Delegated Activities. Any activities delegated to Subcontractor by United shall be set forth in the Agreement or such other written delegation agreement or addendum between the parties. The Agreement or delegation agreement/addendum shall specify the activities and reporting responsibilities delegated to Subcontractor and provide for revoking delegation or imposing other sanctions if Subcontractor’s performance is inadequate. Prior to delegating any activities to Subcontractor under the State Contract, United will evaluate Subcontractor’s ability to perform such activities.
Delegated Activities. The following shall apply with respect to any activities for which the Company is responsible under the CMS Contract, and that have been delegated to Agent under the Agreement:
Delegated Activities. If Plan has delegated activities to Provider, then the Plan will provide the following information to Provider and Provider shall provide such information to any of its subcontracted entities:
Delegated Activities. Vendor shall perform such delegated activities as United deems appropriate, including the Credentialing of Practitioners and Components in accordance with the Credentialing Plan, as may be amended from time to time, and the requirements set forth by the Credentialing Authorities. Vendor understands and agrees that Practitioners and Components may not provide health care services to a Member unless and until such Practitioners and Components are properly Credentialed and have executed or are otherwise subject to a Participation Agreement. Vendor will not communicate anything to the contrary to a Practitioner or Component.
Delegated Activities. 4.1 Subject to clause 4.2, PCC shall delegate to CCC the responsibility for delivering the Delegated Activities specified in Schedule A, pursuant to the terms and conditions of this Agreement.
Delegated Activities. If Customer has delegated activities to Producer, then the Customer will provide the following information to Producer and Producer shall provide such information to any of its subcontracted entities:
Delegated Activities. The activities or responsibilities with regard to Plan’s QHP products that are delegated to Agent are specified in the Xxxxxxxxx. [00 XXX 156.340(b)(1)]
Delegated Activities. Blue Cross delegates to Vendor and Vendor shall provide the Services in support of, as applicable, Blue Cross’ and its Affiliates’ Medicare and Medicaid products, as contemplated in the Agreement. Vendor acknowledges and agrees that Blue Cross may only delegate activities or functions to Vendor in a manner consistent with the requirements set forth in 42 C.F.R. §§ 422.504(i)(4) and 423.505(i)(4), as applicable. 42 C.F.R. §§ 422.504(i)(3)(ii),423.505(i)(3)(ii).
Delegated Activities. Any activities delegated to Provider by Health Plan shall be set forth in the Agreement or such other written delegation agreement or addendum between the parties. The Agreement or delegation agreement/addendum shall specify the activities and reporting responsibilities delegated to Provider and provide for revoking delegation or imposing other sanctions if Provider’s performance is inadequate. Prior to delegating any activities to Provider under the State Contract, Subcontractor and/or Health Plan will evaluate Provider’s ability to perform such activities.
Delegated Activities. In the event Cigna-HealthSpring delegates to Provider any of Cigna- HealthSpring’s activities or responsibilities under the CMS Contract, Provider and Cigna- HealthSpring agree to enter into a written agreement: (a) specifying the delegated activities and reporting responsibilities; (b) providing for revocation of the delegation activities and reporting requirements or specify other remedies in instances where CMS or Cigna- HealthSpring determines that Provider has not performed satisfactorily; (c) specifying that the performance of Provider is monitored by Cigna-HealthSpring on an ongoing basis; (d) specifying that either (i) the credentials of medical professionals affiliated with Provider will be either reviewed by Cigna-HealthSpring, or (ii) the credentialing process will be reviewed and approved by Cigna-HealthSpring and Cigna-HealthSpring must audit the credentialing process on an ongoing basis; (e) in the event that Cigna-HealthSpring delegates the selection of Providers, written arrangements must state that Cigna-HealthSpring retains the right to approve, suspend, or terminate such arrangement; and (f) specifying that Provider must comply with all applicable Medicare laws, regulations, and CMS instructions. [42 C.F.R. § 422.504(i)(4); 42 C.F.R. § 422.504(i)(5)].
