Common use of Executive Director Clause in Contracts

Executive Director. (a) The HMO must employ a qualified individual to serve as the Executive Director for its HHSC HMO Program(s). Such Executive Director must be employed full-time by the HMO, be primarily dedicated to HHSC HMO Program(s), and must hold a Senior Executive or Management position in the HMO’s organization, except that the HMO may propose an alternate structure for the Executive Director position, subject to HHSC’s prior review and written approval. (b) The Executive Director must be authorized and empowered to represent the HMO regarding all matters pertaining to the Contract prior to such representation. The Executive Director must act as liaison between the HMO and the HHSC and must have responsibilities that include, but are not limited to, the following: (1) ensuring the HMO’s compliance with the terms of the Contract, including securing and coordinating resources necessary for such compliance; (2) receiving and responding to all inquiries and requests made by HHSC related to the Contract, in the time frames and formats specified by HHSC. Where practicable, HHSC must consult with the HMO to establish time frames and formats reasonably acceptable to the Parties; (3) attending and participating in regular HHSC HMO Executive Director meetings or conference calls; (4) attending and participating in regular HHSC Regional Advisory Committees (RACs) for managed care (the Executive Director may designate key personnel to attend a RAC if the Executive Director is unable to attend); (5) making best efforts to promptly resolve any issues identified either by the HMO or HHSC that may arise and are related to the Contract; (6) meeting with HHSC representative(s) on a periodic or as needed basis to review the HMO’s performance and resolve issues, and (7) meeting with HHSC at the time and place requested by HHSC, if HHSC determines that the HMO is not in compliance with the requirements of the Contract.

Executive Director. (a) The HMO MCO must employ a qualified individual to serve as the Executive Director for its HHSC HMO MCO Program(s). Such Executive Director must be employed full-time by the HMOMCO, be primarily dedicated to HHSC HMO MCO Program(s), and must hold a Senior Executive or Management position in the HMOMCO’s organization, except that the HMO MCO may propose an alternate structure for the Executive Director position, subject to HHSC’s prior review and written approval. (b) The Executive Director must be authorized and empowered to represent the HMO MCO regarding all matters pertaining to the Contract prior to such representation. The Executive Director must act as liaison between the HMO MCO and the HHSC and must have responsibilities that include, but are not limited to, the following: (1) ensuring the HMOMCO’s compliance with the terms of the Contract, including securing and coordinating resources necessary for such compliance; (2) receiving and responding to all inquiries and requests made by HHSC related to the Contract, in the time frames timeframes and formats specified by HHSC. Where practicable, HHSC must consult with the HMO MCO to establish time frames timeframes and formats reasonably acceptable to the Parties; (3) attending and participating in regular HHSC HMO MCO Executive Director meetings or conference calls; (4) attending and participating in regular HHSC Regional Advisory Committees (RACs) for managed care (the Executive Director may designate key personnel to attend a RAC if the Executive Director is unable to attend); (5) making best efforts to promptly resolve any issues identified either by the HMO MCO or HHSC that may arise and are related to the Contract; (6) meeting with HHSC representative(s) on a periodic or as needed basis to review the HMOMCO’s performance and resolve issues, and (7) meeting with HHSC at the time and place requested by HHSC, if HHSC determines that the HMO MCO is not in compliance with the requirements of the Contract.

Executive Director. (a) The HMO must employ a qualified individual to serve as the Executive Director for its HHSC HMO Program(s). Such Executive Director must be employed full-time by the HMO, be primarily dedicated to HHSC HMO Program(s), and must hold a Senior Executive or Management position in the HMO’s organization, except that the HMO may propose an alternate structure for the Executive Director position, subject to HHSC’s prior review and written approval. (b) The Executive Director must be authorized and empowered to represent the HMO regarding all matters pertaining to the Contract prior to such representation. The Executive Director must act as liaison between the HMO and the HHSC and must have responsibilities that include, but are not limited to, the following: (1) ensuring the HMO’s compliance with the terms of the Contract, including securing and coordinating resources necessary for such compliance;; Responsible Office: HHSC Office of General Counsel (OGC) Subject: Attachment A — HHSC Uniform Managed Care Contract Terms & Conditions Version 1.0 (2) receiving and responding to all inquiries and requests made by HHSC related to the Contract, in the time frames and formats specified by HHSC. Where practicable, HHSC must consult with the HMO to establish time frames and formats reasonably acceptable to the Parties; (3) attending and participating in regular HHSC HMO Executive Director meetings or conference calls; (4) attending and participating in regular HHSC Regional Advisory Committees (RACs) for managed care (the Executive Director may designate key personnel to attend a RAC if the Executive Director is unable to attend); (5) making best efforts to promptly resolve any issues identified either by the HMO or HHSC that may arise and are related to the Contract; (6) meeting with HHSC representative(s) on a periodic or as needed basis to review the HMO’s performance and resolve issues, and (7) meeting with HHSC at the time and place requested by HHSC, if HHSC determines that the HMO is not in compliance with the requirements of the Contract.

