OVERSIGHT AUTHORITY. 3 North Sound BH-ASO, HCA, DSHS, Office of the State Auditor, the Department of Health 4 (DOH), the Comptroller General, or any of their duly-authorized representatives have the 5 authority to conduct announced and unannounced: a) surveys, b) audits, c) reviews of 6 compliance with licensing and certification requirements and compliance with this Contract,
OVERSIGHT AUTHORITY. The Institute shall have broad oversight authority over the School pursuant to CRS §§ 22-30.5-505 and 22-30.5-507(2)(b), and the State Board of Education (the “State Board”) shall also have general supervision of the School pursuant to CRS
OVERSIGHT AUTHORITY. The BOARD shall have oversight over the Charter School pursuant to this Agreement, and to La. R.S. 17:3982. Such oversight authority shall include the right of the BOARD to require the Charter Operator to undertake and complete corrective action in the event that there is a reasonable basis to believe that the Charter Operator may have violated any federal or State laws, written BESE policy, written BOARD policy or any of the terms or conditions of this Charter Contract. All records established and maintained in accordance with the provisions of this Agreement, written BESE policies and/or regulations, and federal and State law shall be opened to inspection by the BOARD to the extent allowable by law.
OVERSIGHT AUTHORITY. The Institute shall have broad oversight authority over the School pursuant to C.R.S. §§ 22-30.5-503(5), 505 and 507(2), and the State Board of Education (the “State Board”) shall also have general supervision of the School pursuant to C.R.S. § 22-30.5-503(6). The School shall be accountable to the Institute and is subject to all applicable federal and state laws, regulations of the State Board and the Colorado Department of Education, and Institute policies and regulations unless specifically waived.
OVERSIGHT AUTHORITY. 2.21.1 MCSAB shall have oversight authority over the Charter School pursuant to Miss. Code Xxx. § 37-28-1 et seq. Such oversight authority shall include the right of MCSAB to require the Charter Operator to undertake and complete corrective action in the event that there is a reasonable basis to believe that the Charter Operator may have violated any federal or state laws, MCSAB policy, or any of the terms or conditions of this Charter Agreement. All records established and maintained in accordance with the provisions of this Agreement, MCSAB policies and/or regulations, and federal and state law shall be opened to inspection by MCSAB.
OVERSIGHT AUTHORITY. Provider explicitly acknowledges the authority of US DHHS, including the OIG, CMS, The Department and any of its Divisions, Alliance, and agents of these entities to inspect, monitor and audit Services performed under this Contract and the authority of the Department, Alliance and other State or Federal officials to inspect and audit Provider’s financial records. In accordance with 42 CFR §§ 420.300 – 420.304, for any contracts for services the cost or value of which is $10,000 or more over a 12-month period, including contract for both goods and services in which the service component is worth $10,000 or more over a 12-month period, the Comptroller General of the United States, HHS, and their duly authorized representative shall have access to Provider’s books, documents, and records until the expiration of four (4) years after the Services are furnished under the contract. Provider acknowledges that it is subject to audits, investigations, evaluations and post-payment reviews conducted by these entities, including, but not limited to audits and evaluations conducted by Alliance pursuant to 42 C.F.R. §2.53 involving Substance Use Disorder Services and records. Where records are subject to the provisions of 42 CFR § 2.53(b), Alliance agrees, in compliance with applicable Law, to maintain patient identifying information in accordance with the security requirements provided in 42 CFR § 2.16; destroy all patient identifying information upon completion of the audit or evaluation; and when applicable, comply with the limitations on disclosure and use as required by 42 CFR § 2.53 (d). For all Services being provided pursuant to this Contract, Alliance shall have the right to inspect, examine, and make copies of any and all books, financial documents, accounts, invoices, records of staff who delivered or supervised the delivery of Services to Members, Members’ clinical records, and any other clinical or financial items or documents related to the claims submitted for the delivery of Services to Members that Alliance deems necessary to ensure compliance with the Contract. Provider agrees to cooperate with Alliance in its Oversight and Program Integrity activities and shall take such corrective action as is necessary to comply with State and Federal law and any Accreditation Standards. Provider further agrees to provide timely, accurate, and appropriate data and information to enable Alliance to fulfill applicable accrediting organizations’ and Federal and State re...
OVERSIGHT AUTHORITY.
6.2.1 North Sound BH-ASO, HCA, DSHS, Office of the State Auditor, the Department of Health (DOH), the Comptroller General, or any of their duly-authorized representatives have the authority to conduct announced and unannounced: a) surveys, b) audits, c) reviews of compliance with licensing and certification requirements and compliance with this Agreement, d) audits regarding the quality, appropriateness and timeliness of behavioral health services of Provider and e) audits and inspections of financial records of Provider.
6.2.2 Provider shall notify North Sound BH-ASO when an entity other than North Sound BH-ASO performs any audit described above related to any activity contained in this Agreement.
