Common use of SCO Director Responsibilities Clause in Contracts

SCO Director Responsibilities. The Director must act as a liaison between the Contractor, EOHHS and CMS and has responsibilities that include, but are not limited to, the following: 1. Ensure the Contractor’s compliance with the terms of the Contract, including securing and coordinating resources necessary for such compliance; 2. Implement all action plans, strategies, and timelines, including but not limited to those described in the Contractor’s response to the SCO RFR and approved by EOHHS and CMS (etc.); 3. Oversee all activities by the Contractor and its Subcontractors, including but not limited to, coordinating with the Contractor’s quality management director, medical director, geriatrician, and behavioral health clinician; 4. Ensure that Enrollees receive written notice of any significant change in the manner in which services are rendered to Enrollees at least 30 days before the intended effective date of the change; 5. Receive and respond to all inquiries and requests made by EOHHS and CMS, in time frames and formats reasonably acceptable to the three parties; 6. Meet with representatives of EOHHS or CMS, or both, on a periodic or as-needed basis and resolving issues that arise; 7. Ensure the availability to EOHHS or CMS, upon their request, of those members of the Contractor’s staff who have appropriate expertise in administration, operations, finance, management-information systems, claims processing and payment, clinical service provision, quality management, Enrollee services, utilization management, Provider-Network management, and benefit coordination; 8. Attend and participate in director meetings when requested by EOHHS and CMS; 9. Coordinate requests and activities among the Contractor, all Subcontractors, EOHHS, and CMS; 10. Make best efforts to promptly resolve any issues related to the Contract identified either by the Contractor, EOHHS, or CMS; 11. Meet with EOHHS and CMS at the time and place requested by EOHHS and CMS, if EOHHS or CMS, or both, determine that the Contractor is not in compliance with the requirements of the Contract; and 12. Ensure that the Contractor maintain written policies and procedures, including, but not limited to, policies regarding enrollee rights in accordance with 42 CFR 438.100.

SCO Director Responsibilities. The Director must act as a liaison between the Contractor, EOHHS and CMS and has responsibilities that include, but are not limited to, the following: 1. Ensure the Contractor’s compliance with the terms of the Contract, including securing and coordinating resources necessary for such compliance; 2. Implement all action plans, strategies, and timelines, including but not limited to those described in the Contractor’s response to the SCO RFR and approved by EOHHS and CMS (etc.); 3. Oversee all activities by the Contractor and its Subcontractors, including but not limited to, coordinating with the Contractor’s quality management director, medical director, geriatrician, and behavioral health clinician; 4. Ensure that Enrollees receive written notice of any significant change in the manner in which services are rendered to Enrollees at least 30 days before the intended effective date of the change; 5. Receive and respond to all inquiries and requests made by EOHHS and CMS, in time frames and formats reasonably acceptable to the three parties; 60. Meet Xxxx with representatives of EOHHS or CMS, or both, on a periodic or as-needed basis and resolving issues that arise; 7. Ensure the availability to EOHHS or CMS, upon their request, of those members of the Contractor’s staff who have appropriate expertise in administration, operations, finance, management-information systems, claims processing and payment, clinical service provision, quality management, Enrollee services, utilization management, Provider-Network management, and benefit coordination; 8. Attend and participate in director meetings when requested by EOHHS and CMS; 9. Coordinate requests and activities among the Contractor, all Subcontractors, EOHHS, and CMS; 10. Make best efforts to promptly resolve any issues related to the Contract identified either by the Contractor, EOHHS, or CMS; 1100. Meet Xxxx with EOHHS and CMS at the time and place requested by EOHHS and CMS, if EOHHS or CMS, or both, determine that the Contractor is not in compliance with the requirements of the Contract; and 12. Ensure that the Contractor maintain written policies and procedures, including, but not limited to, policies regarding enrollee rights in accordance with 42 CFR 438.100.

SCO Director Responsibilities. The Director must act as a liaison between the Contractor, EOHHS and CMS and has have responsibilities that include, but are not limited to, the following: 1. Ensure the Contractor’s compliance with the terms of the Contract, including securing and coordinating resources necessary for such compliance; 2. Implement all action plans, strategies, and timelines, including but not limited to those described in the Contractor’s response to the SCO RFR and approved by EOHHS and CMS (etc.)CMS; 3. Oversee all activities by the Contractor and its Subcontractors, including but not limited to, coordinating with the Contractor’s quality management director, medical director, geriatrician, and behavioral health clinician; 4. Ensure that Enrollees receive written notice of any significant change in the manner in which services are rendered to Enrollees at least 30 days before the intended effective date of the change; 5. Receive and respond to all inquiries and requests made by EOHHS and CMS, in time frames and formats reasonably acceptable to the three partiesset by EOHHS and CMS; 6. Meet with representatives of EOHHS or CMS, or both, on a periodic or as-needed basis and resolving to resolve issues that arise; 7. Ensure the availability to EOHHS or CMS, upon their request, of those members of the Contractor’s staff who have appropriate expertise in administration, operations, finance, management-information systems, claims processing and payment, clinical service provision, quality management, Enrollee services, utilization management, Provider-Network management, and benefit coordination;each of the operational functions covered under this contract. 8. Attend and participate in director meetings when requested by EOHHS and CMS; 9. Coordinate requests and activities among the Contractor, all Subcontractors, EOHHS, and CMS; 10. Make best efforts to promptly resolve any issues related to the Contract identified either by the Contractor, EOHHS, or CMS; 11. Meet with EOHHS and CMS at the time and place requested by EOHHS and CMS, if EOHHS or CMS, or both, determine that the Contractor is not in compliance with the requirements of the Contract; and 1211. Ensure that the Contractor maintain written policies and procedures, including, but not limited to, policies regarding enrollee Enrollee rights in accordance with 42 CFR 438.100.