Quality Assessment and Monitoring Activities Sample Clauses

Quality Assessment and Monitoring Activities. SCDHHS is responsible for monitoring the Contractor’s performance to assure the Contractor is in compliance with the Contract provisions and the Policy and Procedure Guide. SCDHHS or its designee, shall coordinate with the Contractor to establish the scope of review, the review site, relevant time frames for obtaining information, and the criteria for review. SCDHHS or its designee, will at least annually monitor the operation of the Contractor for compliance with the provisions of this Contract, the Policy and Procedure Guide, and applicable federal and state laws and regulations. Inspection shall include the Contractor's facilities, as well as auditing and/or review of all records developed under this Contract including periodic medical audits, grievances, enrollments, disenrollments, termination, utilization and financial records, review of the management systems and procedures developed under this Contract and any other areas or materials relevant or pertaining to this Contract. The Contractor shall have the right to review any of the findings and recommendations resulting from contract monitoring and audits. However, once SCDHHS finalizes the results of monitoring and/or auditing, the Contractor must comply with all recommendations resulting from the review. Failure to comply with recommendations for improvement may result in liquidated damages, sanctions and/or enrollment restrictions.
Sample 1
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Quality Assessment and Monitoring Activities. 61 12.7.1 Fee-for-Service Reporting to MCOs 61 12.7.2 Request for Plan of Correction 61 12.7.3 External Quality Review 62 12.8 Marketing 62 12.9 Grievance/Appeals 62 12.10 Training 62 12.11 Federal Fund Restrictions 62 13 TERMS AND CONDITIONS 62 13.1 Applicable Laws and Regulations 63 13.2 Termination 64 13.2.1 Termination Under Mutual Agreement 64 13.2.2 Termination by SCDHHS for Breach 64 13.2.3 Termination for Unavailability of Funds 65 13.2.4 Termination for Contractor Insolvency, Bankruptcy, Instability of Funds 65 13.2.5 Termination for Convenience 65 13.2.6 Termination by the Contractor 65 13.2.7 Termination for Loss of Licensure or Certification 66 13.2.8 Termination for Noncompliance with the Drug Free Workplace Act 66 13.2.9 Termination for Cause 66 13.2.10Termination Procedures 67 13.2.11Effect of Termination on the Contractor's HIPAA Privacy Requirements 70 13.3 Liquidated Damages for Failure to Meet Contract Requirements 71 13.4 Use of Data 73 13.5 Sanctions 73 13.6 Non-Renewal 75
Sample 1
Quality Assessment and Monitoring Activities. The Department is responsible for monitoring the Contractor’s performance to assure the Contractor is in compliance with this Contract provisions and the MCO Policy and Procedure Guide. The Department, or its designee, shall coordinate with the Contractor to establish the scope of review, the review site, relevant time frames for obtaining information, and the criteria for review. On at least an annual basis, the Department, or its designee, shall inspect the Contractor's facilities, as well as auditing and/or review of all records developed under this Contract including periodic medical audits, Grievances, enrollments, disenrollments, termination, utilization and all financial records, review of the management systems and procedures developed under this Contract and any other areas or materials relevant or pertaining to this Contract. The Contractor shall have the right to review any of the findings and recommendations resulting from such contract monitoring and audits. However, once the Department finalizes the results of monitoring and/or auditing, the Contractor must comply with all recommendations resulting from the review. Failure to comply with recommendations for improvement may result in liquidated damages, sanctions, enrollment restriction, marketing restrictions, change in the assignment algorithm, or termination of this Contract.
Sample 1
Quality Assessment and Monitoring Activities. The Department is responsible for monitoring the CONTRACTOR’s performance to assure compliance with this contract and the Medicaid Managed Care Policy and Procedure Guide. The Department, or its designee, shall coordinate with the CONTRACTOR to establish the scope of review, the review site, relevant time frames for obtaining information, and the criteria for review. On at least an annual basis, the Department, or its designee, shall inspect the CONTRACTOR's facilities, as well as audit all records developed under this contract including but not limited to periodic medical audits, Grievances, Enrollments, Disenrollments, termination, utilization and all financial records, management systems and Procedures developed or relevant to this contract. The CONTRACTOR shall have the right to review any of the findings resulting from this review. However, once the Department completes its review, the CONTRACTOR must comply with all recommendations made by the Department. Failure to comply may result in liquidated damages, sanctions, Enrollment restriction, Marketing restrictions, change in the assignment algorithm, or termination of this contract.
Sample 1
Quality Assessment and Monitoring Activities. SCDHHS is responsible for monitoring the Contractor’s performance to assure the Contractor is in compliance with the Contract provisions and the MCO Policy and Procedure Guide. SCDHHS or its designee shall coordinate with the Contractor to establish the scope of review, the review site, relevant time frames for obtaining information, and the criteria for review. SCDHHS or its designee will at least annually monitor the operation of the Contractor for compliance with the provisions of this Contract, the MCO Policy and Procedure Guide, and applicable federal and state laws and regulations.
Sample 1
Quality Assessment and Monitoring Activities. SCDHHS is responsible for monitoring the Contractor’s performance to assure the Contractor is in compliance with the Contract provisions and the MCO Policy and Procedure Guide. . SCDHHS or its designee, shall coordinate with the Contractor to establish the scope of review, the review site, relevant time frames for obtaining information, and the criteria for review. SCDHHS or its designee, will at least annually monitor the operation of the Contractor for compliance with the provisions of this Contract, the MCO Policy and Procedure Guide, and applicable federal and state laws and regulations. Inspection shall include the Contractor's facilities, as well as auditing and/or review of all records developed under this Contract including periodic medical audits, grievances, enrollments, disenrollments, termination, utilization and financial records, review of the management systems and procedures developed under this Contract and any other areas or materials relevant or pertaining to this Contract. The Contractor shall have the right to review any of the findings and recommendations resulting from contract monitoring and audits. However, once SCDHHS finalizes the results of monitoring and/or audit report, the Contractor must comply with all recommendations resulting from the review. Failure to comply with recommendations for improvement may result in liquidated damages, sanctions and/or enrollment restrictions.
Sample 1

