PROVIDER SERVICES AND RESPONSIBILITIES. A. Pursuant to the Medicaid and Healthy Michigan subcapitation and the Substance Use Disorder Community Grant funding from the Payor the Provider, shall perform or cause to be performed the services specified in Exhibit A (PROVIDER SERVICES & RESPONSIBILITIES AND DELEGATION GRID) and Exhibit H (TECHNICAL REQUIREMENT CMHSP RESPONSIBILITIES FOR 24/7/365 ACCESS FOR INDIVIDUALS WITH PRIMARY SUBSTANCE USE DISORDERS), which are both incorporated by reference into this Agreement and made a part hereof. B. For provision of the services required hereunder, the parties hereto agree that the Provider, may direct operate and/or may subcontract with its own subcontractors as independent provider(s) of such services. However, any such subcontract shall be consistent with any agreed upon regionally standardized templates as noted in the delegated managed care grid (Exhibit A) and shall not terminate the legal responsibility of the Provider to assure that all services required of it hereunder are fulfilled. C. The Provider agrees that any such subcontract shall: (1.) Be in writing, and include a full specification of the subcontracted services; (2.) Contain a provision stating that this Agreement is incorporated by reference into the subcontract and made a part thereof; (3.) contain a provision stating that the subcontract is subject to the terms and conditions of this Agreement, and expressly incorporating this Agreement into the subcontract, and, (4.) Contain all subcontracting requirements of the MDHHS/PIHP Contract, under applicable sections, “SUBCONTRACTING” Part I, Section 38.0 and Part II(B), Section 11.0. The Provider, as a prime subcontractor of the Payor, is responsible under this Agreement for primary verification that the Provider’s contracting procedures meet the MDHHS’s requirements of the Payor as set forth in the MDHHS/PIHP Contract and that each of the Provider’s subcontractors and each of its subcontracts therefore meet the requirements under this Agreement. D. Pursuant to the MDHHS’s requirements of the Payor under the MDHHS/PIHP Contract, the Provider, shall furnish the Payor with provider information profiles that contain a complete listing and description of the Provider’s subcontractors available to provide services to Medicaid eligibles under this Agreement.
Appears in 2 contracts
Samples: Medicaid Managed Specialty Supports and Services Agreement, Medicaid Managed Specialty Supports and Services Agreement
PROVIDER SERVICES AND RESPONSIBILITIES. A. Pursuant to the Medicaid and Healthy Michigan subcapitation and the Substance Use Disorder Community Grant funding from the Payor the Provider, Provider shall perform or cause to be performed the services specified in Exhibit A (PROVIDER SERVICES & RESPONSIBILITIES AND DELEGATION GRID) and Exhibit H (TECHNICAL REQUIREMENT CMHSP RESPONSIBILITIES FOR 24/7/365 ACCESS FOR INDIVIDUALS WITH PRIMARY SUBSTANCE USE DISORDERS), which are both incorporated by reference into this Agreement and made a part hereof.
B. For provision of the services required hereunder, the parties hereto agree that the Provider, may direct operate and/or may subcontract with its own subcontractors as independent provider(s) of such services. However, any such subcontract shall be consistent with any agreed upon regionally standardized templates as noted in the delegated managed care grid (Exhibit A) and shall not terminate the legal responsibility of the Provider to assure that all services required of it hereunder are fulfilled.
C. The Provider agrees that any such subcontract shall:
(1.) Be in writing, and include a full specification of the subcontracted services;
(2.) Contain a provision stating that this Agreement is incorporated by reference into the subcontract and made a part thereof;
(3.) contain Contain a provision stating that the subcontract is subject to the terms and conditions of this Agreement, and expressly incorporating this Agreement into the subcontract, and, ,
(4.) Contain all subcontracting requirements of contained in the MDHHS/PIHP Contract, as specified under applicable sections, “SUBCONTRACTING” Part I, Section 38.0 and Part II(B), Section 11.0. The Provider, as a prime subcontractor of the Payor, is responsible under this Agreement for primary verification that the Provider’s contracting procedures meet the MDHHS’s requirements of the Payor as set forth in the MDHHS/PIHP Contract and that each of the Provider’s subcontractors and each of its subcontracts therefore meet the requirements under this Agreement.
D. Pursuant to the MDHHS’s requirements of the Payor under the MDHHS/PIHP Contract, the Provider, shall furnish the Payor with provider information profiles that contain a complete listing and description of the Provider’s subcontractors available to provide services to Medicaid eligibles under this Agreement.
