Maintenance of Contractor Performance Records. The Contractor shall maintain and shall require its subcontractors, including its Participating Providers, to maintain appropriate records relating to Contractor performance under this Agreement, including: a) records related to services provided to Enrollees, including a separate Medical Record for each Enrollee; b) all financial records and statistical data that LDSS, SDOH and any other authorized governmental agency may require including books, accounts, journals, ledgers, and all financial records relating to capitation payments, third party health insurance recovery, and other revenue received and expenses incurred under this Agreement; c) appropriate financial records to document fiscal activities and expenditures, including records relating to the sources and application of funds and to the capacity of the Contractor or its subcontractors, including its Participating Providers, if relevant, to bear the risk of potential financial losses.
Appears in 9 contracts
Samples: Contractor Agreement (Americhoice Corp), Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.), Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)
Maintenance of Contractor Performance Records. The Contractor shall maintain and shall require its subcontractors, including its Participating Providers, to maintain appropriate records relating to Contractor performance under this Agreement, including:
a) records related to services provided to Enrollees, including a separate Medical Record for each Enrollee;
b) all financial records and statistical data that LDSS, SDOH and any other authorized governmental agency may require including books, accounts, journals, ledgersedgers, and all financial records relating to capitation payments, payments third party health insurance recovery, and other revenue received and expenses incurred under this Agreement;
c) appropriate financial records to document fiscal activities and expenditures, including records relating to the sources and application of funds and to the capacity of the Contractor or its subcontractors, including its Participating Providers, if relevant, to bear the risk of potential financial losses.
Appears in 1 contract
Samples: Consultant Services Agreement (Wellcare Health Plans, Inc.)
Maintenance of Contractor Performance Records. The Contractor shall maintain and shall require its subcontractors, including its Participating Providers, to maintain appropriate records relating to Contractor performance under this Agreement, including:
a) records related to services provided to Enrollees, including a separate Medical Record for each Enrollee;
b) all financial records and statistical data that LDSSPRHIA, SDOH DHHS and any other authorized governmental agency may require including books, accounts, journals, ledgers, and all financial records relating to capitation payments, third party health insurance recovery, and other revenue received and expenses incurred under this Agreement;
c) appropriate financial records to document fiscal activities and expenditures, including records relating to the sources and application of funds and to the capacity of the Contractor or its subcontractors, including its Participating Providers, if relevant, to bear the risk of potential financial losses.
Appears in 1 contract
Samples: Medicaid Wraparound Agreement
Maintenance of Contractor Performance Records. a) The Contractor shall maintain and shall require its subcontractors, including its Participating Providers, to maintain appropriate records relating to Contractor performance under this Agreement, including:
ai) records related to services provided to Enrollees, including a separate Medical Record for each Enrollee;
bii) all financial records and statistical data that LDSS, SDOH and DHHS and any other authorized governmental agency may require including books, accounts, journals, ledgers, and all financial records relating to capitation payments, third party health insurance recovery, and other revenue received and expenses incurred under this Agreement;
ciii) appropriate financial records to document fiscal activities and expenditures, including records relating to the sources and application of funds and to the capacity of the Contractor or its subcontractors, including its Participating Providers, if relevantapplicable, to bear the risk of potential financial losses.
b) The record maintenance requirements of this Section shall survive the termination, in whole or in part, of this Agreement.
Appears in 1 contract
Samples: Medicaid Advantage Contract Attestation (Wellcare Health Plans, Inc.)