Attachment K. Indirect Cost Rate Agreement is hereby deleted in its entirety and replaced with the following: Attachment K-1: Indirect Cost Rate Agreement (March 25, 2020).
Attachment K. Credit Translation Crosswalk Policy for Converting to/from Carnegie Units Sustainable Futures Public Charter School (SF PCS) was founded with a belief that students are best served when allowed to pursue their education in a supportive environment that allows them to purse their education at their own pace, and with the supports necessary to be successful. This belief then leads us from a conventional system that focuses on seat time (i.e., Carnegie Units) to one where student earn course credit when they demonstrate mastery. However, it is important to be able to convert Carnegie Units to/from our academic model, largely for cases where students may opt to transfer from SF PCS to another secondary school. This document establishes the policies that will be used to communicate traditional Carnegie unit academic skills and content for students who enter and exit SF PCS. Relevance of Carnegie Units at Entry Upon entry, students take the STAR assessment to determine their academic capabilities. However, while transcript(s) from previous schools will be analyzed to determine skill and content mastery for placement into the SF PCS academic program, students’ capabilities, rather than Carnegie units earned, will determine placement. At the same time, transcripts will be retained and incorporated into students’ transcripts, should they transfer to another school.
Attachment K. Execution of Application
Attachment K. First Revised and Restated Risk Level Matrix The PHP agrees and acknowledges that the Risk Level Matrix is intended to be an illustrative, non-exhaustive list of the types of acts, failures to act, behaviors, and/or practices that may be assigned to a specific level by the Department upon consideration of some or all of the factors described in the Contract. If the PHP is found to be non-compliant with the terms, conditions, or requirements of the Contract or of any other violation by the Department, the PHP agrees and acknowledges that the Risk Level Matrix, as provided in the Contract, is for demonstrative purposes only, and the Department retains the sole discretion to assign an appropriate level to each type of noncompliance or violation by the PHP based on the nature of the noncompliance or violation as described in the Contract. The PHP further agrees and acknowledges that the content included in the examples of noncompliant behavior and/or practices in the Risk Level Matrix are not the full scope of violations subject to a Risk Level assignment by the Department and that if a specific example of noncompliant behavior or practice identified in the Matrix occurs, the Department is not obligated to assign the noncompliant behavior or practice in accordance with the level provided in this Matrix.
Attachment K. First Revised and Restated Table 1: Risk Level Matrix Level Examples of Noncompliant Behavior and/or Practices Action(s) or inaction(s) that inhibit the efficient operation the managed care program Failure to establish, maintain, and/or participate on required advisory committees as required by the Department or by state or federal law or regulation Failure to comply with time frames for distributing (or providing access to) Member handbooks, identification cards, provider directories, and educational materials to Members (or potential Members) Failure to meet minimum requirements requiring coordination and cooperation with external entities EQRO or other program audit reports with non-substantia findings Failure to meet staffing requirements (including experience and training, staffing levels, notice of personnel changes, and location requirements) Failure to timely furnish a policy, handbook, directory, or manual upon request by a Member or potential Member as required under the Contract The remainder of this page is intentionally left blank.
Attachment K. First Revised and Restated Table 1: Risk Level Matrix Level Examples of Noncompliant Behavior and/or Practices Failure to maintain the privacy and/or security of data containing protected health information (PII) which results in a breach of the security of such information and/or failure to timely report violations in the access, use, and disclosure of PII Continuing substantially similar noncompliance and failure to comply with previously imposed action(s) resulting from a Level 3 violation Two or more Level 3 violations within a Contract year LEVEL 3 Action(s) or inaction(s) that diminish the effective oversight and administration of the managed care program Failure to submit to the Department within the specified timeframes any documentation, policies, notices, materials, handbooks, provider directories, provider agreements, etc. requiring Departmental review and/or approval Failure to comply with provider relations requirements (including hours of operation, call center, and online portal) Failure to notify the Department and Members of terminated network providers within required timeframes Failure to respond to or complete a request made by the Department (or other agencies with oversight responsibilities) within the specified timeframe and in the manner and format requested Failure to implement and maintain required policies, plans, and programs (e.g. drug utilization review program, fraud prevention plan, clinical practice guidelines) Using unapproved Member notices, educational materials, and handbooks and marketing materials Engaging in prohibited marketing activities and practices Continuing substantially similar noncompliance and failure to comply with previously imposed action(s) resulting from a Level 4 violation Three or more Level 4 violations within a Contract year LEVEL 4 Submission of a late, incorrect, or incomplete report or Deliverable (excludes encounter data and other financial reports)
Attachment K. First Revised and Restated Table 1: Risk Level Matrix Level Examples of Noncompliant Behavior and/or Practices LEVEL 1 Action(s) or inaction(s) that seriously jeopardize the health, safety, and welfare of Member(s); reduces Members’ access to care; and/or the integrity of Medicaid Managed Xxxx Xxxxxxx to substantially provide medically necessary covered services Imposing arbitrary utilization guidelines, quantitative coverage limits, or prior authorization requirements prohibited under the Contract Imposing on Members premiums or cost-sharing that are in excess of that permitted by the Department Failure to substantially meet minimum care management and care coordination requirements Failure to substantially meet minimum Transition of Care Policy requirements Failure to substantially meet or failure to require network providers to meet the network adequacy standards established by the Department (without an approved exception) Denying coverage for out-of-network care when no reasonable access to an in-network provider is available Continuing failure to resolve Member and provider appeals and grievances within specified timeframes
Attachment K. LIST OF EXISTING COMPONENT PARTS (See attached schedule) The Existing Component Parts that will be purchased by Manufacturer shall consist substantially of the items in the attached schedule, which represents an inventory of all Existing Component Parts as of August 20, 2002. Manufacturer acknowledges and agrees that certain minor deviations may exist in such list prior to the date on which it takes possession of such inventory of Existing Component Parts. Manufacturer further acknowledges and agrees that it has performed a physical inventory of the Existing Component Parts and is willing to acquire such items, subject to the minor deviations. The total amount to be paid by Manufacturer for the Existing Component Parts pursuant to this Agreement is equal to Asyst's standard cost for the inventory of Existing Component Parts that Manufacture will receive provided, however, that Manufacturer shall not pay more than [*] for such Existing Component Parts. Upon request, Manufacturer will provide to Asyst any required information to establish the fact that such sale of Existing Component Parts is exempt from sales or use taxes by furnishing a resale tax exemption certificate for such purchase. [*] = CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED BY BRACKETS, HAS BEEN OMITTED AND FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE COMMISSION PURSUANT TO RULE 24b-2 OF THE SECURITIES EXCHANGE ACT OF 1934, AS AMENDED.
Attachment K. Risk-Level Matrix is revised and restated in its entirety as set forth in Attachment 4: Attachment K. First Revised and Restated Risk-Level Matrix, to this Amendment.
