and Condensate; and (v) Aqua Ammonia produced at the Nitric Acid Facility.
Delivery Systems. With respect to delivery of corn stored at FCE to the Mill, FCE shall at all times maintain all delivery systems necessary to deliver corn from FCE’s storage facilities to the Mill in good working and operating order and shall make all deliveries to the Mill at the time and in the amount as required by GFCEP.
Delivery Systems
