General Standards. (A) The Contractor must have sufficient operating staff to comply with the terms of this Contract. At minimum, the Contractor must be able to identify qualified staff in the following areas: (1) Executive management with clear oversight authority for all other functions; (2) Medical Director’s Office; (3) Accounting and Budgeting function (4) Member Services Function (5) Provider Services Function (6) Medical Management function, including quality assurance and utilization review; (7) Enrollee and Provider complaint and grievance resolution function; (8) Management of Contractor’s information system. (B) The Contractor shall plan for increased workload during periods of increased CHIP marketing and outreach.
Appears in 6 contracts
Samples: Chip Dentaquest Amendment 2, Chip Select Health Amendment 1, Chip Premier Access Dental Contract Amendment 2
