GRANTEE RESPONSIBILITIES. To participate as a provider under this Grant Agreement, the Grantee must: 1.1 Ensure compliance with all obligations and contractual responsibilities of Grantee as set forth in the Grant Agreement, and comply with the Title V Maternal and Child Health Policy Manual, the System Agency request for applications (RFA) No. HHS0013927, and any changes to the policy manual made through the entirety of the Grant funding period. 1.2 Provide or assure the provision of child health and/or child dental services for Clients, including but not limited to screening and eligibility determination, direct clinical and/or dental services, laboratory services, and case management and appropriate referrals, as necessary. Grantee shall have an established referral relationship with a qualified provider for each approved service which it does not provide. 1.3 Submit a monthly voucher packet and corresponding billing strip, which include all services performed for the corresponding month, within thirty (30) calendar days after the end of the preceding month, according to the business requirements in the current Title V Maternal and Child Health Policy Manual (Policy Manual) which can be accessed at: xxxxx://xxx.xxx.xxxxx.xxx/providers/health-services-providers/title-v-maternal-child- health-fee-service-program. 1.4 Provide Title V Child Health and/or Dental Services in accordance with the Program Manual and in accordance with the terms of this Grant Agreement. 1.5 Provide services only to eligible individuals per the Policy Manual: Grantee shall follow requirements for presumptive eligibility and eligibility screening per the Policy Manual. A. Children and adolescents who would otherwise meet Title V eligibility requirements but lack the required documentation for full eligibility shall also be provided services on a short-term basis under presumptive eligibility guidelines, as outlined in the Program Manual. Individual Client eligibility shall be determined on an annual basis and at other times as necessary, based upon change in income; and B. Grantee will screen all Applicants for Title V eligibility and determine eligibility using a Title V program-approved screening process. Grantee shall update their eligibility screening process as needed when federal poverty level guidelines and eligibility determination forms are revised. 1.6 Notify the System Agency in writing if any clinic site operated by the Grantee information changes, e.g., changes in contact person, hours of operation, address, Texas Provider Identification (TPI) number, National Provider Identification (NPI) number, Unique Entity Identification (UEID) number, the closure, relocation, and/or opening of clinic site(s). 1.7 Comply with co-pay guidelines, as applicable per the Policy Manual. 1.8 Make reasonable efforts to investigate and apply for all other sources of third-party funding available to or identified by the Client before submitting claims for allowable costs. 1.9 Allow System Agency to conduct on-site and remote quality assurance reviews as deemed necessary by System Agency. Unsatisfactory review findings may result in implementation of Grant Agreement actions up to and including termination of the Grant Agreement. 1.10 Comply with all applicable federal and state laws, rules, regulations, standards, and guidelines, as amended, including but not limited to Title V of the Social Security Act, 42 USC § 701, et seq. 1.11 Have at least one (1) representative, responsible for training staff, participate in two (2) mandatory training sessions per state fiscal year on the Title V program, financial and policy requirements or a related subject, at the discretion of the System Agency. 1.12 Have at least one (1) representative sign and submit an Extranet and Data Security Agreement form for each staff person accessing the System -based applications (SharePoint site) to access program or Grant Agreement information. This Grantee representative will be responsible for disseminating information to program administrative and clinic staff, and data protection requirements. -based applications must have an Outlook or Microsoft Office 365 account. 1.13 Participate in all HHSC scheduled meetings to discuss the Project. 1.14 At least one (1) provider in network must have an active medical professional state license with a minimum of five (5) years of medical or dental practice experience respective to the program services they intend to provide. 1.15 All personnel and technicians assigned to provide Title V services must have all licenses and certifications required by applicable law. Applicable licenses and certifications must be current.
