Required MCP Staff Clause Samples
The 'Required MCP Staff' clause defines the obligation for a party, typically a contractor or service provider, to assign and maintain a specified number or type of staff members—referred to as MCP (which may stand for a specific project or role)—to a project or contract. This clause outlines the qualifications, roles, or experience levels that these staff members must possess and may require prior approval or ongoing compliance checks by the client. Its core practical function is to ensure that the project is adequately staffed with personnel who meet the necessary standards, thereby supporting project success and mitigating risks associated with understaffing or unqualified personnel.
Required MCP Staff. The MCP shall have the key Ohio Medicaid Managed Care program staff identified below based and working in the state of Ohio. Key management and supervisory staff for positions associated with new products and services shall be in place at least 60 calendar days prior to the effective date of the new products and services. Each key staff person identified below may occupy no more than one of the positions listed below, unless the MCP receives prior written approval from ODM stating otherwise. These key staff are:
a. Administrator/CEO/COO or their designee shall serve in a full time (40 hours weekly) position available during ODM business hours to fulfill the responsibilities of the position and to oversee the entire operation of the MCP. The Administrator shall devote sufficient time to the MCP's operations to ensure adherence to program requirements and timely responses to ODM.
Required MCP Staff. The MCP must have the key Ohio Medicaid Managed Care program staff identified below based and working in the state of Ohio. Each key staff person identified below may occupy no more than one of the positions listed below, unless the MCP receives prior written approval from ODM stating otherwise. These key staff are:
a. Administrator/CEO/COO or their designee must serve in a full time (40 hours weekly) position available during ODM working hours to fulfill the responsibilities of the position and to oversee the entire operation of the MCP. The Administrator shall devote sufficient time to the MCP's operations to ensure adherence to program requirements and timely responses to ODM.
b. Medical Director/CMO who is a physician with a current, unencumbered license through the Ohio State Medical Board. The Medical Director must have at least three years of training in a medical specialty. The Medical Director shall devote full time (minimum 32 hours weekly) to the MCP’s operations to ensure timely medical decisions, including after-hours consultation as needed. The Medical Director shall be actively involved in all major clinical and quality management components of the MCP. At a minimum, the Medical Director shall be responsible for:
i. Development, implementation and medical interpretation of medical policies and procedures including, but not limited to, service authorization, claims review, discharge planning, credentialing and referral management, and medical review included in the MCP grievance system;
ii. Administration of all medical management activities of the MCP; and
iii. Serve as director of the Utilization Management committee and chairman or co- chairman of the Quality Assessment and Performance Improvement committee.
c. Contract Compliance Officer who will serve as the primary point-of-contact for all MCP operational issues. The primary functions of the Contract Compliance Officer may include but are not limited to coordinating the tracking and submission of all contract deliverables; fielding and coordinating responses to ODM inquiries, coordinating the preparation and execution of contract requirements, random and periodic audits and site visits.
d. Provider Services Representatives who will resolve provider issues, including, but not limited to, problems with claims payment, prior authorizations (PA) and referrals.
e. Care Management Director who is an Ohio-licensed registered nurse preferably with a designation as a Certified Case Manager (CCM)...