Common use of Licensure and Accreditation Clause in Contracts

Licensure and Accreditation. The CONTRACTOR must have the appropriate licenses in the State to do risk-based contracting through a managed care network of Providers as provided for in the New Mexico Insurance Code, XXXX 0000, Chapter 59A et seq., valid at least six (6) months prior to the Go-Live date. 3.1.1.1 The CONTRACTOR shall be either: (i) National Committee for Quality Assurance (NCQA) accredited in the State of New Mexico or (ii) accredited in another state where the CONTRACTOR currently provides Medicaid services and initiates the NCQA accreditation process for the State of New Mexico upon notice of award and achieves New Mexico NCQA accreditation within one (1) year from Go-Live. The CONTRACTOR shall provide HSD the current and each reoccurring NCQA accreditation award letter, the Accreditation Certificate, Accreditation Summary Report and the HEDIS Score Sheet within thirty (30) Calendar Days of receipt. 3.1.1.2 To the extent the CONTRACTOR is in active pursuit of NCQA accreditation in the State of New Mexico, HSD reserves the right to request additional information regarding the CONTRACTOR’s progress in achieving NCQA accreditation in New Mexico. 3.1.1.3 Failure to meet the accreditation requirements in this Section and/or failure to maintain accreditation throughout the term of this Agreement shall be considered a breach of this Agreement and may be subject to remedies for violation of, breach of, or noncompliance with Contract as described in Section 7.6 of this Agreement.

Licensure and Accreditation. The CONTRACTOR must have the appropriate licenses in the State to do risk-based contracting through a managed care network of Providers as provided for in the New Mexico Insurance Code, XXXX 0000NMSA 1978, Chapter 59A et seq., valid at least six (6) months prior to the Go-Live date. 3.1.1.1 The CONTRACTOR shall be either: (i) National Committee for Quality Assurance (NCQA) accredited in the State of New Mexico or (ii) accredited in another state where the CONTRACTOR currently provides Medicaid services and initiates the NCQA accreditation process for the State of New Mexico upon notice of award and achieves New Mexico NCQA accreditation within one (1) year from Go-Live. The CONTRACTOR shall provide HSD the current and each reoccurring NCQA accreditation award letter, the Accreditation Certificate, Accreditation Summary Report and the HEDIS Score Sheet within thirty (30) Calendar Days of receipt. 3.1.1.2 To the extent the CONTRACTOR is in active pursuit of NCQA accreditation in the State of New Mexico, HSD reserves the right to request additional information regarding the CONTRACTOR’s progress in achieving NCQA accreditation in New Mexico. 3.1.1.3 Failure to meet the accreditation requirements in this Section and/or failure to maintain accreditation throughout the term of this Agreement shall be considered a breach of this Agreement and may be subject to remedies for violation of, breach of, or noncompliance with Contract as described in Section 7.6 of this Agreement.

Licensure and Accreditation. The CONTRACTOR must have the appropriate licenses in the State to do risk-based contracting through a managed care network of Providers providers as provided for in the New Mexico Insurance Code, XXXX 0000, Chapter 59A et seq., valid at least six (6) months prior to the Go-Live date. 3.1.1.1 The CONTRACTOR shall be either: either (i) National Committee for Quality Assurance (NCQA) accredited in the State of New Mexico or (ii) accredited in another state where the CONTRACTOR currently provides Medicaid services and initiates the NCQA accreditation process for the State state of New Mexico upon notice of award and achieves New Mexico NCQA accreditation within one (1) year from Go-Go- Live. The CONTRACTOR shall provide HSD the current and each reoccurring NCQA accreditation award letter, the Accreditation Certificate, Accreditation Summary Report and the HEDIS Score Sheet within thirty (30) 30 Calendar Days of receipt. 3.1.1.2 To the extent the CONTRACTOR is in active pursuit of NCQA accreditation in the State of New Mexico, HSD reserves the right to request additional information regarding the CONTRACTOR’s progress in achieving NCQA accreditation in New Mexico. 3.1.1.3 Failure to meet the accreditation requirements in this Section and/or failure to maintain accreditation throughout the term of this Agreement shall be considered a breach of this Agreement and may be subject to remedies for violation of, breach of, or noncompliance with Contract as described in Section 7.6 of this Agreement.

Licensure and Accreditation. The CONTRACTOR must have the appropriate licenses in the State to do risk-based contracting through a managed care network of Providers providers as provided for in the New Mexico Insurance Code, XXXX 0000, Chapter 59A et seq., valid at least six (6) months prior to the Go-Live date. 3.1.1.1 The CONTRACTOR shall be either: either (i) National Committee for Quality Qualit y Assurance (NCQA) accredited in the State of New Mexico or (ii) accredited in another state where the CONTRACTOR currently provides Medicaid services and initiates the NCQA accreditation process for the State state of New Mexico upon notice of award and achieves New Mexico NCQA accreditation within one (1) year from Go-Go- Live. The CONTRACTOR shall provide HSD the current and each reoccurring NCQA accreditation award letter, the Accreditation Certificate, Accreditation Summary Report and the HEDIS Score Sheet within thirty (30) 30 Calendar Days of receipt. 3.1.1.2 To the extent the CONTRACTOR is in active pursuit of NCQA accreditation in the State of New Mexico, HSD reserves the right to request additional information regarding the CONTRACTOR’s progress in achieving NCQA accreditation in New Mexico. 3.1.1.3 Failure to meet the accreditation requirements in this Section and/or failure to maintain accreditation throughout the term of this Agreement shall be considered a breach of this Agreement and may be subject to remedies for violation of, breach of, or noncompliance with Contract as described in Section 7.6 of this Agreement.