Appears in 13 contracts
Samples: Grant Agreement, Grant Agreement, Grant Agreement
GRANTEE RESPONSIBILITIES. To participate as a provider under this Grant Agreement, the Grantee must:
1.1 Ensure compliance with all obligations and contractual responsibilities of Grantee as set forth in the Grant Agreement, Agreement and comply with the Title V Maternal and Child Health Policy Manual, the System Agency request for applications (RFA) No. HHS0013927, HHS0013927 and any changes to the policy manual made through the entirety of the Grant funding period.
1.2 Provide or assure the provision of child health prenatal medical and/or child prenatal dental services for Clients, Clients including but not limited to screening and eligibility determination, direct clinical and/or dental services, laboratory services, and case management and appropriate referrals, as necessary. Grantee shall have an established referral relationship with a qualified provider for each approved service which it does not provide.
1.3 Submit a monthly voucher packet and corresponding billing strip, which include all services performed for the corresponding month, within thirty (30) calendar days after the end of the preceding month, according to the business requirements in the current Title V Maternal and Child Health Policy Manual (Policy Manual) which can be accessed at: xxxxx://xxx.xxx.xxxxx.xxx/providers/health-services-providers/title-v-maternal-child- health-fee-service-program.
1.4 Provide Title V Child Health Prenatal Maternal and/or Dental Services in accordance with the Program Policy Manual and in accordance with the terms of this Grant Agreement.
1.5 Provide services only to eligible individuals per the Policy Manual: . Grantee shall follow requirements for presumptive eligibility and eligibility screening per the Policy Manual.
A. Children and adolescents who would otherwise meet Title V eligibility requirements but lack the required documentation for full eligibility shall also be provided services on a short-term basis under presumptive eligibility guidelines, as outlined in the Program Manual. Individual Client eligibility shall be determined on an annual basis and at other times as necessary, based upon change in income; and
B. Grantee will screen all Applicants for Title V eligibility and determine eligibility using a Title V program-approved screening process. Grantee shall update their eligibility screening process as needed when federal poverty level guidelines and eligibility determination forms are revised.
1.6 Notify the System Agency in writing if any clinic site operated by the Grantee information changes, e.g., changes in contact person, hours of operation, address, Texas Provider Identification (TPI) number, National Provider Identification (NPI) number, Unique Entity Identification (UEID) number, the closure, relocation, and/or opening of clinic site(s).
1.7 Comply with co-pay guidelines, as applicable per the Policy Manual.
1.8 Make reasonable efforts to investigate and apply for all other sources of third-party funding available to or identified by the Client before submitting claims for allowable costs.
1.9 Allow System Agency to conduct on-site and remote quality assurance reviews as deemed necessary by System Agency. Unsatisfactory review findings may result in implementation of Grant Agreement actions up to and including termination of the Grant Agreement.
1.10 Comply with all applicable federal and state laws, rules, regulations, standards, and guidelines, as amended, including but not limited to Title V of the Social Security Act, 42 USC § 701, et seq.
1.11 Have at least one (1) representative, responsible for training staff, participate in two (2) mandatory training sessions per state fiscal year on the Title V program, financial and policy requirements requirements, or a related subject, at the discretion of the System Agency.
1.12 Have at least one (1) representative sign and submit an Extranet and Data Security Agreement form for each staff person accessing the System -based Administrator’s web-based applications (SharePoint site) to access program or Grant Agreement information. This Grantee representative will be responsible for disseminating information to program administrative and clinic staff, staff and ensuring compliance with System Agency’s data use and data protection requirements. -based All users of System Administrator’s web-based applications must have an Outlook or Microsoft Office 365 account.
1.13 Participate in all HHSC scheduled meetings to discuss the Project.
1.14 At least one (1) provider in network must have an active medical professional state license with a minimum of five (5) years of medical or dental practice experience respective to the program services they intend to provide.
1.15 All personnel and technicians assigned to provide Title V services must have all licenses and certifications required by applicable law. Applicable licenses and certifications must be current.
