UTILIZATION MANAGEMENT SERVICES. The authority and responsibility for all health care decisions with respect to a particular individual covered by the Program rests with that individual, or his or her representative, and that individual's health care providers and not with the Claims Processor, utilization management provider, the Employer or APBA.
UTILIZATION MANAGEMENT SERVICES. 4.1 Utilization Management Activities APS agrees to perform all Utilization Management Services as described in Section 3.1 for all HMO Subsidiaries.
UTILIZATION MANAGEMENT SERVICES. Provide utilization management services to help ensure appropriate, quality, and cost-effective treatment, which may consist of one or more of the following processes:
UTILIZATION MANAGEMENT SERVICES. Operator will utilize, manage and operate the Detention Facility subject to the terms of this Agreement and in a manner consistent with the INS Contract requirements or with the requirements of any Agency Contract. Operator shall at all times and at its sole cost and expense maintain, preserve and keep the Detention Facility in good repair, working order and condition. Operator shall provide or ensure the provision of the following services in connection with the Detention Facility and its operations:
UTILIZATION MANAGEMENT SERVICES. The Operator will utilize, manage and operate the Complex solely as a correctional facility and in a manner consistent with the purposes and powers of the Owner, as set forth in Owner’s initial Articles of Incorporation, and otherwise in accordance with terms of this Agreement and applicable law, any Agency Contract, and, for so long as the ICE Contract remains in effect, the ICE Contract (the “Applicable Standards”); it being understood, however, that, in accordance with the ICE Contract, the United States Public Health Service shall be responsible for providing medical and healthcare services for ICE detainees in the Complex and that the Operator shall not have the right to control the delivery of medical or healthcare services for ICE detainees at the Complex or to ensure compliance by the Public Health Service with NCCHC Standards for Health Services in Jails, and that the Operator shall not be deemed to be in breach or default of this Agreement as a result of any failure on the part of the Public Health Service to comply with those standards at the Complex. The Operator shall not create or permit the Complex to be a public or private nuisance or use or allow the use of the Complex in any unlawful manner. In the event of any conflict between or amongst the Applicable Standards, the higher or more stringent standard shall prevail. Without limiting the generality of the foregoing, Operator shall provide or ensure the provision of the following services in connection with the Complex and its operations:
UTILIZATION MANAGEMENT SERVICES
