Common use of HEALTH PLAN ADMINISTRATION Clause in Contracts

HEALTH PLAN ADMINISTRATION. The Contractor agrees to maintain sufficient administrative staff and organizational components to comply with all program standards described herein. At a minimum, the Contractor agrees to include each of the functions noted herein. The Contractor agrees to staff qualified persons in numbers appropriate to its size of enrollment. The Contractor may combine functions or split the responsibility for a function across multiple departments, if it can demonstrate that the duties of the function are being carried out. Similarly, the Contractor may contract with a third party (subcontractor) to perform one or more of these functions, subject to the subcontractor conditions described in this Agreement.

Appears in 13 contracts

Samples: Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement

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HEALTH PLAN ADMINISTRATION. The Contractor agrees to maintain sufficient administrative staff and organizational components to comply with all program standards described herein. At a minimum, the Contractor agrees to include each of the functions noted hereinin Sections 2.03.01 and 2.03.02 below. The Contractor agrees to staff qualified persons in numbers appropriate to its size of enrollment. The Contractor may combine functions or split the responsibility for a function across multiple departments, if as long as it can demonstrate that the duties of the function are being carried out. Similarly, the Contractor may contract with a third party (subcontractor) to perform one or more of these functions, subject to the subcontractor conditions described in this Section 3.05.05 of the Agreement.

Appears in 1 contract

Samples: Medicaid Managed Integrated Adult Care Services Agreement

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