Initial Contact--Identification of Enrollees with Special Health Care Needs Sample Clauses

Initial Contact--Identification of Enrollees with Special Health Care Needs. (A) The Contractor shall establish a policy which shall be used by Contractor’s representative during the initial contact to identify children and adults with Special Health Care Needs, and to identify persons who need LTSS, to the extent the LTSS are Covered Services under this Contract. (B) During the initial contact, the Contractor’s representative shall clearly describe to each Enrollee the process for requesting specialist care. (C) When an Enrollee is identified as having Special Health Care Needs, the Contractor’s representative shall forward this information to a Contractor’s individual with knowledge of coordination of care, case management services, and other services necessary for such Enrollees. The Contractor’s individual with knowledge of coordination of care for Enrollees With Special Health Care Needs shall make a good faith effort to contact such Enrollees within ten working days after identification to begin coordination of health care needs, if necessary. (D) The Department’s Health Program Representatives will forward information, including risk assessments, that identify Enrollees With Special Health Care Needs and limited language proficiency needs to the Contractor. Such information will coincide with the daily Eligibility Transmission whenever possible.
AutoNDA by SimpleDocs
Initial Contact--Identification of Enrollees with Special Health Care Needs. (A) The Contractor shall establish a policy which shall be used by Contractor’s representative during the initial contact to identify children and adults with Special Health Care Needs. (B) During the initial contact, the Contractor’s representative shall clearly describe to each Enrollee the process for requesting specialist care. (C) When an Enrollee is identified as having Special Health Care Needs, the Contractor’s representative shall forward this information to a Contractor’s individual with knowledge of coordination of care, case management services, and other services necessary for such Enrollees. The Contractor’s individual with knowledge of coordination of care for Enrollees with Special Health Care Needs shall make a good faith effort to contact such Enrollees within ten working days after identification to begin coordination of dental care needs, if necessary. (D) The Department’s Health Program Representatives will document information, including risk assessments that identify Enrollees with Special Health Care Needs and limited language proficiency needs. Such information will coincide with the daily Eligibility Transmission whenever possible. The Contractor shall be responsible for accessing this information on the Medicaid Managed Care System (MMCS).
Initial Contact--Identification of Enrollees with Special Health Care Needs. (A) The Contractor shall establish a policy which shall be used by Contractor’s representatives during the initial contact to identify Enrollees with Special Health Care Needs. (B) During the initial contact, the Contractor’s representative shall clearly describe to each Enrollee the process for requesting specialist care. (C) When an Enrollee is identified as having Special Health Care Needs, the Contractor’s representative shall forward this information to a Contractor designated individual with knowledge of coordination of care, case management services, and other services necessary for such Enrollees. The Contractor’s designated individual, with knowledge of coordination of care for Enrollees with Special Health Care Needs, shall make a good faith effort to contact such Enrollee within ten working days after identification to begin coordination of health care needs, as necessary.

Related to Initial Contact--Identification of Enrollees with Special Health Care Needs

  • Non-Identification Approved Users agree not to use the requested datasets, either alone or in concert with any other information, to identify or contact individual participants from whom data and/or samples were collected. Approved Users also agree not to generate information (e.g., facial images or comparable representations) that could allow the identities of research participants to be readily ascertained. These provisions do not apply to research investigators operating with specific IRB approval, pursuant to 45 CFR 46, to contact individuals within datasets or to obtain and use identifying information under an 2 The project anniversary date can be found in “My Projects” after logging in to the dbGaP authorized-access portal. IRB-approved research protocol. All investigators including any Approved User conducting “human subjects research” within the scope of 45 CFR 46 must comply with the requirements contained therein.

  • Please see the current Washtenaw Community College catalog for up-to-date program requirements Conditions & Requirements

  • Type and Jurisdiction of Organization, Organizational and Identification Numbers The type of entity of such Grantor, its state of organization, the organizational number issued to it by its state of organization and its federal employer identification number are set forth on Exhibit A.

  • Certification Regarding Business with Certain Countries and Organizations Pursuant to Subchapter F, Chapter 2252, Texas Government Code, PROVIDER certifies it is not engaged in business with Iran, Sudan, or a foreign terrorist organization. PROVIDER acknowledges this Purchase Order may be terminated if this certification is or becomes inaccurate.

