Common use of Administration, Management, Facilities and Resources Clause in Contracts

Administration, Management, Facilities and Resources. The Contractor shall maintain at all times during the term of this Contract adequate staffing, equipment, facilities, and resources sufficient to serve the needs of Enrollees, as specified in this Contract, RFP Proposal, and in accordance with appropriate standards of both specialty and sub-specialty care. The Contractor shall be responsible for the administration and management of all aspects of the Plan and the performance of all of the covenants, conditions and obligations imposed upon the Contractor pursuant to this Contract. No delegation of responsibility, whether by subcontract or otherwise, shall terminate or limit in any way the liability of the Contractor to the Division for the full performance of this Contract. Medical management staffing shall be at a level that is sufficient to perform all necessary medical assessments and to meet all Mississippi Medicaid enrollees’ case management needs at all times. The CCO shall have, at a minimum, the following key management personnel or persons with comparable qualifications, as listed below, employed during the term of this Contract: Executive Positions: • Full time Chief Executive Officer, and/or Chief Operations Officer located in Mississippi. • Chief Financial Officer • Chief Medical Officer located in Mississippi. • Chief Information Officer Administrative Positions: • Full time Provider Services Manager located in Mississippi. • Full time Member Services Manager located in Mississippi. • Quality Management Coordinator • Utilization Management Coordinator • Complaint/Grievance Coordinator • Claims Administrator • Other key personnel as identified by CCO. The key personnel required to be located in Mississippi must be approved by the Division prior to assignment. The Division reserves the right to approve additional key positions as needed. Key management positions cannot be vacant for more than ninety (90) days. Prior to diverting any of the specified key personnel for any reason, the Contractor must notify the Division in writing, and shall submit justification (including proposed substitutions) in sufficient detail to permit evaluation of the impact on the delivery of covered services. These changes are to be reported when individuals either leave or are added to these key positions. The following are the minimum qualifications for staff and level of equipment:

Administration, Management, Facilities and Resources. The Contractor shall maintain at all times during the term of this Contract adequate staffing, equipment, facilities, and resources sufficient to serve the needs of Enrollees, as specified in this Contract, RFP Proposal, and in accordance with appropriate standards of both specialty and sub-specialty care. The Contractor shall be responsible for the administration and management of all aspects of the Plan and the performance of all of the covenants, conditions and obligations imposed upon the Contractor pursuant to this Contract. No delegation of responsibility, whether by subcontract or otherwise, shall terminate or limit in any way the liability of the Contractor to the Division for the full performance of this Contract. Medical management staffing shall be at a level that is sufficient to perform all necessary medical assessments and to meet all Mississippi Medicaid enrollees’ case management needs at all times. The CCO shall have, at a minimum, the following key management personnel or persons with comparable qualifications, as listed below, employed during the term of this Contract: Executive Positions: •  Full time Chief Executive Officer, and/or Chief Operations Officer located in Mississippi. •  Chief Financial Officer •  Chief Medical Officer located in Mississippi. •  Chief Information Officer Administrative Positions: •  Full time Provider Services Manager located in Mississippi. •  Full time Member Services Manager located in Mississippi. •  Quality Management Coordinator •  Utilization Management Coordinator •  Complaint/Grievance Coordinator •  Claims Administrator •  Other key personnel as identified by CCO. The key personnel required to be located in Mississippi must be approved by the Division prior to assignment. The Division reserves the right to approve additional key positions as needed. Key management positions cannot be vacant for more than ninety (90) days. Prior to diverting any of the specified key personnel for any reason, the Contractor must notify the Division in writing, and shall submit justification (including proposed substitutions) in sufficient detail to permit evaluation of the impact on the delivery of covered services. These changes are to be reported when individuals either leave or are added to these key positions. The following are the minimum qualifications for staff and level of equipment:

Administration, Management, Facilities and Resources. The Contractor shall maintain at all times during the term of this Contract adequate staffing, equipment, facilities, and resources sufficient to serve the needs of Enrollees, as specified in this Contract, RFP Proposal, and in accordance with appropriate standards of both specialty and sub-specialty care. The Contractor shall be responsible for the administration and management of all aspects of the Plan and the performance of all of the covenants, conditions and obligations imposed upon the Contractor pursuant to this Contract. No delegation of responsibility, whether by subcontract or otherwise, shall terminate or limit in any way the liability of the Contractor to the Division for the full performance of this Contract. Medical management staffing shall be at a level that is sufficient to perform all necessary medical assessments and to meet all Mississippi Medicaid enrollees’ case management needs at all times. The CCO Contractor shall have, at a minimum, the following key management personnel or persons with comparable qualifications, as listed below, employed during the term of this Contract: Executive Positions: • Full time Chief Executive Officer, and/or Chief Operations Officer located in Mississippi. • Chief Financial Officer • Chief Medical Officer located in Mississippi. • Chief Information Officer Administrative Positions: • Full time Provider Services Manager located in Mississippi. • Full time Member Services Manager located in Mississippi. • Quality Management Coordinator • Utilization Management Coordinator • Complaint/Grievance Coordinator • Claims Administrator • Other key personnel as identified by CCOContractor. The key personnel required to be located in Mississippi must be approved by the Division prior to assignment. The Division reserves the right to approve additional key positions as needed. Key management positions cannot be vacant for more than ninety (90) days. Prior to diverting any of the specified key personnel for any reason, the Contractor must notify the Division in writing, and shall submit justification (including proposed substitutions) in sufficient detail to permit evaluation of the impact on the delivery of covered services. These changes are to be reported when individuals either leave or are added to these key positions. The following are the minimum qualifications for staff and level of equipment:

