Licensure of Staff Sample Clauses

Licensure of Staff. The PDHP is responsible for assuring and demonstrating that all persons, whether they be employees, agents, subcontractors, or anyone acting for or on behalf of the PDHP, are properly licensed under applicable state law and/or regulations and are eligible to participate in the Medicaid program. The PDHP shall credential and recredential all PDHP dentists and dental hygienists. However, the PDHP is prohibited from collecting duplicate core credentialing data from any health care practitioner if the information is available from the Department of Health.
Sample 1
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Licensure of Staff. All of the Contractor's network providers must be licensed and/or certified by the appropriate South Carolina licensing body or standard-setting agency, as applicable. All of the Contractor's network providers/subcontractors must comply with all applicable statutory and regulatory requirements of the SCHIP program and be eligible to participate in the SCHIP separate Children’s program as stated in 42 CFR §457 et seq. The Contractor shall be responsible for assuring that all persons, whether employees, agents, subcontractors or anyone acting for or on behalf of the Contractor, are properly licensed at all times under applicable state law and/or regulations and are not barred from participation in the Medicaid and/or Medicare program. All health professionals and health care facilities used in the delivery of services by or through the Contractor shall be currently licensed to practice or operate in the state as defined and required by this Contract and the standards specified in the Policy and Procedure Guide, Provider Certification and Licensing. The Contractor shall ensure that none of its subcontractors have a Medicaid Contract with SCDHHS that was terminated, suspended, denied, or not renewed as a result of any action of the CMS of the U.S. Department of Health and Human Services or the Medicaid Fraud Control Unit of the Office of the South Carolina Attorney General. Providers, who have been sanctioned by any state or federal controlling agency for Medicaid and/or Medicare fraud and abuse and are currently under suspension, shall not be allowed to participate in the SCHIP Program. Federal Financial Participation (FFP) is not available for services delivered by providers excluded by Medicare, Medicaid, or SCHIP except for emergency services. Failure to adhere to this provision may result in one or more of the following sanctions: 3.1.2.1 SCDHHS may withhold part or all of the capitation payment due on behalf of a member if service is provided or authorized by unlicensed personnel; 3.1.2.2 In the event SCDHHS discovers that the Contractor's subcontractor is not properly licensed by the appropriate authority, the Contractor shall immediately remove the subcontractor from its provider list and the subcontractor shall discontinue providing services to members. Upon proper licensing by the appropriate authority and approval by SCDHHS, the Contractor may reinstate the subcontractor to provide services to members; 3.1.2.3 SCDHHS may refer the matter to the appr...
Sample 1
Licensure of Staff. All of the Contractor's network providers must be licensed and/or certified by the appropriate South Carolina licensing body or standard-setting agency, as applicable. All of the Contractor's network providers/subcontractors must be eligible to participate in the SCHIP as stated in 42 CFR Part 457 et seq. and must comply with all applicable statutory and regulatory requirements of the program. The Contractor shall be responsible for assuring that all persons, whether employees, agents, subcontractors or anyone acting for or on behalf of the Contractor, are properly licensed at all times under applicable state law and/or regulations and are not barred from participation in the Medicaid and/or Medicare program. All health professionals and health care facilities used in the delivery of services by or through the Contractor shall be currently licensed to practice or operate in the state as defined and required by this Contract and the standards specified in the Policy and Procedure Guide, Provider Certification and Licensing. The Contractor shall ensure that none of its subcontractors have a Medicaid Contract with SCDHHS that was terminated, suspended, denied, or not renewed as a result of any action of the CMS of the U.S. Department of Health and Human Services or the Medicaid Fraud Control Unit of the Office of the South Carolina Attorney General. Providers, who have been sanctioned by any state or federal controlling agency for Medicaid and/or Medicare fraud and abuse and are currently under suspension, shall not be allowed to participate in the SCHIP Program. Federal Financial Participation (FFP) is not available for services delivered by providers excluded by Medicare, Medicaid, or SCHIP except for emergency services. Failure to adhere to this provision may result in one or more of the following sanctions: 3.1.2.1 SCDHHS may withhold part or all of the capitation payment due on behalf of a member if service is provided or authorized by unlicensed personnel; 3.1.2.2 SCDHHS may refer the matter to the appropriate licensing authority for action; 3.1.2.3 SCDHHS may assess liquidated damages as described in §13.3 or impose sanctions as required in §13.5 of this Contract. In the event XXXXXX discovers that the Contractor's subcontractor is not properly licensed by the appropriate authority, the Contractor shall immediately remove the subcontractor from its provider list and the subcontractor shall discontinue providing services to Medicaid MCO program members....
Sample 1

Related to Licensure of Staff

  • Licensure The Contractor covenants that it has: a. obtained all of the applicable licenses or permits, temporary or otherwise, as required by Title 27 of the Virgin Islands Code; and b. familiarized itself with the applicable provisions of Title 27 of the Virgin Islands Code pertaining to professions and occupations.

  • Structure of Assistance The Program is envisioned as a revolving fund. The Program will make a five-year, non-recourse, zero-percent forgivable, non- amortizing loan in which a second lien is recorded on the property. Twenty percent of the loan will be forgiven for each year the loan is outstanding. If the property is sold or refinanced prior to the loan termination date, the Program will recover funds should sufficient equity be available from the transaction. The Program will recycle recovered funds in order to provide additional program assistance until December 31, 2017, at which time any recovered funds will be returned to Treasury.

  • Use of State Facilities Where there is available appropriate meeting space in buildings owned or leased by the State, MSEA-SEIU shall be allowed reasonable use of such space at reasonable times for specific meetings, including space suitable for meetings in private between MSEA-SEIU staff representatives or stewards and employees in the investigation and processing of grievances. In addition, in buildings owned or leased by the State that have video conferencing facilities, MSEA-SEIU may be allowed reasonable use of those facilities. Advance arrangements for the use of State facilities shall be made with the department or agency concerned. MSEA-SEIU shall reimburse the State for any additional expense incurred in allowing use of such space. No other employee organization, except such as have been certified or recognized as the bargaining agent for other State employees, shall have the right to meeting space in State facilities for purposes pertaining to terms and conditions of employment of employees. The use of State facilities for meetings shall be in non-work areas or where work is not in progress. Other than meetings in private between MSEA- SEIU staff representatives or stewards and employees in the investigation and processing of grievances, all meetings in State facilities shall be during the off- duty time of employees attending and, in all instances, attendance shall be voluntary. Arrangements for any meetings in State facilities will be made so as to avoid interference with the department's or agency's operations or violation of the department's or agency's security.

  • Licensing a. Distributor and Dealer each represent and warrant to each other that: (i) it is a broker-dealer registered with the Securities and Exchange Commission (“SEC”); (ii) it is a member in good standing of the Financial Industry Regulatory Authority (“FINRA”); (iii) it is licensed by the appropriate regulatory agency of each state or other jurisdiction in which it will offer and sell Shares of the Fund; and (iv) each of its principals, directors, officers, employees, and agents who will participate or otherwise be involved in the offer or sale of the Shares or the performance of its duties and activities under this Agreement is either appropriately licensed or exempt from such licensing requirements by the appropriate regulatory agency of each state or other jurisdiction in which it will offer and sell Shares. b. Distributor and Dealer agree that: (i) termination or suspension of its registration with the SEC; (ii) termination or suspension of its membership with FINRA; or (iii) termination or suspension of its license to do business by any state or other jurisdiction in which the Fund is offered shall cause the termination of this Agreement. Each party further agrees to notify the other party promptly in writing of any such action or event. c. Distributor and Dealer agree that this Agreement is in all respects subject to the Conduct Rules of FINRA and such Conduct Rules shall control any provision to the contrary in this Agreement. Without limiting the generality of the foregoing, Distributor and Dealer acknowledge that, subject to the indemnification described in Section 9 of this Agreement, neither party has responsibility for the manner of the other party’s performance of, or for acts or omissions in connection with, the duties and activities performed by the other party under this Agreement. d. Distributor and Dealer agree to be bound by, and to comply with, all applicable federal and state laws and all rules and regulations promulgated thereunder generally affecting the sale or distribution of shares of registered investment companies, including anti-money laundering laws and regulations and applicable guidance issued by the Department of the Treasury, the SEC and FINRA.

  • MAINTENANCE OF STANDARDS The Employer agrees, subject to the following provisions, that all conditions of employment in his/her individual operation relating to wages, hours of work, overtime differentials and general working conditions shall be maintained at not less than the highest standards in effect at the time of the signing of this Agreement, and the conditions of employment shall be improved whenever specific provisions for improvement are made elsewhere in this Agreement.

  • Permitting and Licensure At Grantee's sole expense, Grantee shall procure and maintain for the duration of this Grant Agreement any state, county, city, or federal license, authorization, insurance, waiver, permit, qualification or certification required by statute, ordinance, law, or regulation to be held by Grantee to provide the goods or services required by this Grant Agreement. Grantee shall be responsible for payment of all taxes, assessments, fees, premiums, permits, and licenses required by law. Grantee shall be responsible for payment of any such government obligations not paid by its Subcontractors during performance of this Grant Agreement.

  • New Application for Licensure Any time after the three-month period has lapsed from the Effective Date of this Agreement and Respondent has paid the Administrative Penalty set forth in Section III, Paragraph 1 of this Order, Respondent may apply for a new mortgage loan originator license or, as applicable, petition for the reinstatement of an MLO Activity Endorsement in any or all of the Participating States with the understanding that each State Mortgage Regulator reserves the rights to fully investigate such application for licensure or petition for reinstatement of an MLO Activity Endorsement and may either approve or deny such application or petition pursuant to the normal process for such licensing or endorsement investigations. No license application or petition described in this paragraph will be denied solely based on the facts, circumstances, or consensual resolution provided for in this Agreement. Respondent further agrees that Respondent must satisfy the Administrative Penalty provision prior to submitting an application for a new mortgage loan originator license or, as applicable, petition for the reinstatement of an MLO Activity Endorsement.

  • Office Visits (other than Preventive Care Services) This plan covers office and clinic visits to diagnose or treat a sickness or injury. Office visit copayments differ depending on the type of provider you see. This plan covers physician visits in your home if you have an injury or illness that: • confines you to your home; or • requires special transportation; and • because of this injury or illness, you are physically unable to travel to the provider’s

  • Formation and Name Office; Purpose; Term

  • Preservation of Organization The Sellers shall use their best efforts to preserve the business organization of the Company (including Subsidiaries) intact and to persuade all employees of the Company or Subsidiaries to remain in its employment after the Closing; provided that nothing herein contained shall be deemed to constitute an obligation of the Sellers, Purchaser or the Company to continue the employment of any such employee. The Sellers shall also use their best efforts to retain, preserve and maintain the business relations of the Company or the Subsidiaries with its suppliers, customers and others having business relationships with it.

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