Appears in 12 contracts
Samples: Grant Agreement, Grant Agreement, Grant Agreement
GRANTEE RESPONSIBILITIES. To participate as a provider under this Grant Agreement, the Grantee must:
1.1 Ensure compliance with all obligations and contractual responsibilities of Grantee as set forth in the Grant Agreement, and comply with the Title V Maternal and Child Health Policy Manual, the System Agency request for applications (RFA) No. HHS0013927, and any changes to the policy manual made through the entirety of the Grant funding period.
1.2 Provide or assure the provision of child health and/or child dental services for Clients, including but not limited to screening and eligibility determination, direct clinical and/or dental services, laboratory services, and case management and appropriate referrals, as necessary. Grantee shall have an established referral relationship with a qualified provider for each approved service which it does not provide.
1.3 Submit a monthly voucher packet and corresponding billing strip, which include all services performed for the corresponding month, within thirty (30) calendar days after the end of the preceding month, according to the business requirements in the current Title V Maternal and Child Health Policy Manual (Policy Manual) which can be accessed at: xxxxx://xxx.xxx.xxxxx.xxx/providers/health-services-providers/title-v-maternal-child- health-fee-service-program.
1.4 Provide Title V Child Health and/or Dental Services in accordance with the Program Manual and in accordance with the terms of this Grant Agreement.
1.5 Provide services only to eligible individuals per the Policy Manual: Grantee shall follow requirements for presumptive eligibility and eligibility screening per the Policy Manual.. Attachment A, Statement of Work, Title V Child Health and/or Dental
A. Children and adolescents who would otherwise meet Title V eligibility requirements but lack the required documentation for full eligibility shall also be provided services on a short-term basis under presumptive eligibility guidelines, as outlined in the Program Manual. Individual Client eligibility shall be determined on an annual basis and at other times as necessary, based upon change in income; and
B. Grantee will screen all Applicants for Title V eligibility and determine eligibility using a Title V program-approved screening process. Grantee shall update their eligibility screening process as needed when federal poverty level guidelines and eligibility determination forms are revised.
1.6 Notify the System Agency in writing if any clinic site operated by the Grantee information changes, e.g., changes in contact person, hours of operation, address, Texas Provider Identification (TPI) number, National Provider Identification (NPI) number, Unique Entity Identification (UEID) number, the closure, relocation, and/or opening of clinic site(s).
1.7 Comply with co-pay guidelines, as applicable per the Policy Manual.
1.8 Make reasonable efforts to investigate and apply for all other sources of third-party funding available to or identified by the Client before submitting claims for allowable costs.
1.9 Allow System Agency to conduct on-site and remote quality assurance reviews as deemed necessary by System Agency. Unsatisfactory review findings may result in implementation of Grant Agreement actions up to and including termination of the Grant Agreement.
1.10 Comply with all applicable federal and state laws, rules, regulations, standards, and guidelines, as amended, including but not limited to Title V of the Social Security Act, 42 USC § 701, et seq.
1.11 Have at least one (1) representative, responsible for training staff, participate in two (2) mandatory training sessions per state fiscal year on the Title V program, financial and policy requirements or a related subject, at the discretion of the System Agency.
1.12 Have at least one (1) representative sign and submit an Extranet and Data Security Agreement form for each staff person accessing the System -based Administrator’s web-based applications (SharePoint site) to access program or Grant Agreement information. This Grantee representative will be responsible for disseminating information to program administrative and clinic staff, and ensuring compliance with System Agency’s data use and data protection requirements. -based All users of System Administrator’s web-based applications must have an Outlook or Microsoft Office 365 account.
1.13 Participate in all HHSC scheduled meetings to discuss the Project.
1.14 At least one (1) provider in network must have an active medical professional state license with a minimum of five (5) years of medical or dental practice experience Attachment A, Statement of Work, Title V Child Health and/or Dental respective to the program services they intend to provide.
1.15 All personnel and technicians assigned to provide Title V services must have all licenses and certifications required by applicable law. Applicable licenses and certifications must be current.
Appears in 6 contracts
Samples: Grant Agreement, Grant Agreement, Grant Agreement