Common Contracts
2 similar Contract for Furnishing Health Services by a Managed Care Organization contracts
STATE OF ILLINOISContract for Furnishing Health Services by a Managed Care Organization • August 22nd, 2023
(“Contract”), the Illinois Department of Healthcare and Family Services, 201 South Grand Avenue East, Springfield, Illinois 62763-0001 (“Department”), acting by and through its Director, and Meridian Health Plan of Illinois, Inc. (“Contractor”), desire to amend the Contract; and
CONTRACT FOR FURNISHING HEALTH SERVICES BY A MANAGED CARE ORGANIZATIONContract for Furnishing Health Services by a Managed Care Organization • August 22nd, 2023
requirements of the Contract. This position shall oversee Contractor’s Program Integrity Program; the Complaint, Grievance, Special Investigations Unit; and the fair hearing process and ensure that Fraud, Waste, and Abuse is reported in accordance with the guidelines in 42 CFR §438.608 and the requirements of this Contract. This position shall report directly to the CEO and Board of Directors.
