Common use of Key Staff Positions Clause in Contracts

Key Staff Positions. Key MCO personnel (e.g., owners, directors) must meet state requirements for experience, licensure, and other ownership requirements. The MCO must provide the Department with an organizational chart depicting the key staff positions in the Medicaid line of business by October 1st of each Contract year. The organizational chart must include the names, titles, and contact information for the following key staff positions or functions: Contract Liaison/Medicaid Administrator, Socially Necessary Services/Wraparound Services Liaison, Chief Financial Officer, Medical Director, Medical Management (Utilization Review/Care Management) Director, Quality Director, Member Services Director, Claims Payment Director, Provider Relations Director, Program Integrity Lead, Information Technology Director, and Community Engagement Specialist. The MCO must notify the Department in writing of changes in key staff positions when individuals either leave or fill these key positions within fourteen (14) calendar days of any change. The MCO must also provide an updated organizational chart within fourteen (14) calendar days of request. The Medical Director and the Director of Medical Management, or designee must respond to requests of the Department’s Medical Director or Contract Administrator within three (3) business days.

Appears in 2 contracts

Samples: Service Provider Agreement, Service Provider Agreement

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Key Staff Positions. Key MCO personnel (e.g., owners, directors) must meet state requirements for experience, licensure, and other ownership requirements. The MCO must provide the Department BMS with an organizational chart depicting the key staff positions in the Medicaid line of business by October 1st of each Contract year. The organizational chart must include the names, titles, and contact information for the following key staff positions or functions: the MCO’s Chief Executive Officer (CEO), Chief Financial Officer (CFO), Contract Liaison/Medicaid Administrator, Socially Necessary Services/Wraparound Services Liaison, Chief Financial Officer, Medical Director, Medical Management (Utilization Review/Care Management) Director, Quality Director, Member Services Director, Claims Payment Director, Provider Relations Director, Program Integrity Lead, Information Technology Director, Department Managers, and Community Engagement Specialistother staff specifically named in the application for certification. The MCO must notify the Department BMS in writing of changes in key staff positions when individuals either leave or fill these key positions within fourteen (14) calendar days of any change. The MCO must also provide an updated organizational chart within fourteen (14) calendar days of request. The Medical Director and the Director of Medical Management, or designee must respond to requests of the Department’s BMS’ Medical Director or Contract Administrator within three (3) business days.

Appears in 1 contract

Samples: Service Provider Agreement

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Key Staff Positions. Key MCO personnel (e.g., owners, directors) must meet state law requirements for experience, licensure, and other ownership requirements. The MCO must provide the Department with an organizational chart depicting the key staff positions in the Medicaid line of business by October 1st of each Contract year. The organizational chart must include the names, titles, and contact information for the following key staff positions or functions: Key Staff Contract Liaison/Medicaid Administrator, Socially Necessary Services/Wraparound Administrator Social Services Liaison, Director Chief Executive Officer (CEO) SNS Liaison Chief Financial Officer, Officer (CFO) Quality Director Medical Director, Director Enrollee Services Director Medical Management (Utilization Review/Care Management) Director, Quality Director, Member Services Director, Director Claims Payment Director, Provider Relations Director, Director Care Management Director Network Development Director Behavioral Health Medical Director Dental Director Program Integrity Lead, Lead Community Engagement Director Information Technology Director, and Community Engagement SpecialistDirector Medicaid Enrollee Advocate. The MCO must notify the Department in writing of changes in key staff positions when individuals either leave or fill these key positions within fourteen ten (1410) calendar days of any change. The MCO must also provide an updated organizational chart within fourteen ten (1410) calendar days of request. The Medical Director and the Director of Medical Management, All key staff or his or her designee must respond to requests of the Department’s Medical Director or Contract Administrator Department within three (3) business days.

Appears in 1 contract

Samples: Service Provider Agreement

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