Related to Quality Assessment and Monitoring Activities

  • Evaluation, Testing, and Monitoring 1. The System Agency may review, test, evaluate and monitor Grantee’s Products and services, as well as associated documentation and technical support for compliance with the Accessibility Standards. Review, testing, evaluation and monitoring may be conducted before and after the award of a contract. Testing and monitoring may include user acceptance testing. Neither the review, testing (including acceptance testing), evaluation or monitoring of any Product or service, nor the absence of review, testing, evaluation or monitoring, will result in a waiver of the State’s right to contest the Grantee’s assertion of compliance with the Accessibility Standards.

  • Project Monitoring Reporting and Evaluation The Recipient shall furnish to the Association each Project Report not later than forty-five (45) days after the end of each calendar semester, covering the calendar semester.

  • Project Monitoring Reporting Evaluation A. The Project Implementing Entity shall monitor and evaluate the progress of its activities under the Project and prepare Project Reports in accordance with the provisions of Section 5.08(b) of the General Conditions and on the basis of indicators agreed with the Bank. Each such report shall cover the period of one

  • Quality Assurance The parties endorse the underlying principles of the Company’s Quality Management System, which seeks to ensure that its services are provided in a manner which best conforms to the requirements of the contract with its customer. This requires the Company to establish and maintain, implement, train and continuously improve its procedures and processes, and the employees to follow the procedures, document their compliance and participate in the improvement process. In particular, this will require employees to regularly and reliably fill out documentation and checklists to signify that work has been carried out in accordance with the customer’s specific requirements. Where necessary, training will be provided in these activities.

  • Quality Monitoring 4.2.1. To prepare a Quality Assurance (QA) Plan

  • Commercial Operation Date Testing and Modifications Prior to the Commercial Operation Date, the Connecting Transmission Owner shall test the Connecting Transmission Owner’s Attachment Facilities and System Upgrade Facilities and System Deliverability Upgrades and Developer shall test the Large Generating Facility and the Developer Attachment Facilities to ensure their safe and reliable operation. Similar testing may be required after initial operation. Developer and Connecting Transmission Owner shall each make any modifications to its facilities that are found to be necessary as a result of such testing. Developer shall bear the cost of all such testing and modifications. Developer shall generate test energy at the Large Generating Facility only if it has arranged for the injection of such test energy in accordance with NYISO procedures.

  • Search, Enquiry, Investigation, Examination And Verification a. The Property is sold on an “as is where is basis” subject to all the necessary inspection, search (including but not limited to the status of title), enquiry (including but not limited to the terms of consent to transfer and/or assignment and outstanding charges), investigation, examination and verification of which the Purchaser is already advised to conduct prior to the auction and which the Purchaser warrants to the Assignee has been conducted by the Purchaser’s independent legal advisors at the time of execution of the Memorandum.

  • Quality Assurance Requirements There are no special Quality Assurance requirements under this Agreement.

  • Office of Inspector General Investigative Findings Expert Review In accordance with Senate Bill 799, Acts 2021, 87th Leg., R.S., if Texas Government Code, Section 531.102(m-1)(2) is applicable to this Contract, Contractor affirms that it possesses the necessary occupational licenses and experience.

  • INSPECTION/TESTING All Products sold pursuant to this Agreement will be subject to inspection/testing by or at the direction of H- GAC and/or the ordering Customer, either at the delivery destination or the place of manufacture. In the event a Product fails to meet or exceed all requirements of this Agreement, and unless otherwise agreed in advance, the cost of any inspection and/or testing, will be the responsibility of the Contractor.

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