Provision of Contract Services Sample Clauses

Provision of Contract Services. 1. Promptly provide or arrange for the provision of all services required under Section 49.46(2), Wis. Stats., and HFS 107 Wis. Adm. Code; as further clarified in all Wisconsin Medicaid Program Provider Handbooks and Bulletins, and HMO Contract Interpretation Bulletins (CIBs) and as otherwise specified in this Contract except: a. County Transportation by common carrier or private motor vehicle (except as required in Article III. B (10). HealthCheck). HMOs are required to arrange for transportation for HealthCheck visits. When authorized by the Department, the HMO may provide non-emergency transportation by common carrier or private motor vehicle for HealthCheck visits and be reimbursed by the County. HMOs may negotiate arrangements with local county Departments of Health and Social Services for common carrier or private vehicle transportation for HMO services in general and not just for HealthCheck visits. The Department will make a list of county transportation contacts available to HMOs upon request. The Department will facilitate the development of such arrangements between the HMO and the county. HMOs interested in developing a transportation arrangement with one or more counties and interested in Department assistance should contact the following office either by mail or phone: Bureau of Managed Health Care Programs P.O. Box 309 Madison, WI 53701- 0309 Xxxxx Xxxxxx: (000) 000-0000 xx 000-0000 Fax Number: (608) 261-0000 XXX Xxxtracx xxx Xxnuary 1, 2002 - December 31, 2003 -8- b. Milwaukee County HMOs will provide common carrier transportation to enrollees. Transportation services will be limited to: o Transportation of Medicaid/BadgerCare HMO members only. o Transportation of Medicaid/BadgerCare HMO members to and from Medicaid covered services. The HMO is responsible for arranging for the common carrier transportation and providing monthly costs incurred to Milwaukee County Department of Human Services (MCDHS), for common carrier transportation arranged. HMO agrees to submit costs to the DHS within 15 days following the end of each month to: Milwaukee County DHS Financial Assistant, Division Administrator 1220 W. Vliet Street Milwaukee, WI 53206 Xxx DHS is responsible for reimbursing the HMO for mileage and an administration fee. The State Department of Health and Family Services reserves the right to adjust these rates. The HMO shall maintain adequate records for each enrollee which include all pertinent and sufficient information relating to common ...
Sample 1
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Provision of Contract Services. Promptly provide or arrange for the provision of all services required under s. 49.46(2), Wis. Stats., and HFS 107 Wis. Adm. Code as further clarified in all Wisconsin Medicaid and BadgerCare Provider Handbooks and Bulletins, and HMO Contract Interpretation Bulletins, and as otherwise specified in this Contract except: a. Common Carrier Transportation, except as defined in Article III, E, 7. b. Dental, except as defined in Article III, E, 8. c. Prenatal Natal Care Coordination (PNCC), except HMOs must sign a Memorandum of Understanding (MOU) as defined in Article III, C, 10, d, and Addendum I, Part B, IV, B. d. Targeted Case Management (TCM), except HMOs must work with the TCM case manager as defined in Article III, E, 14 and Addendum VII. e. School-Based Services (SBS), except HMOs must use its best efforts to sign a Memorandum of Understanding (MOU) as defined in Addendum I, Part B, IV, C. f. Milwaukee Childcare Coordination. g. Tuberculosis-related Services.
Sample 1
Provision of Contract Services. 1. Promptly provide or arrange for the provision of all services as described in this Contract attached hereto and included herein by reference. 2. Be liable, when emergencies and County referrals to out-of-area or non-affiliated providers occur, for payment only to the extent that BadgerCare Plus pays, including Medicare deductibles, or would pay its fee-for-service providers for services to BadgerCare Plus members. For outpatient hospital services the Department will provide each managed care program per diem outpatient rates based on the BadgerCare Plus fee-for-service equivalent. This condition does not apply to: (1) Cases where prior payment arrangements were established; and (2) Specific subcontract agreements. The County is not required to make retroactive payment adjustments consistent with the Wisconsin BadgerCare Plus Maximum Allowable Fee Schedule and Hospital reimbursement made by the State of Wisconsin for fee- for-service providers including, but not limited to, payments for inpatient and outpatient hospital services. 3. Changes to BadgerCare Plus-covered services mandated by federal or state law subsequent to the signing of this Contract will not affect the Contract services for the term of this Contract, until agreed to by mutual consent, unless the change is necessary to continue receiving federal funds or is due to the action of a court of law. The Department may incorporate into the Contract any change in covered services mandated by federal or state law into the Contract effective the date the law goes into effect, if it adjusts the capitation rate accordingly. The Department will give the County at least 30 days notice before the intended effective date of any such change that reflects service increases and the County may elect to accept or reject the service increases for the remainder of that Contract year. The Department will give the County 60 days notice of any such change that reflects service decreases, with a right of the County to dispute the amount of the decrease within those 60 days. The County has the right to accept or reject service decreases for the remainder of the Contract year. The date of implementation of the change in coverage will coincide with the effective date of the increased or decreased funding. This section does not limit the Department’s ability to modify this Contract due to changes in State Appropriations. This Contract is contingent upon authorization of federal and state law and any material amendment...
Sample 1
Provision of Contract Services. 3.1 Commencing on the Commencement Date specified in item 5 of the Schedule the Contractor shall provide and complete the Contract Services in a proper and professional manner with all due care skill and diligence by the Completion Date specified in item 6 of the Schedule to the reasonable satisfaction of Monash. 3.2 The Contractor must comply with any reasonable instructions, guidelines, policies or codes of conduct notified to the Contractor on or before the date of this Agreement. 3.3 Monash is committed to the safety and protection of all children involved in Monash's activities. Without limiting clause 3.2, the Contractor must comply with the Child Safe Standards Framework and the Code of Conduct available at xxxxx://xxx.xxxxxx.xxx/safer-community/initiatives/child-safe-standards. 3.4 If the engagement of the Contractor continues after the Completion Date, then unless and until the parties agree in writing to the terms to apply to any such further period of engagement, the terms of this Agreement will continue to apply. 3.5 The Contractor warrants that it and its personnel are competent and have the necessary skills to carry out the Contract Services. 3.6 The parties acknowledge that in providing the Contract Services the Contractor acts as an independent contractor and not as an employee, partner or agent of Monash and the Contractor shall have no authority to act for or to bind Monash in any manner whatsoever other than as expressly provided for in this Agreement. 3.7 As a consequence of the independent contractor relationship, the Contractor agrees that the Contractor is solely responsible for: (a) all payments of salary, holiday pay, sick pay, severance pay, long service leave or any other obligation which an employer has in respect of its, his or her employees; (b) all payments in relation to any taxes or any other payments imposed on an employer in respect of employees under the law of Australia and Victoria; (c) providing superannuation, sickness benefits and WorkCover in respect of its, his or her employees; and (d) ensuring compliance with all relevant laws of Australia and Victoria with respect to its provision of the Contract Services.
Sample 1
Provision of Contract Services. Add as a new a. Non emergency medical transportation (NEMT).
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Provision of Contract Services. Amend a. to read: Non Emergency Medical Transportation (NEMT). except in Regions 5 and 6 where HMOs must provide this service (Article III, E,6,a,2).
Sample 1
Provision of Contract Services. The PIHP must promptly provide or arrange for the provision of all services required under Wis. Stats., s. 49.46(2), s. 49.471(11), s.
Sample 1
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Related to Provision of Contract Services

