Provider Monitoring Sample Clauses

Provider Monitoring. 5.1.1 The Provider must put in place the necessary internal control framework, including an internal audit function to ensure that it meets its obligations and those of its sub-contractors under this Agreement.

Provider Monitoring. The Contractor’s system shall support monitoring and tracking of provider/enrollee grievances and appeals from receipt to disposition. The system shall be able to produce provider reports for quality of medical, behavioral, dental and MLTSS service analysis, flag and identify providers with restrictive conditions (e.g., fraud monitoring), and identify the confidentiality level of information (i.e., to manage who has access to the information).

Provider Monitoring. Contractor shall perform Quality Assurance evaluations of Provider practices, which shall include monitoring of Enrollee accessibility to ensure linguistic and physical accessibility. Contractor shall support Providers in achieving accessibility.

Provider Monitoring. Contractor shall perform QA evaluations of Provider practices, which shall include monitoring of Enrollee accessibility to ensure linguistic and physical accessibility. Contractor shall support Providers in achieving accessibility.

Provider Monitoring. A. The Provider agrees to maintain all records pertaining to the services provided under this Agreement and for which payment is claimed for a period of four years from the date the xxxx was paid by the Department. B. The Provider shall be subject to periodic on-site review by the Department or its designee. C. The Provider shall submit to the Department, within fifteen calendar days of request, such records, including but not limited to, patient utilization and patient needs assessments, as may be required or requested by the Department. This paragraph supplements paragraphs 11 and 12 of the Standard General Terms and Conditions (Rev. 2/21), which is incorporated herein by reference.

Provider Monitoring. County shall monitor the use by Providers of .all Award funds distributed to such Providers. County shall advise all Providers of the requirements applicable to them and to the use of Award funds under this Agreement, state and federal laws, state and federal regulations, the provisions of other applicable contracts and any supplemental requirements imposed by the County. County shall require by contract that Providers comply with such requirements and satisfy Plan and other program goals related to their Award financing. County shall monitor relevant activities of Providers to ensure that Award funds are used for authorized purposes in compliance with such requirements and to determine whether Plan and other performance goals are being achieved. If findings/recommendations occur from such audits, or from other audits or other County monitoring with respect to Award funds, County shall issue management decisions to relevant Providers within 30 calendar days after receipt of such audit reports or generation of monitoring findings/recommendations and shall ensure that Providers take appropriate and timely corrective action. County also shall provide copies of such audit and monitoring findings/recommendations and of corresponding County management decisions to the Agency within thirty (30) days of County's deadline herein for issuing its respective management decision.

Provider Monitoring. The Provider shall submit to the Department, within fifteen (15) calendar days of request, such reports and records, including but not limited to, patient utilization and patient needs assessments, as may be required or requested by the Department. This paragraph supplements paragraphs 9 and 11 of the Standard General Terms and Conditions (Rev. 2/15), which are incorporated herein by reference.

Provider Monitoring. Contractor shall monitor the Long-Term Care providers to ensure that services are provided promptly, are reasonably accessible in terms of the location and hours of services, and meet the quality standards prescribed in the Contractor’s agreement with the provider. Member’s satisfaction shall be considered in monitoring long-term care providers. Provider practices that endanger the health or safety of members shall be reported to the appropriate State authorities.

Provider Monitoring a. The SE shall ensure that its providers are in compliance with both clinical and non-clinical requirements of this Contract and the provider agreement. The SE shall conduct ongoing monitoring of its providers (see also Article 3.12.

Provider Monitoring. Notwithstanding clause 7, the Provider is to regularly monitor its performance under this Agreement and each Services Agreement.