Administration, Management, Facilities and Resources. The Contractor shall maintain at all times during the term of this Contract adequate staffing, equipment, facilities, and resources sufficient to serve the needs of Enrollees, as specified in this Contract, RFP Proposal, and in accordance with appropriate standards of both specialty and sub-specialty care. The Contractor shall be responsible for the administration and management of all aspects of the Plan and the performance of all of the covenants, conditions and obligations imposed upon the Contractor pursuant to this Contract. No delegation of responsibility, whether by subcontract or otherwise, shall terminate or limit in any way the liability of the Contractor to the Division for the full performance of this Contract. Medical management staffing shall be at a level that is sufficient to perform all necessary medical assessments and to meet all Mississippi Medicaid enrollees’ case management needs at all times. The CCO shall have, have at a minimum, minimum the following key management personnel or persons with comparable qualifications, as listed below, employed during the term of this Contract: Executive Positions: • Full time Chief Executive Officer, and/or Chief Operations Officer located in Mississippi. Mississippi • Chief Financial Officer • Chief Medical Officer located in Mississippi. Mississippi • Chief Information Officer Administrative Positions: • Full time Provider Services Manager located in Mississippi. Mississippi • Full time Member Services Manager located in Mississippi. Mississippi • Quality Management Coordinator • Utilization Management Coordinator • Maternal Health/EPSDT Coordinator • Complaint/Grievance Coordinator • Claims Administrator • Other key personnel as identified by CCO. CCO The key personnel positions required to be located in Mississippi must be approved by the Division prior to assignment. The Division reserves the right to approve additional key positions as needed. Key management positions cannot be vacant for more than ninety (90) 90 days. Prior to diverting any of the specified key personnel for any reason, the Contractor must notify the Division in writing, and shall submit justification (including proposed substitutions) in sufficient detail to permit evaluation of the impact on the delivery of covered services. These changes are to be reported when individuals either leave or are added to these key positions. The following are the minimum qualifications for staff and level of equipment:

Administration, Management, Facilities and Resources. The Contractor shall maintain at all times during the term of this Contract adequate staffing, equipment, facilities, and resources sufficient to serve the needs of Enrollees, as specified in this Contract, RFP Proposal, and in accordance with appropriate standards of both specialty and sub-specialty care. The Contractor shall be responsible for the administration and management of all aspects of the Plan and the performance of all of the covenants, conditions and obligations imposed upon the Contractor pursuant to this Contract. No delegation of responsibility, whether by subcontract or otherwise, shall terminate or limit in any way the liability of the Contractor to the Division for the full performance of this Contract. Medical management staffing shall be at a level that is sufficient to perform all necessary medical assessments and to meet all Mississippi Medicaid enrollees’ case management needs at all times. The CCO Contractor shall have, at a minimum, the following key management personnel or persons with comparable qualifications, as listed below, employed during the term of this Contract: Executive Positions: •  Full time Chief Executive Officer, and/or Chief Operations Officer located in Mississippi. •  Chief Financial Officer •  Chief Medical Officer located in Mississippi. •  Chief Information Officer Administrative Positions: •  Full time Provider Services Manager located in Mississippi. •  Full time Member Services Manager located in Mississippi. •  Quality Management Coordinator •  Utilization Management Coordinator •  Complaint/Grievance Coordinator •  Claims Administrator •  Other key personnel as identified by CCOContractor. The key personnel required to be located in Mississippi must be approved by the Division prior to assignment. The Division reserves the right to approve additional key positions as needed. Key management positions cannot be vacant for more than ninety (90) days. Prior to diverting any of the specified key personnel for any reason, the Contractor must notify the Division in writing, and shall submit justification (including proposed substitutions) in sufficient detail to permit evaluation of the impact on the delivery of covered services. These changes are to be reported when individuals either leave or are added to these key positions. The following are the minimum qualifications for staff and level of equipment: