Common use of Other Administrative Components Clause in Contracts

Other Administrative Components. The Contractor must include each of the administrative functions listed below, with the duties of these functions conforming to the program standards described in this chapter. The required functions are: • Medical Director’s Office • Accounting and Budgeting Function • Member Services Function • Provider Services Function • Medical Management Function, including quality assurance, prior authorization, concurrent medical review/discharge planning, and retrospective medical review • Grievance and Appeals Function • Claims Processing Function • Management Information System • Program Integrity and Compliance • Privacy and Security Officer

Other Administrative Components. The Contractor must include each of the administrative functions listed below, with the duties of these functions conforming to the program standards described in this chapter. The required functions are: • Medical Dental Director’s Office • Accounting and Budgeting Function • Member Services Function • Provider Services Function • Medical Dental Management Function, including quality assurance, prior authorization, concurrent medical review/discharge planning, and retrospective medical dental review • Grievance and Appeals Function • Claims Processing Function • Management Information System • Program Integrity and Compliance • Privacy and Security Officer

Other Administrative Components. The Contractor must include each of the administrative functions listed below, with the duties of these functions conforming to the program standards described in this chapter. The required functions are: •  Medical Director’s Office •  Accounting and Budgeting Function •  Member Services Function •  Provider Services Function •  Medical Management Function, including quality assurance, prior authorization, concurrent medical review/discharge planning, and retrospective medical review •  Grievance and Appeals Function •  Claims Processing Function •  Management Information System •  Program Integrity and Compliance •  Privacy and Security Officer  Chief Diversity, Equity, and Inclusion Officer

Other Administrative Components. The Contractor must include each of the administrative functions listed below, with the duties of these functions conforming to the program standards described in this chapter. The required functions are: • Medical Dental Director’s Office • Accounting and Budgeting Function • Member Services Function • Provider Services Function • Medical Dental Management Function, including quality assurance, prior authorization, concurrent medical review/discharge planning, and retrospective medical dental review • Grievance and Appeals Function • Claims Processing Function • Management Information System • Program Integrity and Compliance • Privacy and Security OfficerSystem

Other Administrative Components. The Contractor must include each of the administrative functions listed below, with the duties of these functions conforming to the program standards described in this chapter. The required functions are: • Medical Director’s Office • Accounting and Budgeting Function • Member Services Function • Provider Services Function • Medical Management Function, including quality assurance, prior authorization, concurrent medical review/discharge planning, and retrospective medical review • Grievance and Appeals Function • Claims Processing Function • Management Information System • Program Integrity and Compliance • Privacy and Security Officer • Chief Diversity, Equity, and Inclusion Officer

Other Administrative Components. The Contractor must include each of the administrative functions listed below, with the duties of these functions conforming to the program standards described in this chapter. The required functions are: • Medical Director’s Office • Accounting and Budgeting Function • Member Services Function • Provider Services Function • Medical Management Function, including quality assurance, prior authorization, concurrent medical review/discharge planning, and retrospective medical review • Grievance and Appeals Function • Claims Processing Function • Management Information System • Program Integrity and Compliance • Privacy and Security OfficerCompliance

Other Administrative Components. ‌ The Contractor must include each of the administrative functions listed below, with the duties of these functions conforming to the program standards described in this chapter. The required functions are: • Medical Director’s Office • Accounting and Budgeting Function • Member Services Function • Provider Services Function • Medical Management Function, including quality assurance, prior authorization, concurrent medical review/discharge planning, and retrospective medical review • Grievance and Appeals Function • Claims Processing Function • Management Information System • Program Integrity and Compliance • Privacy and Security Officer

Other Administrative Components. The Contractor must include each of the administrative functions listed below, with the duties of these functions conforming to the program standards described in this chapter. The required functions are: • Medical Dental Director’s Office • Accounting and Budgeting Function • Member Services Function • Provider Services Function • Medical Dental Management Function, including quality assurance, prior authorization, concurrent medical review/discharge planning, and retrospective medical review • Grievance and Appeals Function • Claims Processing Function • Management Information System • Program Integrity and Compliance • Privacy and Security OfficerCompliance