Common Contracts

Contract

March 9th, 2023

• Filed
  March 9th, 2023

Medical Indemnity Fund Administrative Services RFP # 20238 Service Level Agreements (SLA) Attachment C Requirements Category SLAName SLA Liquidated Damages 4.1 General Duties MIF FAS SLA01 • Operate all aspects of the Fund in accordance with Executive Order No. 26, Appended here to as Appendix A;• Operate all aspects of the Fund as directed by the Department of Health; and• Translate services either directly or through a translation service. No damages. 4.2 Application Reviewand Enrollment Process Enrollee Handbook MIF FAS SLA02 Within one-hundred-eighty (180) days of contract execution, the Contractor must develop a comprehensive handbook for Enrollees and their families, to be approved by the Department. The handbook shall explain, at a minimum: • What is covered by the Fund;• How to access coverage;• How to submit claims for payment;• Which services require prior approval;• How to obtain prior approval;• How to file a complaint;• How to appeal a denial of payment or a denial of prio