Provider Operations Sample Clauses

Provider Operations. 1.6.1. Provider is permitted to provide services to ADHS/DBHS, AHCCCS or any other ADHS/DBHS or AHCCCS contractor. 1.6.2. Providers must prepare a Business Continuity and Recovery Plan satisfactory to Company. 1.6.3. Provider and Provider’s employees shall participate in and cooperate with Company’s state-required training and orientation programs. 1.6.4. Provider may not pay incentives in the form of compensation to individuals or entities that conduct Provider’s utilization management activities and concurrent review activities to deny, limit, or discontinue medically necessary services to any enrollee. Provider shall comply with all federal and state regulations regarding physician incentive contracts. (42 CFR 438.210(e)). 1.6.5. If Company and Provider have a capitated arrangement/risk sharing arrangement, then the following provision is made part of the Agreement: If the Provider does not bill the Company (e.g., Provider is capitated), the Provider’s encounter data that is required to be submitted to the Company pursuant to contract is defined for these purposes as a “claim for payment”. The Provider’s provision of any service results in a “claim for payment” regardless of whether there is any intention of payment. All said claims shall be subject to review under any and all fraud and abuse statutes, rules and regulations, including but not limited to Arizona Revised Statute (A.R.S.) § 36-2918. 1.6.6. In event of the termination of this Agreement or termination of the agreement between Provider and a subcontracted provider of services, Provider agrees to notify Company and cooperate in the manner described below so as to enable compliance with Government Sponsors requirements for Member notification and transition.
Sample 1
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Provider Operations. Provider shall, at its sole cost and expense, furnish all fuel, oil, tires, and other parts, supplies and equipment necessary or required for the safe and efficient operation and maintenance of the motor vehicles and related equipment furnished by Provider for the performance of its obligations hereunder, hereinafter collectively designated as “Equipment.” Provider shall pay all expenses of every nature, including the expense of road service and repair, in connection with the use and operation of the Equipment and shall, at its sole cost and expense, at all times during the term of this Agreement maintain the Equipment in good repair, sound mechanical condition and appearance. Provider, at its sole cost and expense, shall utilize in the operation of the Equipment only legally licensed personnel.
Sample 1
Provider Operations. 1.6.1. Provider is permitted to provide services to ADHS/DBHS, AHCCCS or any other ADHS/DBHS or AHCCCS contractor. 1.6.2. Providers must prepare a Business Continuity and Recovery Plan satisfactory to Company. 1.6.3. Provider and Provider’s employees shall participate in and cooperate with Company’s state-required training and orientation programs. 1.6.4. Provider may not pay incentives in the form of compensation to individuals or entities that conduct Provider’s utilization management activities to deny, limit, or discontinue medically necessary services. Provider shall comply with all federal and state regulations regarding physician incentive contracts. 1.6.5. If Company and Provider have a capitated arrangement/risk sharing arrangement, then the following provision is made part of the Agreement: If the Provider does not bill the Company (e.g., Provider is capitated), the Provider’s encounter data that is required to be submitted to the Company pursuant to contract is defined for these purposes as a “claim for payment”. The Provider’s provision of any service results in a “claim for payment” regardless of whether there is any intention of payment. All said claims shall be subject to review under any and all fraud and abuse statutes, rules and regulations, including but not limited to Arizona Revised Statute (A.R.S.) § 36-2918. 1.6.6. In event of the termination of this Agreement or termination of the agreement between Provider and a subcontracted provider of services, Provider agrees to notify Company and cooperate in the manner described below so as to enable compliance with Government Sponsors requirements for Member notification and transition.
Sample 1

Related to Provider Operations

  • Provider Services Charges for the following Services when ordered by a Physician for the treatment of an Injury or Illness.

  • Safe Operations Notwithstanding any other provision of this Agreement, an NTO may take, or cause to be taken, such action with respect to the operation of its facilities as it deems necessary to maintain Safe Operations. To ensure Safe Operations, the local operating rules of the ITO(s) shall govern the connection and disconnection of generation with NTO transmission facilities. Safe Operations include the application and enforcement of rules, procedures and protocols that are intended to ensure the safety of personnel operating or performing work or tests on transmission facilities.

  • 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.

  • Operations Fire An “Operations Fire” is a fire caused by Purchaser’s Operations other than a Neg- ligent Fire.

  • Provider If the Provider is a State Agency, the Provider acknowledges that it is responsible for its own acts and deeds and the acts and deeds of its agents and employees. If the Provider is not a State agency, then the Provider agrees to indemnify and save harmless the State and its officers and employees from all claims and liability due to activities of itself, its agents, or employees, performed under this contract and which are caused by or result from error, omission, or negligent act of the Provider or of any person employed by the Provider. The Provider shall also indemnify and save harmless the State from any and all expense, including, but not limited to, attorney fees which may be incurred by the State in litigation or otherwise resisting said claim or liabilities which may be imposed on the State as a result of such activities by the Provider or its employees. The Provider further agrees to indemnify and save harmless the State from and against all claims, demands, and causes of action of every kind and character brought by any employee of the Provider against the State due to personal injuries and/or death to such employee resulting from any alleged negligent act by either commission or omission on the part of the Provider.

  • Operational All expenses for running and operating all machinery, equipments and installations comprised in the Common Areas, including elevators, diesel generator set, changeover switch, pump and other common installations including their license fees, taxes and other levies (if any) and expenses ancillary or incidental thereto and the lights of the Common Areas and the road network.

  • Other Operations The General Partner and its Affiliates shall at all times be free to engage in all aspects of the oil, gas and natural resources business for their own accounts and for the accounts of others. Without limiting the generality of the foregoing, the General Partner and its Affiliates shall have the right to organize and operate other partnerships, joint ventures or other oil and gas investment programs similar to the Limited Partnership or the Production Partnership.

  • Vulnerability Management BNY Mellon will maintain a documented process to identify and remediate security vulnerabilities affecting its systems used to provide the services. BNY Mellon will classify security vulnerabilities using industry recognized standards and conduct continuous monitoring and testing of its networks, hardware and software including regular penetration testing and ethical hack assessments. BNY Mellon will remediate identified security vulnerabilities in accordance with its process.

  • Provider Responsibilities The Private Child-Caring Facility (PCC) (a.k.a., Provider) must comply with the following requirements:

  • System Enhancements State Street will provide to the Fund any enhancements to the System developed by State Street and made a part of the System; provided that State Street offer the Fund reasonable training on the enhancement. Charges for system enhancements shall be as provided in the Fee Schedule. State Street retains the right to charge for related systems or products that may be developed and separately made available for use other than through the System.

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