Regulatory Standards Sample Clauses

Regulatory Standards. A. The Contractor shall conduct reviews/assessments according to federal and state regulations and HSD-approved UR criteria while following HSD-approved detailed standard operating procedures. The pertinent State Medicaid regulations are consolidated as the State of New Mexico Medical Assistance Division Program Rules, commonly referred to as the “Program Policy”. Federal requirements for a statewide utilization control program for Medicaid services are found at 42 CFR, Part 456. B. The Contractor shall be a designated QIO (Quality Improvement Organization) as described in 42 CFR Parts 475 and 476. The Contractor shall provide documentation of this designation prior to the actual date of review operations and continue to maintain this designation during the term of this PSC. C. The Contractor shall identify to HSD the level of professionals for all review activities. The number and types of staff performing the reviews must be identified. D. For behavioral health, reviewers shall be Masters level clinicians with a minimum of five years’ experience in mental health and/or substance abuse. E. The Contractor shall maintain oversight policies and procedures of all functions that ensure standards of performance are met and all state and federal regulations are followed. F. The Contractor shall require a physician, or a dentist for dental services, to render the final decision for all reviews that result in a denial or reduction of services to a recipient based on medical necessity, the definition of an emergency, the appropriateness of diagnosis, or the appropriateness of procedure code. G. The Contractor shall require physician consultants to render the final decision for validating breaches of professional quality or practice standards. H. The Contractor shall ensure that the physician consultant documents his/her review decision and that the Contractor can identify the physician consultant from that documentation. I. The Contractor shall ensure the physician consultant documents the clinical rationale for all physician consultant determined denials and for the authorization decisions made by the physician consultant in cases when one or more of the approved criteria are not met. J. The Contractor shall protect (by first and last name initials) the anonymity of all reviewers, including the physician consultant, with certain conditions and exceptions. The identity of all reviewers must be known to the Contractor for every review and must be made known to HSD u...

Regulatory Standards. The Manufacturing Services will be carried out in accordance with current Good Manufacturing Practices (“cGMP”) requirements established by the U.S. Food and Drug Administration (“FDA”), or the equivalent requirements established by the applicable regulators outside the U.S.

Regulatory Standards. Notwithstanding the provisions of Section 1.2 herein, in the event that any governmental authority imposes a resource reduction target on the Building for any utility or resource otherwise than as set out in Section 1.2 above, then the Environmental Objectives shall be deemed to have been amended so as to stipulate such resource reduction target and all changes required to be made by the Landlord to the Environmental Management Plan, or which are necessitated as a result of such mandatory resource reduction target, shall be deemed to be included and permitted, as the case may be, pursuant to the provisions of this Section and this Lease.

Regulatory Standards. Without limiting any of the foregoing, Lessee shall insure that, upon surrender to Lessor, all coolants and other materials contained in any unit of Equipment comply with all then current standards and/or regulations promulgated by the Environmental Protection Agency, or any successor agency, or other governmental or quasi-governmental agency having jurisdiction over the Equipment, and such compliance with standards and regulations is necessary in order for such units of Equipment to be marketable for the purposes such units were intended.

Regulatory Standards. If Applicant becomes aware that discharges from the ADFs violate regulatory or benchmark standards, it will immediately notify the Port of the violation and the Applicant’s plans for corrective action. If the Port becomes aware that discharges from the ADFs violate regulatory or benchmark standards, it will immediately notify the Applicant and request the Applicant to promptly correct the violation. The Applicant’s failure or refusal to do so shall constitute a breach of this Agreement. In addition to any other remedies, the Port reserves the right to terminate this Agreement and the Applicant’s rights to access if a violation is not promptly corrected to the satisfaction of the Port. The Applicant shall be responsible for all costs incurred by the Port to remediate the offending discharge and correct the violation.

Regulatory Standards. The Joint Commission (TJC) and Centers for Medicare and Medicaid Services (CMS) standards also require DHS facilities to maintain the privacy and security of patient information. Failure to maintain the confidentiality of patient information can lead to significant fines and can also affect the accreditation and reimbursement for patient care services at our facilities.

Regulatory Standards. Service Provider shall comply with all Regulatory Standards with respect to its performance under this Agreement. Service Provider shall be responsible for all the necessary permits and licenses for Packaging of the Product, including without limitation any necessary registration of the Facility with relevant Agency.

Regulatory Standards. Subcontractor will comply with applicable laws, ordinances, rules and regulations (collectively, the "Applicable Laws"), including, but not limited to, the National Electrical Code (NEC), Occupational Safety and Health Administration (OSHA) and the Equal Employment Opportunity Commission (EEOC) requirements. Subcontractor represents and warrants that it is familiar with all Applicable Laws relating to their performance of the Work.

Regulatory Standards. (1) A person may not sell, supply, or offer for sale after January 1, 2005, a charcoal lighter material product unless at the time of the transaction: (A) The manufacturer can demonstrate that the manufacturer has been issued a currently effective certification by the CARB under the Consumer Products provisions under Section 8.5, Article 2, Section 94509(h), of Title 17 of the CCR. This certification remains in effect for as long as the CARB certification remains in effect. A manufacturer claiming a certification on this basis shall submit to the Department a copy of the certification decision (that is, the Executive Order), including all conditions established by CARB applicable to the certification. (B) The manufacturer or distributor of the charcoal lighter material product has been issued a currently effective certification under paragraph (2). DRAFT (C) The charcoal lighter material product meets the formulation criteria and other conditions specified in the applicable ACP agreement issued under paragraph (2). (D) The product usage directions for the charcoal lighter material product are the same as those provided to the County under paragraph (2)(iii).