6.2.3 In addition, North Sound BH-ASO will conduct reviews in accordance with its oversight of resource, utilization and quality management, as well as, ensure Provider has the clinical, administrative and fiscal structures to enable them to perform in accordance with the terms of the Agreement. Such reviews may include, but are not limited to: encounter data validation, utilization reviews, clinical record reviews, program integrity, administrative structures reviews, fiscal management and contract compliance. Reviews may include desk reviews, requiring Provider to submit requested information. North Sound BH-ASO will also review any activities delegated under this Agreement to Provider.
OVERSIGHT AUTHORITY. GRBH-ASO , HCA, , Office of the State Auditor, the Department of Health and Human Services (DHHS), CMS, the Comptroller General, or any of their duly-authorized representatives have the authority to conduct announced and unannounced: a) surveys, b) audits, c) reviews of compliance with licensing and certification requirements and compliance with this Contract, d) audits regarding the quality, appropriateness and timeliness of behavioral health services of Provider and subcontractors and e) audits and inspections of financial records of Provider and subcontractors. Provider shall notify GRBH-ASO when an entity other than GRBH-ASO performs any audit described above related to any activity contained in this Contract. In addition, GRBH-ASO /MCO will conduct reviews in accordance with its oversight of resource, utilization and quality management, as well as, ensure Provider has the clinical, administrative and fiscal structures to enable them to perform in accordance with the terms of the contract. Such reviews may include, but are not limited to: encounter data validation, utilization reviews, clinical record reviews, program integrity, administrative structures reviews, fiscal management and contract compliance. Reviews may include desk reviews, requiring Provider to submit requested information. GRBH-ASO will also review any activities delegated under this contract to Provider.
OVERSIGHT AUTHORITY. 4 North Sound BH-ASO, HCA, DSHS, Office of the State Auditor, the Department of Health 5 (DOH), the Comptroller General, or any of their duly-authorized representatives have the 6 authority to conduct announced and unannounced: a) surveys, b) audits, c) reviews of 7 compliance with licensing and certification requirements and compliance with this 8 Contract, d) audits regarding the quality, appropriateness and timeliness of mental health 9 services of Contractor and subcontractors and e) audits and inspections of financial 10 records of Contractor and subcontractors. 12 Contractor shall notify North Sound BH-ASO when an entity other than North Sound BH- 13 ASO performs any audit described above related to any activity contained in this 16 In addition, North Sound BH-ASO will conduct reviews in accordance with its oversight of 17 resource, utilization and quality management, as well as to ensure that Contractor has 18 the clinical, administrative and fiscal structures to enable them to perform in accordance 19 with the terms of the contract. Such reviews may include, but are not limited to, 20 encounter data validation, utilization reviews, clinical record reviews and review of 21 administrative structures, fiscal management and contract compliance. Reviews may 22 include desk reviews, requiring Contractor to submit requested information. North
OVERSIGHT AUTHORITY. North Sound BH-ASO, HCA, Office of the State Auditor, the Department of Health and HumanServices (DHHS), CMS, the Comptroller General, or any of their duly-authorized representatives (e.g., External Quality Review Organizations), have the authority to conduct announced and unannounced: a) surveys; b) audits; c) reviews of compliance with licensing and certification requirementsand compliance with this Agreement; d) audits regarding the quality, appropriateness, and timeliness of behavioral health services of Contractor and subcontractors; and e) audits and inspections of financial records of Contractor and subcontractors. Contractor shall notify North Sound BH-ASO when anentity other than North Sound BH-ASO performs any audit described above related to any activity contained in this Agreement. In addition, North Sound BH-ASO will conduct reviews in accordance with its oversight ofresource, utilization and quality management, as well as to ensure that Contractor have the clinical, administrative and fiscal structures to enable them to perform in accordance with the terms of the contract. Such reviews may include, but are not limited to encounter data validation, utilization reviews, clinical record reviews, and reviews of administrative structures, fiscal management and contract compliance. Reviews may include desk reviews, requiring Contractor to submitrequested information. North Sound BH-ASO will also review activities delegated under this contract to Contractor. Contractor shall cooperate with and allow access to North Sound Ombuds to conduct surveysand review activities. Contractor shall cooperate with Skagit County Community Action Agency in resolving any disputes that arise in the provision of Ombuds services. Findings as a result of North Sound BH-ASO conducted reviews may result in remedial action as outlined below. Federal and State agencies may impose remedial action or financial penalties either directly upon Contractor or through North Sound BH-ASO. Contractor shall comply with the termsof such remedial action and be responsible for the payment of financial penalties. North Sound BH-ASO may require Contractor to plan and execute corrective action. Correctiveaction plans (CAP) developed by Contractor must be submitted for approval to North Sound BH-ASO within 30 calendar days of notification. CAPs must be provided in a format acceptable to North SoundBH- ASO. North Sound BH-ASO may extend or reduce the time allowed for corrective actiondependin...