Appears in 1 contract
Samples: Medicaid Managed Specialty Supports and Services Agreement
PROVIDER SERVICES AND RESPONSIBILITIES. A. Pursuant to the Medicaid and Healthy Michigan subcapitation and the Substance Use Disorder Community Grant funding from the Payor the Provider, shall perform or cause to be performed the services specified in Exhibit A (PROVIDER SERVICES & RESPONSIBILITIES AND DELEGATION GRID) and Exhibit H (TECHNICAL REQUIREMENT CMHSP RESPONSIBILITIES FOR 24/7/365 ACCESS FOR INDIVIDUALS WITH PRIMARY SUBSTANCE USE DISORDERS), which are both incorporated by reference into this Agreement and made a part hereof.
B. . For provision of the services required hereunder, the parties hereto agree that the Provider, may direct operate and/or may subcontract with its own subcontractors as independent provider(s) of such services. However, any such subcontract shall be consistent with any agreed upon regionally standardized templates as noted in the delegated managed care grid (Exhibit A) and shall not terminate the legal responsibility of the Provider to assure that all services required of it hereunder are fulfilled.
C. . The Provider agrees that any such subcontract shall:
(1.) Be in writing, and include a full specification of the subcontracted services;
(2.) Contain a provision stating that this Agreement is incorporated by reference into the subcontract and made a part thereof;
(3.) contain a provision stating that the subcontract is subject to the terms and conditions of this Agreement, and expressly incorporating this Agreement into the subcontract, and, ,
(4.) Contain all subcontracting requirements of the MDHHS/PIHP Contract, under applicable sections, “SUBCONTRACTING” Part I, Section 38.0 and Part II(B), Section 11.0. The Provider, as a prime subcontractor of the Payor, is responsible under this Agreement for primary verification that the Provider’s contracting procedures meet the MDHHS’s requirements of the Payor as set forth in the MDHHS/PIHP Contract and that each of the Provider’s subcontractors and each of its subcontracts therefore meet the requirements under this Agreement.
D. Pursuant to the MDHHS’s requirements of the Payor under the MDHHS/PIHP Contract, the Provider, shall furnish the Payor with provider information profiles that contain a complete listing and description of the Provider’s subcontractors available to provide services to Medicaid eligibles under this Agreement.
Appears in 1 contract
Samples: Medicaid Managed Specialty Supports and Services Agreement
PROVIDER SERVICES AND RESPONSIBILITIES. A. Pursuant to the Medicaid and Healthy Michigan subcapitation and the Substance Use Disorder Community Grant funding from the Payor the Provider, shall perform or cause to be performed the services specified in Exhibit A (PROVIDER SERVICES & RESPONSIBILITIES AND DELEGATION GRID) and Exhibit H (TECHNICAL REQUIREMENT CMHSP RESPONSIBILITIES FOR 24/7/365 ACCESS FOR INDIVIDUALS WITH PRIMARY SUBSTANCE USE DISORDERS), which are both incorporated by reference into this Agreement and made a part hereof.
B. For provision of the services required hereunder, the parties hereto agree that the Provider, may direct operate and/or may subcontract with its own subcontractors as independent provider(s) of such services. However, any such subcontract shall be consistent with any agreed upon regionally standardized templates as noted in the delegated managed care grid (Exhibit A) and shall not terminate the legal responsibility of the Provider to assure that all services required of it hereunder are fulfilled.
C. The Provider agrees that any such subcontract shall:
(1.) Be in writing, and include a full specification of the subcontracted services;
(2.) Contain a provision stating that this Agreement is incorporated by reference into the subcontract and made a part thereof;
(3.) contain Contain a provision stating that the subcontract is subject to the terms and conditions of this Agreement, and expressly incorporating this Agreement into the subcontract, and, ,
(4.) Contain all subcontracting requirements of contained inof the MDHHS/PIHP Contract, as specified under applicable sections, “SUBCONTRACTING” Part I, Section 38.0 and Part II(B), Section 11.0. The Provider, as a prime subcontractor of the Payor, is responsible under this Agreement for primary verification that the Provider’s contracting procedures meet the MDHHS’s requirements of the Payor as set forth in the MDHHS/PIHP Contract and that each of the Provider’s subcontractors and each of its subcontracts therefore meet the requirements under this Agreement.
D. Pursuant to the MDHHS’s requirements of the Payor under the MDHHS/PIHP Contract, the Provider, shall furnish the Payor with provider information profiles that contain a complete listing and description of the Provider’s subcontractors available to provide services to Medicaid eligibles under this Agreement.
Appears in 1 contract
Samples: Medicaid Managed Specialty Supports and Services Agreement