SUBDELEGATION. 8.1. The Service Provider shall not subcontract to any third party (“the Subcontractor”) any portion of the Deliverables that must be provided under this Service Provider Agreement without the Fund’s prior written consent.
SUBDELEGATION. Health Plans retain the right to approve arrangements for any drug utilization management activities sub-delegated by CompCare or any of its delegates. CompCare shall obtain Health Plans approval prior to sub-delegation of any activities initiated during the term of this Agreement, and shall report any change in approved sub-delegation arrangements to Health Plans at least thirty (30) days in advance of such change. Sub-delegates shall be subject to all Applicable Laws and Health Plans policies and procedures. Any required approval by Health Plans of any sub-delegate shall not be unreasonably withheld.
SUBDELEGATION. It may be allowable for Delegate to subdelegate specific activities that relate to Claims and Encounter Data. As provided for under the Agreement and as set forth herein, subdelegation requires the prior written approval of MCO. In addition to the requirements for subdelegation set forth in the Agreement, Delegate will submit to MCO a Delegation Chart (template to be provided by MCO). If a subdelegation is approved, the Delegate will be responsible for ongoing oversight of the subdelegate’s performance and will be required to report performance results to MCO. CLAIMS/ENCOUNTER BUSINESS REQUIREMENTS Function Delegation Status Delegate Activities Reporting: Data, Frequency, & Submission MCO Activities
SUBDELEGATION. It may be allowable for Delegate to subdelegate specific activities that relate to Credentialing. As provided for under the Agreement and as set forth herein, subdelegation requires the prior written approval of CHPW. In addition to the requirements for subdelegation set forth in the Agreement, Delegate will submit to MCO a Delegation Chart (template to be provided by CHPW). If a subdelegation is approved, the Delegate will be responsible for ongoing oversight of the subdelegate’s performance and will be required to report performance results to CHPW. DELEGATION GRID Function Delegation Status Delegate Activities Reporting: Data, Frequency, & Submission CHPW Activities CR 7: Assessment of Organizational Providers Delegated Not Delegated ALL N/A N/A Ongoing Monitoring Delegated Not Delegated State Exclusion Website OIG XXX Completed by 15th of Month- Delegate is to maintain documentation N/A Disclosure and/or Ownership Form Delegated Not Delegated Collected at initial contracting and 36 months after or if any changes N/A If applicable to MCO Attachment A-4 to Exhibit A Community Health Plan of Washington (CHPW)
SUBDELEGATION. It may be allowable for Delegate to subdelegate specific activities that relate to Crisis Services. As provided for under the Agreement and as set forth herein, subdelegation requires the prior written approval of CHPW. In addition to the requirements for subdelegation set forth in the Agreement, Delegate will submit to MCO a Delegation Chart (template to be provided by CHPW). If a subdelegation is approved, the Delegate will be responsible for ongoing oversight of the subdelegate’s performance and will be required to report performance results to CHPW. Function Delegate Activities Reporting: Data, Frequency, & Submission CHPW Activities 24-7 Availability Crisis Services shall be available 24-7- 365, including regional crisis hotline that provides screening and referral services Immediate Access Crisis Services shall be available to Members without the need for the member to complete an intake evaluation or other screening or assessment processes. Function Delegate Activities Reporting: Data, Frequency, & Submission CHPW Activities Encounter Data Require submission of complete and accurate encounter data related to the provision of Crisis Services in HCA- prescribed formats Weekly basis provide to CHPW batches of such data Crisis Services standards- Washington Administrative Code Crisis services shall be performed in accordance with all state agency requirements, including Washington Department of Health and HCA regulatory requirements, applicable to Crisis Services and Crisis Services providers Telephone Access Telephones are answered by a live voice within 30 seconds with an abandonment rate within 5 percent. Submission to CHPW staff of a monthly summary report that includes total calls, call answer time and abandonment rate. Reports provided in electronic copy. Manager of Delegation will receive and review monthly reports for performance review. Daily Crisis Service Log Daily Crisis Services will be kept on a standardized log and submitted each business day to CHPW. Daily (business day) CHPW will assist as needed to coordinate any services. Attachment A-2 to Exhibit A Community Health Plan of Washington (CHPW)
SUBDELEGATION. The Firm shall not subcontract to any third party (“the Specialist”) any portion of the Deliverables that must be provided under this Agreement without the Fund’s prior written consent. The Fund shall not be under any obligation to consent to a request by the Firm to subcontract to any third party any portion of the Deliverables that must be provided under this Agreement. The Fund shall, when giving consideration to a written request for consent contemplated in clause 12.1 above, conduct a due diligence on the Specialist. Further to the provisions of clause 12.3 above, and to assist the Fund in conducting its due diligence as envisaged, the Firm shall provide with the written request, and the Fund shall take into consideration, the following aspects pertaining to the Specialist: An original B-BBEE Status Level Verification Certificate in respect of the Specialist, issued by an accredited verification agency, alternatively a certificate issued by the accounting officer (in respect of a close corporation), the registered auditor (in respect of a company) or accredited verification agency, that the Specialist is an Exempted Micro Enterprise or a Qualifying Small Enterprise; An original Declaration of Interest completed and signed by the Specialist; and An original valid Tax Clearance Certificate in respect of the Specialist. The Fund may, if the Fund elects to approve a request contemplated in clause 12.1 above, make such consent subject to such terms and conditions as the Fund in its sole election consider reasonable. Notwithstanding that the Fund may elect to consent to a request contemplated in clause 12.1 above, such consent by the Fund shall not relieve the Firm of any of the Firm’s obligations under this Agreement and the Firm shall remain responsible for the actions and omissions of the Specialist.