Executive Director. (a) The HMO Dental Contractor must employ a qualified individual to serve as the Executive Director for its HHSC HMO Program(s)the Dental Program. Such The Executive Director must be employed full-time by the HMODental Contractor, be primarily dedicated to HHSC HMO Program(s)the Dental Program, and must hold a Senior Executive or Management position in the HMODental Contractor’s organization, except that the HMO Dental Contractor may propose an alternate structure for the Executive Director position, subject to HHSC’s prior review and written approval. (b) The Executive Director must be authorized and empowered to represent the HMO Dental Contractor regarding all matters pertaining to the Contract prior to such representation. The Executive Director must act as liaison between the HMO Dental Contractor and the HHSC and must have responsibilities that include, but are not limited to, the following: (1) ensuring the HMOEnsuring Dental Contractor’s compliance with the terms of the Contract, including securing and coordinating resources necessary for such compliance; (2) receiving Receiving and responding to all inquiries and requests made by HHSC related to the Contract, in the time frames timeframes and formats specified by HHSC. Where practicable, HHSC must will consult with the HMO Dental Contractor to establish time frames timeframes and formats reasonably acceptable to the Parties; (3) attending Attending and participating in regular HHSC HMO Executive Director meetings or conference calls;calls with HHSC; Dental Services for Texas Children’s Medicaid and Children’s Health Insurance Program Contract No. HHS0002879-00003 Attachment B – Dental Contract Terms and Conditions (4) attending Attending and participating in regular HHSC Regional Advisory Committees (RACs) for managed care (the care. The Executive Director may designate key personnel to attend a RAC if the Executive Director is unable to attend); (5) making Making best efforts to promptly resolve any issues identified either by the HMO Dental Contractor or HHSC that may arise and are related to the Contract; (6) meeting Meeting with HHSC representative(s) on a periodic or as needed basis to review the HMODental Contractor’s performance and resolve issues, and (7) meeting Meeting with HHSC at the time and place requested by HHSC, if HHSC determines that the HMO Dental Contractor is not in compliance with the requirements of the Contract.

Executive Director. (a) The HMO MCO must employ a qualified individual to serve as the Executive Director for its HHSC HMO Program(s)the STAR Kids Program. Such The Executive Director must be employed full-time by the HMOMCO, be primarily dedicated to HHSC HMO Program(s)STAR Kids Program, and must hold a Senior Executive or Management position in the HMOMCO’s organization, except that the HMO MCO may propose an alternate structure for the Executive Director position, subject to HHSC’s prior review and written approval. (b) The Executive Director must be authorized and empowered to represent the HMO MCO regarding all matters pertaining to the Contract prior to such representation. The Executive Director must act as liaison between the HMO MCO and the HHSC and must have responsibilities that include, but are not limited to, include the following: (1) ensuring the HMOMCO’s compliance with the terms of the Contract, including securing and coordinating resources necessary for such compliance; (2) receiving and responding to all inquiries and requests made by HHSC related to the Contract, in the time frames and formats specified by HHSC. Where practicable, HHSC must will consult with the HMO MCO to establish time frames and formats reasonably acceptable to the Parties; (3) attending and participating in regular HHSC HMO and MCO Executive Director meetings or conference calls; (4) attending and participating in regular HHSC Regional Advisory Committees (RACs) for managed care (the Executive Director may designate key personnel to attend a RAC if the Executive Director is unable to attend); (5) making best efforts to promptly resolve any issues identified either by the HMO MCO or HHSC that may arise and are related to the Contract; (6) meeting with HHSC representative(s) representatives on a periodic or as needed basis to review the HMOMCO’s performance and resolve issues, and (7) meeting with HHSC at the time and place requested by HHSC, if HHSC determines that the HMO MCO is not in compliance with the requirements of the Contract.