Independent Medical. Should the Board require from an employee an independent medical opinion, the choice of medical practitioner shall be mutually agreeable to the Board and the Union. It is understood that the Board will bear the cost for such medical assessment. The member shall receive a copy of the IME report.
Independent Medical. Should it become apparent at any time that a pattern of absence is developing, the Employer may request that an employee undergo an independent medical examination or that further medical evidence acceptable to the Employer be furnished to substantiate any period of absence claimed to be illness. The Employer is responsible for all costs included under this clause. Employees who are required to undergo such examination will continue to be paid further sick leave subject to section only if the physician has indicated that the employee's medical condition necessitates frequent absences. When no chronic medical problem is indicated, further payment of sick leave shall cease for the remainder of the calendar year. When it is not possible for employees to arrange medical, dental and/or optical appointments, or attend funerals outside their regular hours of work, employees who normally work a five day work week will be granted a maximum of ten hours with pay per calendar year over and above the provisions laid out in section to be used for medical, dental optical appointments, or to attend funerals only. Employees who normally work a four day work week will be granted a maximum of eight hours with pay per calendar year over and above the provisions laid out in section for medical, dental and/or optical appointments, or to attend funerals only. A maximum period of four hours will be granted for each appointment If in the current calendar year an employee has been granted the working shifts of paid leave as defined in section and has utilized the maximum allowance for medical, dental and/or optical appointments, or funerals as defined in section further leave payments beyond those listed shall be reduced to percent of the employee's regular pay for each hour of leave taken for the remainder of the calendar year.
Independent Medical. CLINICAL JUDGEMENT 8 Provider shall exercise independent medical/clinical judgment and control over its 9 professional services. Nothing herein shall give North Sound BH-ASO, MCO, or HCA 10 authority over Provider’s medical judgment or direct the means by which they practice 11 within the scope of their licensed, certified, and/or registered practice. Provider retains 12 sole responsibility for its relationship with each individual it treats, and for the quality of 13 behavioral health care services provided to its individuals. Provider is solely responsible to 14 each of its individuals for care provided.
Independent Medical. Review In accordance with 42 CFR 438.204(d), the Agency will provide for an independent review of all Medicaid services provided or arranged by the Contractor. The Contractor shall provide information necessary for the review based upon the requirements of the Agency or the Agency’s independent peer review contractor. The information will include quality outcomes concerning timeliness of, and access to, services covered under the contract. The review will be performed at least annually by an entity outside state government. If the medical audit indicates that quality of care is unacceptable pursuant to contractual requirements, the Agency and the Department may restrict the Contractor’s enrollment activities pending attainment of acceptable quality of care.