  • Partnership Formation and Identification 6 2.1 Formation............................................................................................ 6 2.2 Name, Office and Registered Agent.................................................................... 6 2.3 Partners............................................................................................. 6 2.4

  • Information Technology Accessibility Standards Any information technology related products or services purchased, used or maintained through this Grant must be compatible with the principles and goals contained in the Electronic and Information Technology Accessibility Standards adopted by the Architectural and Transportation Barriers Compliance Board under Section 508 of the federal Rehabilitation Act of 1973 (29 U.S.C. §794d), as amended. The federal Electronic and Information Technology Accessibility Standards can be found at: xxxx://xxx.xxxxxx-xxxxx.xxx/508.htm.

  • Identification of Goods Identification of the goods shall not be deemed to have been made until both Buyer and Seller have agreed that the goods in question are to be appropriate to the performance of this Agreement.

  • Substance Abuse Treatment Information Substance abuse treatment information shall be maintained in compliance with 42 C.F.R. Part 2 if the Party or subcontractor(s) are Part 2 covered programs, or if substance abuse treatment information is received from a Part 2 covered program by the Party or subcontractor(s).

  • CFR Part 200 or Federal Provision - Xxxx Anti-Lobbying Amendment - Continued If you answered "No, Vendor does not certify - Lobbying to Report" to the above attribute question, you must download, read, execute, and upload the attachment entitled "Disclosure of Lobbying Activities - Standard Form - LLL", as instructed, to report the lobbying activities you performed or paid others to perform. Compliance with all applicable standards, orders, or requirements issued under section 306 of the Clean Air Act (42 U.S.C. 1857(h)), section 508 of the Clean Water Act (33 U.S.C. 1368), Executive Order 11738, and Environmental Protection Agency regulations (40 CFR part 15). (Contracts, subcontracts, and subgrants of amounts in excess of $100,000) Pursuant to the above, when federal funds are expended by ESC Region 8 and TIPS Members, ESC Region 8 and TIPS Members requires the proposer certify that in performance of the contracts, subcontracts, and subgrants of amounts in excess of $250,000, the vendor will be in compliance with all applicable standards, orders, or requirements issued under section 306 of the Clean Air Act (42 U.S.C. 1857(h)), section 508 of the Clean Water Act (33 U.S.C. 1368), Executive Order 11738, and Environmental Protection Agency regulations (40 CFR part 15). Does vendor certify compliance? Yes

  • CERTIFICATION PROHIBITING DISCRIMINATION AGAINST FIREARM AND AMMUNITION INDUSTRIES (Texas law as of September 1, 2021) By submitting a proposal to this Solicitation, you certify that you agree, when it is applicable, to the following required by Texas law as of September 1, 2021: If (a) company is not a sole proprietorship; (b) company has at least ten (10) full-time employees; (c) this contract has a value of at least $100,000 that is paid wholly or partly from public funds; (d) the contract is not excepted under Tex. Gov’t Code § 2274.003 of SB 19 (87th leg.); and (e) governmental entity has determined that company is not a sole-source provider or governmental entity has not received any bids from a company that is able to provide this written verification, the following certification shall apply; otherwise, this certification is not required. Pursuant to Tex. Gov’t Code Ch. 2274 of SB 19 (87th session), the company hereby certifies and verifies that the company, or association, corporation, partnership, joint venture, limited partnership, limited liability partnership, or limited liability company, including a wholly owned subsidiary, majority-owned subsidiary parent company, or affiliate of these entities or associations, that exists to make a profit, does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association and will not discriminate during the term of this contract against a firearm entity or firearm trade association. For purposes of this contract, “discriminate against a firearm entity or firearm trade association” shall mean, with respect to the entity or association, to: “ (1) refuse to engage in the trade of any goods or services with the entity or association based solely on its status as a firearm entity or firearm trade association; (2) refrain from continuing an existing business relationship with the entity or association based solely on its status as a firearm entity or firearm trade association; or (3) terminate an existing business relationship with the entity or association based solely on its status as a firearm entity or firearm trade association. See Tex. Gov’t Code § 2274.001(3) of SB 19. “Discrimination against a firearm entity or firearm trade association” does not include: “ (1) the established policies of a merchant, retail seller, or platform that restrict or prohibit the listing or selling of ammunition, firearms, or firearm accessories; and (2) a company’s refusal to engage in the trade of any goods or services, decision to refrain from continuing an existing business relationship, or decision to terminate an existing business relationship to comply with federal, state, or local law, policy, or regulations or a directive by a regulatory agency, or for any traditional business reason that is specific to the customer or potential customer and not based solely on an entity’s or association’s status as a firearm entity or firearm trade association.” See Tex. Gov’t Code § 2274.001(3) of SB 19.

Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!