Common use of Compliance Officer Clause in Contracts

Compliance Officer. The Contractor must employ a Compliance Officer who is accountable to the Contractor’s executive leadership and dedicated full-time to the Hoosier Care Connect program. This individual will be the primary liaison with the State (or its designees) to facilitate communications between FSSA, the State’s contractors and the Contractor’s executive leadership and staff. This individual must maintain a current knowledge of federal and state legislation, legislative initiatives and regulations that may impact the Hoosier Care Connect program. It is the responsibility of the Compliance Officer to coordinate reporting to the State as defined in Section 9.0 and to review the timeliness, accuracy and completeness of reports and data submissions to the State. The Compliance Officer, in close coordination with other key staff, has primary responsibility for ensuring all Contractor functions are in compliance with the terms of the Contract. The Compliance Officer shall meet with the OMPP Surveillance and Utilization Review Unit (SUR) on a quarterly basis.  Information Systems (IS) Coordinator – The Contractor must employ an IS Coordinator. This individual will oversee the Contractor’s Hoosier Care Connect information system(s) and serve as a liaison between the Contractor and the State fiscal agent or other FSSA contractors regarding encounter claims submissions, capitation payment, member eligibility, enrollment and other data transmission interface and management issues. The IS Coordinator, in close coordination with other key staff, is responsible for ensuring all program data transactions are in compliance with the terms of the Contract. The IS Coordinator is responsible for attendance at all Technical Meetings called by the State. If the IS Coordinator is unable to attend a Technical Meeting, the IS Coordinator shall designate a representative to take his or her place. This representative must report back to the IS Coordinator on the Technical Meeting’s agenda and action items. For more information on the IS program requirements, see Section 8.0.

Compliance Officer. The Contractor must employ a Compliance Officer who is accountable to the Contractor’s executive leadership and dedicated full-time to the Hoosier Care Connect program. This individual will be the primary liaison with the State (or its designees) to facilitate communications between FSSA, the State’s contractors and the Contractor’s executive leadership and staff. This individual must maintain a current knowledge of federal and state legislation, legislative initiatives and regulations that may impact the Hoosier Care Connect program. It is the responsibility of the Compliance Officer to coordinate reporting to the State as defined in Section 9.0 and to review the timeliness, accuracy and completeness of reports and data submissions to the State. The Compliance Officer, in close coordination with other key staff, has primary responsibility for ensuring all Contractor functions are in compliance with the terms of the Contract. The Compliance Officer shall meet with the OMPP Surveillance and Utilization Review Unit (SUR) on a quarterly basis.  Information Systems (IS) Coordinator – The Contractor must employ an IS Coordinator. This individual will oversee the Contractor’s Hoosier Care Connect information system(s) and serve as a liaison between the Contractor and the State fiscal agent or other FSSA contractors regarding encounter claims submissions, capitation payment, member eligibility, enrollment and other data transmission interface and management issues. The IS Coordinator, in close coordination with other key staff, is responsible for ensuring all program data transactions are in compliance with the terms of the Contract. The IS Coordinator is responsible for attendance at all Technical Meetings called by the State. If the IS Coordinator is unable to attend a Technical Meeting, the IS Coordinator shall designate a representative to take his or her place. This representative must report back to the IS Coordinator on the Technical Meeting’s agenda and action items. For more EXHIBIT 1.M SCOPE OF WORK information on the IS program requirements, see Section 8.0.

Compliance Officer. The Contractor must employ a Compliance Officer who is accountable to the Contractor’s executive leadership and dedicated full-time to the Hoosier Care Connect program. This individual will be the primary liaison with the State (or its designees) to facilitate communications between FSSA, the State’s contractors and the Contractor’s executive leadership and staff. This individual must maintain a current knowledge of federal and state legislation, legislative initiatives and regulations that may impact the Hoosier Care Connect program. It is the responsibility of the Compliance Officer to coordinate reporting to the State as defined in Section 9.0 and to review the timeliness, accuracy and completeness of reports and data submissions to the State. The Compliance Officer, in close coordination with other key staff, has primary responsibility for ensuring all Contractor functions are in compliance with the terms of the Contract. The Compliance Officer shall meet with the OMPP Surveillance and Utilization Review Unit (SUR) on a quarterly basis.  • Information Systems (IS) Coordinator – The Contractor must employ an IS Coordinator. This individual will oversee the Contractor’s Hoosier Care Connect information system(s) and serve as a liaison between the Contractor and the State fiscal agent or other FSSA contractors regarding encounter claims submissions, capitation payment, member eligibility, enrollment and other data transmission interface and management issues. The IS Coordinator, in close coordination with other key staff, is responsible for ensuring all program data transactions are in compliance with the terms of the Contract. The IS Coordinator is responsible for attendance at all Technical Meetings called by the State. If the IS Coordinator is unable to attend a Technical Meeting, the IS Coordinator shall designate a representative to take his or her place. This representative must report back to the IS Coordinator on the Technical Meeting’s agenda and action items. For more information on the IS program requirements, see Section 8.0.

Compliance Officer. The Contractor must shall employ a Compliance Officer who is accountable to the Contractor’s executive leadership and dedicated full-time to the Hoosier Care Connect programContractor’s Indiana Medicaid product lines. This individual will be the primary liaison with the State (or its designees) to facilitate communications between FSSA, the State’s contractors and the Contractor’s executive leadership and staff. This individual must shall maintain a current knowledge of federal and state legislation, legislative initiatives and regulations that may impact the Hoosier Care Connect Healthwise program. It is the responsibility of the Compliance Officer to coordinate reporting to the State as defined in Section 9.0 and to review the timeliness, accuracy and completeness of reports and data submissions to the State. The Compliance Officer, in close coordination with other key staff, has primary responsibility for ensuring developing and implementing policies, procedures, and practices designed to ensure all Contractor functions are in compliance with the terms of the Contract. The Compliance Officer shall meet with the OMPP Surveillance and Utilization Review Program Integrity Unit (SUR) on a quarterly basis.  EXHIBIT 1 SCOPE OF WORK – HOOSIER HEALTHWISE Chief Information Systems Officer (ISCIO) Coordinator or Information Technology (IT) Director – The Contractor must shall employ an IS Coordinatora CIO or IT Director who is dedicated full-time to the Contractor’s Indiana Medicaid product lines. This individual will oversee the Contractor’s Hoosier Care Connect information system(sHealthwise Information Technology (IT) systems and serve as a liaison between the Contractor and the State fiscal agent or other FSSA contractors regarding encounter claims submissions, capitation payment, member eligibility), enrollment and other data transmission interface and management issues. The IS CoordinatorCIO or IT Director, in close coordination with other key staff, is responsible for ensuring all program data transactions are in compliance with the terms of the Contract. The IS Coordinator CIO or IT Director is responsible for attendance at all Technical Meetings called by the State. If the IS Coordinator CIO or IT Director is unable to attend a Technical Meeting, the IS Coordinator CIO or IT Director shall designate a representative to take his or her place. This representative must shall report back to the IS Coordinator CIO or IT Director on the Technical Meeting’s agenda and action items. For more information on the IS IT program requirements, see Section 8.0.