IPA-Specific Provisions Sample Clauses

IPA-Specific Provisions. 1. Any reference to IPA quality assurance (QA) activities within this Agreement is limited to the IPA’s analysis of utilization patterns and quality of care on its own behalf and as a service to its contract providers.
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IPA-Specific Provisions. 1. To the extent that an IPA is otherwise authorized by this agreement to perform pre-authorization of services and concurrent utilization of services and concurrent utilization review, the standards employed by the IPA shall be those of the HMO or approved by the HMO. All denials of services, and all determinations on appeals of such denials, shall be made by HMO. Where the IPA's determination on concurrent review is inconsistent with the results of the HMO's own concurrent review, the HMO's review and determination shall control. 2. Any reference to IPA quality assurance (QA) activities within this agreement is limited to the IPA's analysis of utilization patterns and quality of care on its own behalf and as a service to its contract providers. EXHIBIT B
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IPA-Specific Provisions. 1. Any reference to IPA quality assurance (QA) activities within this Agreement is limited to the IPA’s analysis of utilization patterns and quality of care on its own behalf and as a service to its contract providers. 1. To the extent that arbitration or alternative dispute resolution is authorized elsewhere in this Agreement, the parties to this Agreement acknowledge that the Commissioner of Health is not bound by arbitration or mediation decisions. Arbitration or mediation shall occur within New York State, and the Commissioner of Health will be given notice of all issues going to arbitration or mediation, and copies of all decisions.
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Related to IPA-Specific Provisions

  • State Specific Provisions N/A. ATTACHED EXHIBIT. The Exhibit noted below, if marked with an "X" in the space provided, is attached to this Note: X Exhibit A Modifications to Multifamily Note

  • Country-Specific Provisions Argentina

  • Specific Provisions 4.1 Unless the CERT otherwise agrees, based on exceptional circumstance and sufficient justification, Implementing Agreements shall be for an initial term of up to, but no more than, five years. 4.2 An Implementing Agreement may be extended for such additional periods as may be determined by its Executive Committee, subject to approval of the CERT. Any single extension period shall not be greater than five years unless the CERT otherwise decides, based on exceptional circumstances and sufficient justification. 4.3 Notwithstanding Paragraph 4.2, should the duration of the programme of work of an Annex exceed the term of the Implementing Agreement to which it relates, the CERT shall not unreasonably withhold approval to extend the Implementing Agreement for such additional period to permit the conclusion of the work then being conducted under the Annex. 4.4 Either the Contracting Parties or the Executive Committee of each Implementing Agreement shall: 4.4.1 approve the programme activities and the annual programme of work and budget for the relevant Implementing Agreement; 4.4.2 establish the terms of the contribution for scientific and technical information, know-how and studies, manpower, capital investment or other forms of financing to be provided by each participant in the Implementing Agreement; 4.4.3 establish the necessary provisions on information and intellectual property and ensure the protection of IEA copyrights, logos and other intellectual property rights as established by the IEA; 4.4.4 assign the responsibility for the operational management of the programme or project to an entity accountable to the Executive Committee of the relevant Implementing Agreement; 4.4.5 establish the initial term of the Implementing Agreement and its Annexes; 4.4.6 approve amendments to the text of the Implementing Agreement and Annexes; and 4.4.7 invite a representative of the IEA Secretariat to its Executive Committee meetings in an advisory capacity and, sufficiently in advance of the meeting, provide the Secretariat with all documentation made available to the Executive Committee members for purposes of the meeting.

  • Specific Provision The grievant shall cite on the grievance form the specific article(s) and/or section(s) or combination thereof that the grievant alleges to have been violated. Failure to cite said provision(s) shall relieve the Employer of any obligation to process the grievance.

  • BASIC PROVISIONS A. Employer's Name: [. . . .] Address: [. . . .] B. Employer is a ( ) corporation; ( ) S corporation; ( ) partnership; ( ) sole proprietor; ( ) other. C. Employer's Tax ID Number: [. . . .] D. Employer's Fiscal Year: [. . . .] E. Plan name: [. . . . ]