Site Evaluations and Inspections. In accordance with the terms and conditions of this Agreement and subject to applicable federal and state confidentiality laws, IPA shall require each IPA Physician to permit (i) WellCare or a designated representative, upon reasonable notification during normal business hours, unless otherwise required by federal, state or local law, regulation, or regulatory agency, and (ii) federal, state, and local regulatory agencies, to the extent authorized by law, to conduct periodic site evaluations of such IPA Physician's facilities, equipment, medical records of IPA Members to monitor utilization review activities and to monitor the quality of professional and ancillary medical care provided to IPA Members by such IPA Physician. IPA shall further require each IPA Physician (i) to operate all office sites in compliance with the criteria established by the WellCare Quality Assurance Committee and quality assurance requirements of the Departments and the NCQA and (ii) to comply with any such agencies' reasonable recommendations, if any, or to provide WellCare with a written response to any questions or comments posed by any of the agencies or WellCare.
Appears in 4 contracts
Samples: Ipa Service Agreement (Wellcare Management Group Inc), Ipa Service Agreement (Wellcare Management Group Inc), Ipa Service Agreement (Wellcare Management Group Inc)