DUR Board Reporting Requirements Sample Clauses

DUR Board Reporting Requirements. In accordance with IC 00-00-00-00, the DUR Board shall review the prescription drug programs of the Contractor at least one (1) time per year. This review shall include, but is not limited to, review of the following:  An analysis of the single source drugs requiring prior authorization in comparison to other contractor’s prescription drug programs in the HIP program.  A determination and analysis of the number and the type of drugs subject to a restriction.  A review of the rationale for the prior authorization of a drug and a restriction on a drug.  A review of the number of requests a Contractor received for prior authorization, including the number of times prior authorization was approved and disapproved.  A review of patient and provider satisfaction survey reports and pharmacy-related grievance data for a twelve (12) month period. The Contractor shall provide OMPP with the information necessary for the DUR Board to conduct this review in the timeframe and format specified by OMPP. In addition to the DUR Board approval, the Contractor shall also seek the advice of the Mental Health Medicaid Quality Advisory Committee, as required in IC 12-15-35.5, prior to implementing a restriction on a mental health drug described in IC 12-15-35.5-3(b). The Contractor shall supply, on a quarterly basis, a report to the Office and the DUR Board of the number of member days of missed therapy due to prior authorization. The format of this report will be agreed upon by the Contractor, the Office and the DUR Board. In addition, the Contractor shall comply with any additional reporting requests required for submission to the DUR Board. Please refer to the HIP MCE Reporting Manual for more information on pharmacy reporting requirements. The Contractor shall provide the DUR Board statistics at the DUR Board’s monthly meetings. These statistics may include information on drug utilization or prior authorization reports as requested by the State.
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DUR Board Reporting Requirements. In accordance with IC 00-00-00-00, the DUR Board shall review the prescription drug programs of the Contractor at least one (1) time per year. This review shall include, but is not limited to, review of the following:  An analysis of the single source drugs requiring prior authorization in comparison to other contractor’s prescription drug programs in the Hoosier Healthwise program.
Sample 1Sample 2Sample 3See All (16)
DUR Board Reporting Requirements. In accordance with IC 00-00-00-00, the DUR Board shall review the prescription drug program of the Contractor at least one (1) time per year. This review shall include, but is not limited to, review of the following:  An analysis of the single source drugs requiring prior authorization in comparison to other contractor’s prescription drug programs in the Hoosier Care Connect program.  A determination and analysis of the number and the type of drugs subject to a restriction.  A review of the rationale for the prior authorization of a drug and a restriction on a drug.  A review of the number of requests a Contractor received for prior authorization, including the number of times prior authorization was approved and denied.  A review of patient and provider satisfaction survey reports and pharmacy-related grievance data for a twelve (12) month period. The Contractor shall provide FSSA with the information necessary for the DUR Board to conduct this review in the timeframe and format specified by FSSA. In addition to the DUR Board approval, the Contractor must also seek the advice of the Mental Health Quality Advisory Committee, as required in IC 12-15-35.5, prior to implementing a restriction on a mental health drug described in IC 12-15-35.5-3(b). The Contractor shall comply with any additional reporting requests required for submission to the DUR Board. The Contractor shall provide the DUR Board statistics at the DUR Board’s monthly meetings. These statistics may include information on drug utilization or prior authorization reports as requested by the State.
Sample 1Sample 2Sample 3See All (8)
DUR Board Reporting Requirements. In accordance with IC 00-00-00-00, the DUR Board shall review the prescription drug programs of the Contractor at least one (1) time per year. This review shall include, but is not limited to, review of the following: ▪ An analysis of the single source drugs requiring prior authorization in comparison to other contractor’s prescription drug programs in the HIP program. ▪ A determination and analysis of the number and the type of drugs subject to a restriction. ▪ A review of the rationale for the prior authorization of a drug and a restriction on a drug. ▪ A review of the number of requests a Contractor received for prior authorization, including the number of times prior authorization was approved and disapproved. ▪ A review of patient and provider satisfaction survey reports and pharmacy-related grievance data for a twelve (12) month period. The Contractor shall provide OMPP with the information necessary for the DUR Board to EXHIBIT 2.I
Sample 1Sample 2
DUR Board Reporting Requirements. In accordance with IC 00-00-00-00, the DUR Board shall review the prescription drug programs of the Contractor at least one (1) time per year. This review shall include, but is not limited to, review of the following: An analysis of the single source drugs requiring prior authorization in comparison to other contracto program. A determination and analysis of the number and the type of drugs subject to a restriction. A review of the rationale for the prior authorization of a drug and a restriction on a drug. A review of the number of requests a Contractor received for prior authorization, including the number of times prior authorization was approved and disapproved. A review of patient and provider satisfaction survey reports and pharmacy-related grievance data for a twelve (12) month period. The Contractor shall provide OMPP with the information necessary for the DUR Board to conduct this review in the timeframe and format specified by OMPP. In addition to the DUR Board approval, the Contractor shall also seek the advice of the Mental Health Medicaid Quality Advisory Committee, as required in IC 12-15-35.5, prior to implementing a restriction on a mental health drug described in IC 12-15-35.5-3(b). The Contractor shall supply, on a quarterly basis, a report to the Office and the DUR Board of the number of member days of missed therapy due to prior authorization. The format of this report will be agreed upon by the Contractor, the Office and the DUR Board. In addition, the Contractor shall comply with any additional reporting requests required for submission to the DUR Board. Please refer to the Hoosier Healthwise MCE Reporting Manual for more information on pharmacy reporting requirements. monthly meetings. These statistics may include information on drug utilization or prior authorization reports as requested by the State.
Sample 1

