Functions and Duties of County Sample Clauses
Functions and Duties of County. In consideration of promises of the Department contained in this Contract, the County shall:
A. PROVISION OF CONTRACT SERVICES----
1. Promptly provide or arrange for the provision of all services as described in this Contract attached hereto and included herein.
2. Be liable, when emergencies and County referrals to out-of-area or non-affiliated providers occur, for payment only to the extent that Medicaid pays, including Medicare deductibles, or would pay its fee-for-service providers for services to BadgerCare Plus – Standard Plan members. For outpatient hospital services the Department will provide each managed care program per diem outpatient rates based on the BadgerCare Plus fee-for-service equivalent. This condition does not apply to:
(1) Cases where prior payment arrangements were established; and
(2) Specific subcontract agreements. The County is not required to make retroactive payment adjustments consistent with the Wisconsin BadgerCare Plus Maximum Allowable Fee Schedule and hospital reimbursement made by the State of Wisconsin for fee-for-service providers, including but not limited to, payments for inpatient and outpatient hospital services. Changes to BadgerCare Plus-covered services mandated by federal or state law subsequent to the signing of this Contract will not affect the Contract services for the term of this Contract, unless agreed to by mutual consent, or the change is necessary to continue receiving federal funds or due to the action of a court of law. The Department may incorporate into the Contract any change in covered services mandated by federal or state law into the Contract effective the date the law goes into effect, if it adjusts the capitation rate accordingly. The Department will give the County at least 30 days notice before the intended effective date of any such change that reflects service increases and the County may elect to accept or reject the service increases for the remainder of that Contract year. The Department will give the County 60-day notice of any such change that reflects service decreases, with a right of the County to dispute the amount of the decrease within those 60 days. The County has the right to accept or reject service decreases for the remainder of the Contract year. The date of implementation of the change in coverage will coincide with the effective date of the increased or decreased funding. This section does not limit the Department’s ability to modify this Contract due to changes in Stat...
Functions and Duties of County. Section 3.38 Information and Cyber Security shall be added to the Contract as follows:
Functions and Duties of County