Frequency of Assessments Sample Clauses

Frequency of Assessments. The Contractor must: a. Record the results of all assessments in the Centralized Enrollee Record and communicate the results to the Enrollee’s Provider Network in a timely manner; and b. Perform Ongoing Assessments of each Enrollee’s needs: 1) At least once every six months, or 2) For Enrollees who require Complex Care, at least quarterly and performed by a member of the Enrollee’s PCT, or 3) Whenever an Enrollee experiences a major change that is: a) Not temporary; b) Impacts more than one area of health status; and c) Requires interdisciplinary review or revision of the Individualized Plan of Care. 4) The Contractor shall have a process in place to verify Enrollee receipt of services for which Providers have billed the Contractor. This verification of covered services shall be documented in the Centralized Enrollee Record in accordance with Section 2.4.A.8.m.
Sample 1
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Frequency of Assessments. At Enrollment The Contractor shall complete a Comprehensive Assessment within thirty (30) calendar days of each Enrollee’s Effective Enrollment Date. The Contractor shall make subsequent attempts beyond the thirty (30) days if the initial attempt to contact the Enrollee is unsuccessful. The Contractor shall incorporate the following into their policies and procedures for unreachable Enrollees: The Contractor shall submit a weekly no contact list to EOHHS outlining frequency and type of outreach efforts, The Contractor’s Medical Director or designee shall review past and/or current claims utilization to find provider(s) and/or pharmacies connected to the Enrollee, and The Contractor shall notify EOHHS of Enrollees who remain unreachable after 180 days, have not actively participated in Care Coordination, Assessment and Care Planning, and who have no claims for physical and/or behavioral health treatment. With the Member’s consent, the Contractor may complete the assessment in advance of the Effective Enrollment Date for new SCO program Enrollees. For Enrollees participating in the Frail Elder Waiver, the assessment at the time of enrollment is completed by an ASAP RN. The Contractor is not required to conduct a new Comprehensive Assessment for individuals who were enrolled in the Contractor’s SCO Plan prior to January 1, 2026, and for whom that Comprehensive Assessment is still current. Ongoing The Contractor shall complete Comprehensive Assessments for all Enrollees to identify all of an Enrollee’s needs, and to evaluate and identify Complex Care needs: For all Enrollees, at least once every six months; At least quarterly for Enrollees who require Complex Care; More frequently when indicated by the condition identified; or Whenever an Enrollee experiences a major change that is: Not temporary or episodic; Impacts more than one area of health status; and Requires interdisciplinary review or revision of the Individualized Care Plan. Approach
Sample 1
Frequency of Assessments 
Sample 1

Related to Frequency of Assessments

  • Frequency of Evaluation Long form employees shall be evaluated at least one (1) time each year, which evaluation shall be completed no later than June 1.

  • Sufficiency of Assets The Assets (a) constitute all of the assets, tangible and intangible, of any nature whatsoever, necessary to operate the Business in the manner presently operated by Seller, and (b) include all of the operating assets of Seller.

  • Review of assessment The assessment of the applicable percentage should be subject to annual review or earlier on the basis of a reasonable request for such a review. The process of review shall be in accordance with the procedures for assessing capacity under the Supported Wage System.

  • Frequency of Meetings DBCT Management and the User acknowledge that it is intended that the User Committee meet on a quarterly basis and at such further times as participants in the User Committee agree.

  • Condition and Sufficiency of Assets The buildings, plants, structures, and equipment of the Acquired Companies are structurally sound, are in good operating condition and repair, and are adequate for the uses to which they are being put, and none of such buildings, plants, structures, or equipment is in need of maintenance or repairs except for ordinary, routine maintenance and repairs that are not material in nature or cost. The building, plants, structures, and equipment of the Acquired Companies are sufficient for the continued conduct of the Acquired Companies' businesses after the Closing in substantially the same manner as conducted prior to the Closing.

  • Scope of Project i. The work to be per formed under the terms of this Agreement for the Rapid City Metropolitan Transportation Planning Process will be conducted in accordance with the CY 2019 Unified Planning Work Program incorporated in this Agreement by reference as Attachment D. ii. The Sub-Recipient’s Responsibilities:

  • Title to and Sufficiency of Assets Each Target Company has good and marketable title to, or a valid leasehold interest in or right to use, all of its assets, free and clear of all Liens other than (a) Permitted Liens, (b) the rights of lessors under leasehold interests, (c) Liens specifically identified on the balance sheet as of the Interim Balance Sheet Date included in the Company Financials and (d) Liens set forth on Schedule 4.17. The assets (including Intellectual Property rights and contractual rights) of the Target Companies constitute all of the material assets, rights and properties that are currently used in the operation of the businesses of the Target Companies as it is now conducted or that are used or held by the Target Companies for use in the operation of the businesses of the Target Companies, and taken together, are adequate and sufficient for the operation of the businesses of the Target Companies as currently conducted.

  • COMPTROLLER’S REPORT ON CHAPTER 313 AGREEMENTS During the term of this Agreement, both Parties shall provide the Comptroller with all information reasonably necessary for the Comptroller to assess performance under this Agreement for the purpose of issuing the Comptroller’s report, as required by Section 313.032 of the TEXAS TAX CODE.

  • Solvency of Customers Each Customer, to the best of each Borrower’s knowledge, as of the date each Receivable is created, is and will be solvent and able to pay all Receivables on which the Customer is obligated in full when due or with respect to such Customers of any Borrower who are not solvent such Borrower has set up on its books and in its financial records bad debt reserves adequate to cover such Receivables.

  • Maintenance of Assets The failure by Borrower to maintain any material intellectual property rights, personal, real property or other assets which are necessary to conduct its business (whether now or in the future).

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