Related to DUR Board Reporting Requirements

  • Reporting Requirements The Company, during the period when the Prospectus is required to be delivered under the 1933 Act or the 1934 Act, will file all documents required to be filed with the Commission pursuant to the 1934 Act within the time periods required by the 1934 Act and the 1934 Act Regulations.

  • Additional Reporting Requirements Contractor agrees to submit written quarterly reports to H-GAC detailing all transactions during the previous three (3) month period. Reports must include, but are not limited, to the following information:

  • Reporting Requirements of the Commission The Trustee and the Master Servicer shall reasonably cooperate with the Depositor and its counsel to enter into such amendments or modifications to this Agreement as may be necessary to comply with the Rules and any interpretations thereof by the staff of the Commission, subject to the provisions of Section 11.03 hereof.

  • Reporting Requirement (1) In the event the Contractor identifies covered telecommunications equipment or services used as a substantial or essential component of any system, or as critical technology as part of any system, during contract performance, or the Contractor is notified of such by a subcontractor at any tier or by any other source, the Contractor shall report the information in paragraph (d)(2) of this clause to the Contracting Officer, unless elsewhere in this contract are established procedures for reporting the information; in the case of the Department of Defense, the Contractor shall report to the website at xxxxx://xxxxxx.xxx.xxx. For indefinite delivery contracts, the Contractor shall report to the Contracting Officer for the indefinite delivery contract and the Contracting Officer(s) for any affected order or, in the case of the Department of Defense, identify both the indefinite delivery contract and any affected orders in the report provided at xxxxx://xxxxxx.xxx.xxx.

  • Special Reporting Requirements County shall prepare and electronically submit, to xxxxxxxxxxx.xxxxxxxxxxxxx@xxxxxx.xxxxx.xx.xx, written quarterly reports on the delivery of MHS 04 Services, no later than 45 calendar days following the end of each subject quarter for which financial assistance is awarded through this Agreement. Reports must be prepared using forms and procedures prescribed by OHA. Forms are located at xxxx://xxx.xxxxxx.xxx/OHA/HSD/AMH/Pages/Reporting-Requirements.aspx. Each quarterly report shall provide the following information per month for each subject quarter:

  • General Reporting Requirements The MA-PD Sponsor agrees to submit to information to CMS according to 42 CFR §§423.505(f), 423.514, and the "Final Medicare Part D Reporting Requirements," a document issued by CMS and subject to modification each program year.

  • Filing Requirements Escrow securities will not be released under this Part until the Issuer does the following:

  • Financial Reporting Requirements The Charter School shall follow the financial requirements of the Charter Schools Section of the Department’s Financial Management for Georgia Local Units of Administration Manual. The Charter School shall submit all information required by the State Accounting Office for inclusion in the State of Georgia Comprehensive Annual Financial Report.

  • Accounting Requirements CONTRACTOR shall comply with all applicable COUNTY, State, and Federal accounting laws, rules and regulations. CONTRACTOR shall establish and maintain accounting systems and financial records that accurately account for and reflect all Federal funds received, including all matching funds from the State, COUNTY and any other local or private organizations. CONTRACTOR’s records shall reflect the expenditure and accounting of said funds in accordance with all applicable State laws and procedures for expending and accounting for all funds and receivables, as well as meet the financial management standards in 45 CFR Part 92 and in the Office of Management and Budget 2 CFR Part 200 “Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards.”

  • EDD Independent Subrecipient Reporting Requirements Effective January 1, 2001, the County of Orange is required to file in accordance with subdivision (a) of Section 6041A of the Internal Revenue Code for services received from a “service provider” to whom the County pays $600 or more or with whom the County enters into a contract for $600 or more within a single calendar year. The purpose of this reporting requirement is to increase child support collection by helping to locate parents who are delinquent in their child support obligations. The term “service provider” is defined in California Unemployment Insurance Code Section 1088.8, Subparagraph B.2 as “an individual who is not an employee of the service recipient for California purposes and who received compensation or executes a contract for services performed for that service recipient within or without the State.” The term is further defined by the California Employment Development Department to refer specifically to independent Subrecipients. An independent Subrecipient is defined as “an individual who is not an employee of the ... government entity for California purposes and who receives compensation or executes a contract for services performed for that ... government entity either in or outside of California.” The reporting requirement does not apply to corporations, general partnerships, limited liability partnerships, and limited liability companies. Additional information on this reporting requirement can be found at the California Employment Development Department web site located at xxxx://xxx.xxx.xx.xxx/Employer_Services.htm

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