Provider Network The Panel of health service Providers with which the Contractor contracts for the provision of covered services to Members and Out-of-network Providers administering services to Members.
Loop Makeup Response Time - Electronic Exclusions Business Rules
Eligible Population 5.1 Program eligibility is determined by applicable law set forth in Program rules and the requirements established in the Program Policy Manual.
5.2 The unduplicated number of Clients for PHC services is 430. This represents the Grantee’s projected number of unduplicated Clients to be served during the Contract period. If during the Contract period it is foreseen that the Grantee might be unable to serve the contracted number of children, HHSC may reduce the Grantee’s grant award amount.
Clinical Management for Behavioral Health Services (CMBHS) System
1. request access to CMBHS via the CMBHS Helpline at (000) 000-0000.
2. use the CMBHS time frames specified by System Agency.
3. use System Agency-specified functionality of the CMBHS in its entirety.
4. submit all bills and reports to System Agency through the CMBHS, unless otherwise instructed.
Resident Educator Program The four-year program is designed to provide newly licensed Ohio educators quality mentoring and guidance. Successful completion of the residency program is required to advance to a five-year professional educator license.
Bus Drivers A. The Board agrees to pay bus drivers their regular rate per hour for driving in excess of four (4) hours per day on their regular route. The Board agrees to pay bus drivers their regular rate while transporting students on another regular route during an emergency situation.
B. The Board agrees to pay bus drivers $15.00 per hour for field trips. Field trips will be paid from the point where students are picked up to the point students are returned or the point when the driver returns to the pick-up location.
C. The terms "field trips," "special trips," and "extra trips" shall henceforth be known as field trips. All non-walking field trips which are sponsored by the District, have been approved by the Superintendent, and are accompanied by an advisor/teacher shall be offered to regular drivers before they are offered to substitutes. Dropped trips or trips that arise within twenty-four (24) hours of the scheduled departure time can be filled with the first available driver.
D. Each bus driver shall be paid for all time that is spent on their bus including deadhead, breakdown, maintenance time, layover time, and random drug and alcohol testing.
E. All drivers may take their regularly assigned bus on short trips, however, longer trips shall be assigned at the discretion of the Transportation Department.
F. The Board agrees to pay the cost up to thirty-five dollars ($35.00) for costs incurred to any bus driver for physical, eye tests, or abstracts.
G. At the beginning of each new school year, field trips shall be offered on a rotating basis from a driver rotation list, beginning with the most senior driver on the list. A bus driver who cancels a trip (non-emergency cancellation as determined by the supervisor) with less than forty-eight (48) hours notice shall miss their turn on the next two trip rotations. Drivers may elect to remove themselves from consideration for extra trips. If removed, drivers will remain so for the designated period of time that trips are bid or they may elect to remove themselves for the entire school year.
H. The Board agrees to supply each bus with a broom and window cleaner, for the proper inside and outside cleaning of the bus.
I. Mid-day preschool routes shall be offered, bid, and paid as part of drivers’ regular routes.
J. All bus routes shall be bid with the most senior driver appointed, providing it is not excessive cost to the Board.
K. If a driver takes a field trip he/she will only be deducted the actual morning or evening time from regular route.
L. Nine (9) or more students shall be considered a field trip to be transported in a van, mini bus or regular bus, excluding trips by the multiple impaired students, History Day, Science Olympiad, Mock Trial, Vision Unit, commercial buses sponsored by a non- Board entity for football state playoffs, and all other regional and State sports events.
M. The Board shall make available to all bus drivers a copy of the State Manual to assist drivers in passing the required written examination.
N. The Board shall provide inservice education for all regular drivers employed the effective date of this Agreement to assist drivers in passing the required written examination.
O. All bus drivers shall be required to meet all licensing requirements of the State of Ohio to be employed or to remain in the employment of the District.
P. All bus drivers shall pass any drug testing requirements established by the Ohio Department of Education, Ohio State Laws, and/or Federal Law governing the commercial licensing of all bus drivers. The cost of said required testing shall be borne by the Board.
Q. The Board shall reimburse up to $44.75, once every (4) years, the cost of renewal of the Commercial Driver's License fee, upon submission of a fee receipt.
R. The drivers who were grandfathered to drive their buses to and from home on their current routes as of 2001-2002 will remain grandfathered as long as they are drivers for the District, and remain on the same routes. All new drivers shall be subject to the approval of the Transportation Supervisor and Superintendent on taking buses home. (See paragraph J.) In the event a bus driver authorized to take his/her bus home, including the grandfathered drivers, moves from his/her present residence, the Transportation Supervisor and Superintendent shall determine whether the driver will be permitted to continue to drive his/her bus home. (See paragraph J.)
S. Bus drivers who are required to plug bus heaters in at their residences shall be paid $1.50 per plug-in.
T. The Board will pay for the cost of mandatory training to meet certification requirements.
Medicaid Enrollment Treatment Grantees shall enroll as a provider with Texas Medicaid and Healthcare Partnership (TMHP) and all Medicaid Managed Care organizations in Grantee’s service region within the first quarter of this procurement term and maintain through the procurement term.
Pharmacy Services The Contractor shall establish a network of pharmacies. The Contractor or its PBM must provide at least two (2) pharmacy providers within thirty (30) miles or thirty (30) minutes from a member’s residence in each county, as well as at least two (2) durable medical equipment providers in each county or contiguous county.
Selection Planning Prior to the issuance to consultants of any requests for proposals, the proposed plan for the selection of consultants under the Project shall be furnished to the Association for its review and approval, in accordance with the provisions of paragraph 1 of Appendix 1 to the Consultant Guidelines. Selection of all consultants’ services shall be undertaken in accordance with such selection plan as shall have been approved by the Association, and with the provisions of said paragraph 1.
COVID-19 Vaccine Passports Pursuant to Texas Health and Safety Code, Section 161.0085(c), Contractor certifies that it does not require its customers to provide any documentation certifying the customer’s COVID-19 vaccination or post-transmission recovery on entry to, to gain access to, or to receive service from the Contractor’s business. Contractor acknowledges that such a vaccine or recovery requirement would make Contractor ineligible for a state-funded contract.
