Common use of Transparency Requirements Clause in Contracts

Transparency Requirements. i. The MCOP must include a term in all FDR agreements that requires the FDR to grant ODM access to documents and other records ODM deems relevant to evaluate the FDR's performance thereunder. ii. Upon ODM's request, the MCOP must disclose to ODM all financial terms and arrangements for payment of any kind that apply between the MCOP or the MCOP's FDR, and any provider of a Medicaid service, except where federal and state law restricts disclosing the terms and arrangements. 1. If applicable, the MCOP and FDR must narrowly designate portions of any FDR agreement as proprietary information. Portions of any FDR agreement designated as proprietary information must be limited to the following: Portions of the FDR agreement that meet the definition of proprietary information in Article VII.B of the Baseline Provider Agreement; and Portions of the FDR agreement that consist of unique business or pricing structures that a competitor may use to gain an unfair market advantage over the FDR. 2. Proprietary designations in every FDR agreement must be limited, consistent with the foregoing. 3. Every portion of an FDR agreement that is not designated as proprietary may be deemed by ODM to be a public record as defined in ORC 149.43.

Transparency Requirements. i. The MCOP MCP must include a term in all FDR agreements that requires the FDR to grant ODM access to documents and other records ODM deems relevant to evaluate the FDR's performance thereunder. ii. Upon ODMXXX's request, the MCOP MCP must disclose to ODM all financial terms and arrangements for payment of any kind that apply between the MCOP MCP or the MCOP's MCP’s FDR, and any provider of a Medicaid service, except where federal and state law restricts disclosing the terms and arrangements. 1. If applicable, the MCOP MCP and FDR must narrowly designate portions of any FDR agreement as proprietary information. Portions of any FDR agreement designated as proprietary information must be limited to the following: : a. Portions of the FDR agreement that meet the definition of proprietary information in Article VII.B of the Baseline Provider Agreement; and and b. Portions of the FDR agreement that consist of unique business or pricing structures that a competitor may use to gain an unfair market advantage over the FDR. 2. Proprietary designations in every FDR agreement must be limited, consistent with the foregoing. 3. Every portion of an FDR agreement that is not designated as proprietary may be deemed by ODM to be a public record as defined in ORC 149.43.

Transparency Requirements. i. The MCOP MCP must include a term in all FDR agreements that requires the FDR to grant ODM access to documents and other records ODM deems relevant to evaluate the FDR's performance thereunder. ii. Upon ODM's request, the MCOP MCP must disclose to ODM all financial terms and arrangements for payment of any kind that apply between the MCOP MCP or the MCOP's MCP’s FDR, and any provider of a Medicaid service, except where federal and state law restricts disclosing the terms and arrangements. 1. If applicable, the MCOP MCP and FDR must narrowly designate portions of any FDR agreement as proprietary information. Portions of any FDR agreement designated as proprietary information must be limited to the following: : a. Portions of the FDR agreement that meet the definition of proprietary information in Article VII.B of the Baseline Provider Agreement; and and b. Portions of the FDR agreement that consist of unique business or pricing structures that a competitor may use to gain an unfair market advantage over the FDR. 2. Proprietary designations in every FDR agreement must be limited, consistent with the foregoing. 3. Every portion of an FDR agreement that is not designated as proprietary may be deemed by ODM to be a public record as defined in ORC 149.43.

Transparency Requirements. i. The MCOP must include a term in all FDR agreements that requires the FDR to grant ODM access to documents and other records ODM deems relevant to evaluate the FDR's performance thereunder. ii. Upon ODMXXX's request, the MCOP MCO must disclose to ODM all financial terms and arrangements for payment of any kind that apply between the MCOP or the MCOP's FDR, and any provider of a Medicaid service, except where federal and state law restricts disclosing the terms and arrangements. 1. If applicable, the MCOP and FDR must narrowly designate portions of any FDR agreement as proprietary information. Portions of any FDR agreement designated as proprietary information must be limited to the following: Portions of the FDR agreement that meet the definition of proprietary information in Article VII.B of the Baseline Provider Agreement; and Portions of the FDR agreement that consist of unique business or pricing structures that a competitor may use to gain an unfair market advantage over the FDR. 2. Proprietary designations in every FDR agreement must be limited, consistent with the foregoing. 3. Every portion of an FDR agreement that is not designated as proprietary may be deemed by ODM to be a public record as defined in ORC 149.43.