HCA shall Sample Clauses

HCA shall. (1) Pay the Contractor for Costs reported on each A19-1A, properly completed and submitted in accordance with the Schedule under Subsection 4, i, (4).
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HCA shall. Establish and maintain Member eligibility and enrollment information and transfer eligibility and enrollment information to the CONTRACTOR to ensure appropriate enrollment in and assignment to the CONTRACTOR. This information shall be transferred electronically. The CONTRACTOR shall have the right to rely on eligibility and enrollment information transmitted to the CONTRACTOR by HCA. Each Party shall notify the other of possible errors or problems as soon as reasonably possible; Support implementation deadlines by providing technical information at the required level of specificity in a timely fashion; Provide the CONTRACTOR with enrollment information concerning each Member enrolled with the CONTRACTOR, including the Member’s name, Social Security number, address, telephone number, date of birth, gender, the availability of third-party coverage, rate category, and the State-assigned identification number; Compensate the CONTRACTOR as specified in Section 6 of this Agreement; Provide a mechanism for Fair Hearings; Conduct review and monitoring activities, as needed, to meet CMS, SAMHSA or other federal requirements for State oversight responsibilities; Monitor the effectiveness of the CONTRACTOR’s QM/QI programs; Review the CONTRACTOR’s Grievance files, as necessary; Provide Members with specific information about services, benefits, MCOs from which to choose, and Member enrollment; Provide the content, format, and schedule for the CONTRACTOR’s report submissions; Provide the CONTRACTOR with specifications related to data reporting requirements; Ensure that no requirement or specification established or provided by HCA under this section conflicts with requirements or specifications established pursuant to HIPAA and the regulations promulgated there under. All requirements and specifications established or provided by HCA under this section shall comply with the requirements of Section 5.2 of this Agreement; and Cooperate with the CONTRACTOR in the CONTRACTOR’s efforts to achieve compliance with HIPAA requirements. The CONTRACTOR shall be held harmless for implementation delays when the CONTRACTOR bears no responsibility for the cause of the delay. HCA and/or its fiscal agent shall implement electronic data standards for transactions related to managed health care. In the event that HCA and/or its fiscal agent requests that the CONTRACTOR, or its Subcontractors, Major Subcontractors, or Contract Providers deviate from or provide information in addition to ...
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Related to HCA shall

  • Emergency Manager An emergency manager appointed under the local government and school district fiscal accountability act, 2011 PA 4, MCL 141.1501 to 141.1531, may reject, modify, or terminate this collective bargaining agreement as provided in the local government and school district fiscal accountability act, 2011 PA 4, MCL 141.1501 to 141.1531.

  • Level Two - Superintendent If the aggrieved person is not satisfied with the disposition of his/her grievance at Level One, or if no decision is reached within six (6) school days after the grievance was referred to the building principal or immediate supervisor, then within ten (10) school days a written grievance shall be referred to the Superintendent. A decision shall be rendered by the Superintendent within ten (10) school days after its presentation.

  • Best Management Practices 1. Contractor shall conduct operations under this Contract so as to assure that pollutants do not enter municipal storm drain systems which systems are comprised of, but are not limited to curbs and gutters that are part of the street systems ("Stormwater Drainage System"), and to ensure that pollutants do not directly impact "Receiving Waters" (as used herein, Receiving Waters include, but are not limited to, rivers, creeks, streams, estuaries, lakes, harbors, bays and oceans).

  • Union-Management Committee There shall be a union/management committee comprised of four (4) employee representatives appointed by the Union and four (4) employer representatives. The Committee's purpose is to provide and promote effective and meaningful communication of information and ideas and to make joint recommendations on matters of concern. Matters that are properly the subject of an individual grievance will not be discussed at this committee. The Committee will meet quarterly, unless agreed otherwise, at a time and place mutually agreed to provided there is business for their joint consideration. The parties will exchange agenda items at least one (1) week prior to the meeting. The parties further agree the Committee may meet at any time its members mutually agree a meeting should be held. The duties of the Chairperson will be shared by the parties. Copies of the minutes shall be provided to Committee members. The employer agrees to pay for time spent during regular working hours for representatives of the union attending such meetings. The parties may utilize video or teleconferencing services for the purposes of committee members attending committee meetings, where appropriate and available. Neither party can unreasonably deny an initiative to utilize video or teleconferencing services.

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