Section 3.5.3 Clause Samples

Section 3.5.3. 2 Correspondence or materials reflecting on an employee's character or competence shall be 3 placed in the employee's personnel file only after the employee has been shown a copy thereof.

Section 3.5.3. 30 Any derogatory material which may be used against any employee in such disciplinary action as 31 reprimand, suspension, or termination of employment must be shown to the employee within ten

Section 3.5.3. 2., i.e. a service, supply, or medicine that is appropriate, covered by the State, and meets the standards of good medical practice in the medical community, as determined by the provider in accordance with the STAR+PLUS MMP’s guidelines, policies or procedures based on applicable standards of care and as approved by HHSC if necessary, for the diagnosis or treatment of a covered illness or injury, for the prevention of future disease, to assist in the enrollee’s ability to attain, maintain, or regain functional capacity, or to achieve age- appropriate growth.

Section 3.5.3. The Government of the United States shall not include the Government of the Republic of the ▇▇▇▇▇▇▇▇ Islands as a named party to a formal declaration of war, without that Government’s consent.

Section 3.5.3. 28 Each employee shall have the right to review his/her personnel file by prior arrangement. All 29 materials placed in the personnel file shall be signed and dated by both the employee and the 30 District. Employees shall have the opportunity to attach written responses to any material 31 placed in their personnel file within ten (10) workdays of the receipt of such material.

Section 3.5.3. 2 All injections that are not auto injectors required by students will be performed exclusively by 3 nursing staff. Training for auto injectors shall be provided at the beginning of each school year.

Section 3.5.3. 28 Any derogatory material which may be used against any employee in such disciplinary action 29 as reprimand, suspension, or termination of employment must be shown to the employee within 30 ten (10) workdays after receipt or composition. In the event of summer vacations, ten (10) 31 calendar days shall be used.

Section 3.5.3. 2., a service, supply, or medicine that is appropriate, covered by the State, and meets the standards of good medical practice in the medical community, as determined by the provider in accordance with the STAR+PLUS MMP’s guidelines, policies or procedures based on applicable standards of care and as approved by HHSC if necessary, for the diagnosis or treatment of a covered illness or injury, for the prevention of future disease, to assist in the enrollee’s ability to attain, maintain, or regain functional capacity, or to achieve age-appropriate growth. STAR+PLUS MMPs will be required to provide services in a way that preserves all protections to the enrollee provided by Medicare and the Texas Medicaid program. Where there is overlap between Medicare and Medicaid, coverage and rules will be delineated in the three-way contract. of the Demonstration prior to the effective date of coverage. and appropriate; and 6) includes, for enrollees who have been determined STAR+PLUS HCBS eligible, the development of an ISP with the enrollee, family members, as appropriate, and providers, as well as authorization of HCBS waiver services. section 1115(a) demonstration program under which the STAR+PLUS program operates. Appendix 2: CMS Standards and Conditions and Supporting State Documentation‌ To participate in the Demonstration, each State submitted a proposal outlining its approach. The proposal had to meet a set of standards and conditions. The table below crosswalks the standards and conditions to their location in the Texas proposal, submitted in 2012 and posted on the MMCO website. Following the submission of the proposal, CMS asked the State a number of questions when there was ambiguity of whether or not the proposal met the Standards and Conditions. These questions and responses are included in the Addendum to the proposal, which will be posted on CMS’ website with the proposal. Standard/ Condition Standard/Condition Description Location in proposal (i.e. page #) Integration of Benefits Proposed model ensures the provision and coordination of all necessary Medicare and Medicaid-covered services, including primary, acute, prescription drug, behavioral health, and LTSS. Addendum Care Model Proposed model offers mechanisms for person-centered coordination of care and includes robust and meaningful mechanisms for improving care transitions (e.g., between providers and/or settings) to maximize continuity of care. pp. 8-9, 11, and Addendum Stakeholder Engagement State...