Medical Records Requirements. 1. The Health Plan shall maintain Medical Records for each Enrollee in accordance with this Section. Medical Records shall include the quality, quantity, appropriateness, and timeliness of services performed under this Contract.
Medical Records Requirements. PHP shall require providers to maintain medical records for each participant under this contract in accordance with applicable state and federal law.
Medical Records Requirements. INSURER shall require providers to maintain medical records for each Participant under this Agreement in accordance with applicable state and federal law.
Medical Records Requirements. The Contractor will require network providers/subcontractors to maintain up-to-date medical records at the site where medical services are provided for each member enrolled under this Contract. Each member's record must be legible and maintained in detail consistent with good medical and professional practice, which permits effective internal and external quality review and/or medical audit and facilitates an adequate system of follow-up treatment. The Contractor shall ensure within its own provider network that SCDHHS representatives or designees shall have immediate and complete access to all records pertaining to the health care services provided to members. Medical record requirements are further defined in the Policy and Procedure Guide.
Medical Records Requirements. The Contractor will require network providers/subcontractors to maintain up-to-date medical records at the site where medical services are provided for each Medicaid MHN Program member enrolled under this Contract. Each member's record must be legible and maintained in detail consistent with good medical and professional practice which permits effective internal and external quality review and/or medical audit and facilitates an adequate system of follow-up treatment. The Contractor shall ensure within its own provider network that SCDHHS representatives or designees shall have immediate and complete access to all records pertaining to the health care services provided to Medicaid MHN Program members. Medical record requirements are further defined in the MHN Policy and Procedure Guide.
Medical Records Requirements. The Contractor will require network Providers/Subcontractors to maintain up-to-date medical records at the site where medical services are provided for each Medicaid MCO Member enrolled under this Contract. Each Medicaid MCO Member's record must be legible and maintained in detail consistent with good medical and professional practice which permits effective internal and external quality review and/or medical audit and facilitates an adequate system of follow-up treatment. The Contractor shall ensure within its own Provider network that the Department’s representatives or designees shall have immediate and complete access to all records pertaining to the health care services provided to Medicaid MCO Members. Medical record requirements are further defined in the MCO Policy and Procedure Guide.
Medical Records Requirements. HEALTH PLAN shall require providers to maintain medical records for each participant under this Agreement in accordance with applicable state and federal law.
Medical Records Requirements. 2.24.6.1 The CONTRACTOR shall maintain, and shall require contract providers and subcontractors to maintain, medical records (as defined in Section 1) in a manner that is current, detailed and organized, and which permits effective and confidential patient care and quality review, administrative, civil and/or criminal investigations and/or prosecutions.
Medical Records Requirements a. A medical record consistent with state regulations and community standards of practice shall be maintained on each inmate held beyond the first appearance in court. These records shall be kept separate from the jail confinement records of the inmate.
Medical Records Requirements. In any case where medical care is at issue, or in any criminal or civil litigation where the physical or mental condition of a juvenile resident is at issue, the Contractor shall make accessible to the Agency such records and, upon request, provide copies. Contractor additionally acknowledges compliance with and understanding of all applicable HIPAA requirements as they apply. Contractor acknowledges and agrees that all records prepared or acquired by the Contractor during performance of services under the Contract are the property of the Agency. Contractor shall be considered the records custodian during the duration of the Contract. Upon the termination of this Contract, all juvenile resident medical records shall be provided to the Agency in physical form and remain in the care and custody of the Agency. Any and all legal actions or requests affecting Tulsa County Juvenile Bureau juvenile residents and/or the Contractor's performance arising from this Agreement must be communicated, in writing, to the Agency within twenty-four (24) hours of the Contractor's receipt. Contractor shall maintain juvenile resident medical records in accordance with Federal and State regulations. If Contractor chooses to keep electronic records of juvenile residents’ medical information, such records shall be maintained on Contractor's computer network, over which Contractor maintains sole responsibility, and which is separate and independent from the Agency and outside of the Facility. Contractor shall be solely responsible for all licensing, software and hardware maintenance required for the use of such network. In addition, Contractor shall be solely responsible for safeguarding juvenile resident medical information collected or transmitted by said network in accordance with all applicable state and federal HIPAA requirements, applicable laws, regulations, rules and policies. Contractor at all times shall provide to Agency read-only access to all portions of every juvenile resident’s electronic medical record maintained by Contractor. Such access shall include the ability to print a hard copy of said medical record or to print portions thereof as may be needed. Contractor will comply with HIPAA and HITECH Acts.
