Documentation Requirements. ODM shall pay the MCP after it receives sufficient documentation, as determined by ODM, detailing the MCP’s Ohio Medicaid-specific liability for the Annual Fee. The MCP shall provide documentation that includes the following:
1. Total premiums reported on IRS Form 8963;
Documentation Requirements. 10.1. CONTRACTOR will follow all documentation requirements as specified in Sections 10-16 below, inclusive in compliance with federal, state and COUNTY requirements.
10.2. All CONTRACTOR documentation shall be accurate, complete, and legible, shall list each date of service, and include the face-to-face time for each service. CONTRACTOR shall document travel and documentation time for each service separately from face-to-face time and provide this information to COUNTY upon request. Services must be identified as provided in-person, by telephone, or by telehealth.
10.3. All services shall be documented utilizing COUNTY-approved templates and contain all required elements. CONTRACTOR agrees to satisfy the chart documentation requirements set forth in BHIN 22-019 and the contract between COUNTY and DHCS. Failure to comply with documentation standards specified in this Article require corrective action plans.
Documentation Requirements. The CEO may require an employee to produce documentary evidence of the need for compassionate leave.
Documentation Requirements. (a) An employee must apply for personal leave in the form required by the CEO as soon as it is reasonably practicable for the employee to make the application.
(b) Subject to clause 56.8(d), to assist the CEO to determine if the leave taken, or to be taken, was or is for one of the reasons set out in clause 56.2(a) (sick leave), an employee must, as soon as reasonably practicable provide the CEO with the following documentary evidence:
(i) a medical certificate from a registered health practitioner; or
(ii) if it is not reasonably practicable for the employee to access a registered health practitioner to obtain a medical certificate for reasons that include because they reside outside an urban area or for any other reason approved by the CEO, a statutory declaration may be submitted in writing detailing:
A. the reasons why it was not practicable to provide a medical certificate; and
B. the reason for and length of the absence.
(c) Subject to clause 56.8(d), to assist the CEO to determine if the leave taken, or to be taken, was or is for one of the reasons set out in clause 56.2(b) (carer’s leave), an employee must, as soon as reasonably practicable, provide the CEO with:
(i) evidence which may include a medical certificate from a registered health practitioner stating the condition of the person concerned and that the condition requires the employee’s care or support to the extent that they will not be able to attend for duty; or
(ii) other relevant documentary evidence stating the unexpected emergency and that this unexpected emergency required the employee’s care or support.
(iii) A CEO may request further additional evidence about the requirement to provide care or support where the employee is on personal leave.
(d) An employee may access personal leave without providing documentary evidence, up to a maximum of five days or the equivalent number of hours of duty per personal leave year, provided that no more than three of those days may be consecutive working days or the equivalent number of hours of duty.
Documentation Requirements. Physician agrees to comply with all federal and state laws, regulations, and requirements for documentation by teaching physicians for the purposes of billing third party payers.
Documentation Requirements. Each Borrower Party shall provide notice to Administrative Agent of the transfer of the Membership Interest of (x) in the case of a Borrowing Base Investor, prior to the transfer of such Membership Interest, (y) in the case of a non-Borrowing Base Investor with Capital Commitments of $3,000,000 or greater, promptly after the transfer of such Membership Interest and (z) in the case of a non-Borrowing Base Investor with Capital Commitments of less than $3,000,000, concurrently with the delivery of financial statements pursuant to Section 9.01(a) and 9.01(b) in the accompanying Compliance Certificate. Each Borrower Party shall require that, except at such times as otherwise provided for herein, (i) any Person admitted as a substitute or new Investor (whether due to a transfer by an existing Investor or otherwise) (a “Subsequent Investor”) shall provide Administrative Agent with a copy of such Investor’s duly executed Subscription Agreement and Side Letter, if any; and (ii) any existing Investor that is a transferee from another Investor shall provide the applicable transfer documentation with respect to any increase in its Capital Commitment relating to such transfer.
Documentation Requirements. MCP and MHP and DMC-ODS must retain all documents demonstrating compliance with this MOU for at least ten (10) years as required by the Medi-Cal Managed Care Contract and the MHP Contract and DMC-ODS Intergovernmental Agreement. If DHCS requests a review of any existing MOU, the Party that received the request must submit the requested MOU to DHCS within 10 Working Days of receipt of the request.
Documentation Requirements. Contractors must maintain records documenting compliance with ECEAP Performance Standards. The following documents are subject to review by the State ECEAP Office and the State Auditor’s Office. When ECEAP Program Reviews (A-9) occur in September through December, contractors must provide documentation from the previous school year. Records may be kept in the contractor’s main office or at service sites, as appropriate for each type of documentation. Contractors must retain records for the minimum times listed below for state review processes. Contractors are encouraged to seek legal counsel regarding longer retention of records related to potential legal or liability issues.
Documentation Requirements. (A) The Contractor shall document:
(1) The date and time of all Initial Contacts;
(2) Whether the Initial Contacts requiring Emergency Services are by telephone or on a walk-in basis;
(i) the date and time of 30-minute follow-up clinical screenings for emergencies;
(ii) the date and time of the emergent initial face-to-face appointment offered (if applicable); and
(iii) the date and time of the Urgent and Non-Urgent initial appointment offerings;
(3) Whether the Contractor is able to offer a first face-to-face service within the required timeframe and, if not, the reason;
(i) if the Contractor cannot offer the first face-to-face service within the required timeframe, this constitutes and Action if the Enrollee is not satisfied with waiting beyond the required timeframe. If applicable, the Contractor shall send the Enrollee a Notice of Action at the time it is determined that the Contractor cannot offer an appointment within the performance standards;
(4) The status of scheduled first face-to-face appointments: if they are kept, broken, cancelled and/or rescheduled by the Enrollee, or rescinded and rescheduled by the Contractor due to Contractor limitations and the date of any rescheduled appointments.
(i) If the Contractor must rescind and reschedule a previously offered and scheduled appointment for the first face-to-face service, and as a result will exceed the required timeframe, this constitutes an Action if the Enrollee is not satisfied with waiting beyond the required timeframe.
(ii) If applicable, the Contractor shall send the Enrollee a Notice of Action at the time it is determined the Contractor cannot meet the performance standard.
(B) The Contractor shall maintain documentation of the performance and report performance when requested by the Department using the Department’s report template.
Documentation Requirements. (A) The Contractor shall provide the Department adequate assurances and supporting documentation that demonstrates the Contractor has the capacity to serve the expected enrollment in its Service Area with the Department’s standards for access to care.
(B) The Contractor shall provide the Department documentation, in a format specified by the Department, that the Contractor offers an appropriate range of mental health and substance use services that is adequate for the anticipated number of Enrollees for the Service Area, maintains a network of Participating Providers that is sufficient in number, mix and geographic distribution to meet the anticipated number of Enrollees in the Service Area.
(C) The Contractor shall submit to the Department the documentation assuring adequate capacity and services in the Department specified format no less frequently than:
(1) at the time it enters into a contract with the Department;
(2) at any time there has been a significant change (as defined by the Department) in the Contractor’s operations that would affect adequate capacity and services including changes in services, benefits, geographic Service Area or payments, or enrollment of a new population in the Health Plan.
