TIMELY ACCESS REQUIREMENTS Sample Clauses

TIMELY ACCESS REQUIREMENTS. 14.1 Contractor shall comply with the requirements set forth in CCR, Title 9, § 1810.405, including meeting MHP and State Contract standards for timely access to care and services, taking into account the urgency of need for services. The MHP shall monitor Contractor/MHP network providers to determine compliance with timely access requirements and shall take corrective action in the event of noncompliance.
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TIMELY ACCESS REQUIREMENTS. 14.1 Contractor shall comply with the requirements set forth in CCR, Title 9, § 1810.405, including meeting MHP and State Contract standards for timely access to care and services, taking into account the urgency of need for services. The MHP shall monitor Contractor/MHP network providers to determine compliance with timely access requirements and shall take corrective action in the event of noncompliance. 14.2 Timely access standards include: 14.2.1 Contractors must have hours of operation during which services are provided to Medi-Cal beneficiaries that are no less that the hours of operation during which the provider offers services to non-Medi-Cal beneficiaries. If the Contract agency provider only serves Medi-Cal beneficiaries, the contracted agency must provide hours of operation comparable to the hours the provider makes available for Medi-Cal services that are not covered by the Contract or another Mental Health Plan. 14.2.2 Appointments data, including wait times for requested services, must be recorded and tracked by Contractor, and submitted to the MHP’ on a monthly basis in a format specified by the MHP. Appointments’ data should be submitted to the MHP’s Quality Management via email to XXXXXXXxxxxx@xxxxxxxxxxx.xxx. 14.2.3 Urgent care appointment for services that do not require prior authorization must be provided to beneficiaries within 48 hours of a request. Urgent appointments for services that do require prior authorization must be provided to beneficiaries within 96 hours of request. 14.2.4 Non-urgent Mental Health Services, including Initial Assessment, Targeted Case Management, Crisis Intervention and Medication Support Service appointments (for both adult and children/youth) must be made available to Medi-Cal beneficiaries within 10 business days from the date the beneficiary or a provider acting on behalf of the beneficiary, requests an appointment for a medically necessary service. Medical necessity shall be determined at an initial assessment appointment which shall be made available within 10 business days of request. Medical necessity must be established before other services can be provided. 14.2.5 Non-urgent psychiatry appointments (for both adult and children/youth) must be made available to Medi-Cal beneficiaries within 15 business days from the date the beneficiary or a provider acting on behalf of the beneficiary, requests an appointment for a medically necessary service. 14.2.6 Applicable appointment time standards may be e...
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Related to TIMELY ACCESS REQUIREMENTS

  • Access Requirements You will be responsible for providing the System to enable you to use an Electronic Service.

  • Basic Requirements To be eligible for PayPal’s Seller Protection program, all of the following basic requirements must be met, as well as any applicable additional requirements: • The primary address for your PayPal account must be in the United States. • The item must be a physical, tangible good that can be shipped, except for items subject to the Intangible Goods Additional Requirements. Transactions involving items that you deliver in person in connection with payment made in your physical store, may also be eligible for PayPal’s Seller Protection program so long as the buyer paid for the transaction in person by using a PayPal goods and services QR code. • You must ship the item to the shipping address on the Transaction Details page in your PayPal account for the transaction. If you originally ship the item to the recipient’s shipping address on the Transaction Details page but the item is later redirected to a different address, you will not be eligible for PayPal’s Seller Protection program. We therefore recommend not using a shipping service that is arranged by the buyer, so that you will be able to provide valid proof of shipping and delivery. • The shipping requirement does not apply to eligible transactions involving items that you deliver in person; provided, however, that you agree to provide us with alternative evidence of delivery or such additional documentation or information relating to the transaction that we may request. • You must respond to PayPal’s requests for documentation and other information in a timely manner as requested in our email correspondence with you or in our correspondence with you through the Resolution Center. If you do not respond to PayPal’s request for documentation and other information in the time requested, you may not be eligible for PayPal’s Seller Protection program. • If the sale involves pre-ordered or made-to-order goods, you must ship within the timeframe you specified in the listing. Otherwise, it is recommended that you ship all items within 7 days after receipt of payment. • You provide us with valid proof of shipment or delivery. • The payment must be marked “eligible” or “partially eligible” in the case of Unauthorized Transaction claims, or “eligible” in the case of Item Not Received claims, for PayPal’s Seller Protection program on the Transaction Details page. • In the case of an Unauthorized Transaction claim, you must provide valid proof of shipment or proof of delivery that demonstrates that the item was shipped or provided to the buyer no later than two days after PayPal notified you of the dispute or reversal. For example, if PayPal notifies you of an Unauthorized Transaction claim on September 1, the valid proof of shipment must indicate that the item was shipped to the buyer no later than September 3 to be eligible for PayPal’s Seller Protection program. PayPal determines, in its sole discretion, whether your claim is eligible for PayPal’s Seller Protection program. PayPal will make a decision, in its sole discretion, based on the eligibility requirements, any information or documentation provided during the resolution process, or any other information PayPal deems relevant and appropriate under the circumstances. Item Not Received additional requirements To be eligible for PayPal’s Seller Protection program for a buyer’s Item Not Received claim, you must meet both the basic requirements and the additional requirements listed below: • Where a buyer files a chargeback with the issuer for a card-funded transaction, the payment must be marked “eligible” for PayPal’s Seller Protection on the Transaction Details page. • You must provide proof of delivery as described below.

  • HIPAA Requirements The Parties agree that the provisions under HIPAA Rules that are required by law to be incorporated into this Amendment are hereby incorporated into this Agreement.

  • Match Requirements There is no match required on the part of the Grantee under this Agreement.

  • Submittal Requirements To comply with Subsection 4.1, Consultant shall submit the following:

  • Program Requirements A. The parties shall comply with the Disadvantaged Business Enterprise Program requirements established in 49 CFR Part 26.

  • Minimum System Requirements The following summarizes the minimum office system requirements for all Contractors and Architect/Engineer to possess in order to participate. It is the responsibility of all Contractors and Architect/Engineer to possess these minimum requirements at no additional cost to Princeton University.

  • Support Requirements If there is a dispute between the awarded vendor and TIPS Member, TIPS or its representatives may assist, at TIPS sole discretion, in conflict resolution or third party (mandatory mediation), if requested by either party. TIPS, or its representatives, reserves the right to inspect any project and audit the awarded vendors TIPS project files, documentation and correspondence. Status of TIPS Members as Related to This Agreement TIPS Members stand in the place of TIPS as related to this agreement and have the same access to the proposal information and all related documents. TIPS Members have all the same rights under the awarded Agreement as TIPS.

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