  • Contract Services The Provider Agency shall provide services to eligible persons in accordance with all specifications contained in this Contract.

  • Optional Services To the extent that the Fund elects to engage the Transfer Agent to provide the services listed below the Fund shall engage the Transfer Agent to provide such services upon terms and fees to be agreed upon by the parties: (a) Corporate actions (including inter alia, odd lot buy backs, exchanges, mergers, redemptions, subscriptions, capital reorganization, coordination of post-merger services and special meetings).

  • Hosting Services NCR Voyix shall furnish facilities, equipment, computer programs and services, as specified from time to time by NCR Voyix, that NCR Voyix deems necessary for operation and maintenance of the System (collectively, the “Hosting Services”).

  • Provision of Services (a) The HSP will provide the Services in accordance with, and otherwise comply with: (1) the terms of this Agreement; (2) Applicable Law; and

  • Construction Services 3.1.1 Basic Construction Services. 3.1.2 Meetings and Schedule Updates.

  • Hospice Services Services are available for a Member whose Attending Physician has determined the Member's illness will result in a remaining life span of six months or less.

  • Administration Services When a medical prescription drug is administered by infusion, the administration of the prescription drug may be covered separately from the prescription drug. See Infusion Therapy - Administration Services in the Summary of Medical Benefits for benefit limits and the amount you pay. Prescription drugs that are self-administered are not covered as a medical benefit but may be covered as a pharmacy benefit. Please see Pharmacy Prescription Drugs and Diabetic Equipment or Supplies – Pharmacy Benefits section above for additional information. For some medical prescription drugs, after the first administration, coverage may be limited to certain locations (for example, a designated outpatient or ambulatory service facility, physician’s office, or your home), provided the location is appropriate based on your medical status. For a list of medical prescription drugs that are subject to this Site of Care Program, visit our website. Preauthorization may be required to determine medical necessity as well as appropriate site of care. If we deny your request for preauthorization, or you disagree with our determination for the appropriate site of care, you can submit a medical appeal. See Appeals in Section 5 for information on how to file a medical appeal.

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