Level of Service. 4.1.1 Each Member and New Market Entrant shall:
Level of Service. Complex case management with a provider focus is appropriate for members who either choose not to be actively involved or are unable to actively participate in their health care. Complex case management targets members with two (2) or more disease states who need assistance with care coordination, making preventive care appointments, or accessing care to address the members’ chronic health conditions or members who have had an inpatient hospital stay in the last ninety (90) days or members with high dollar claims of over fifty thousand dollars (>$50,000) in six (6) months. The focus is on working with the providers to meet the needs of the individual through communication with the PMP (if applicable), other providers, and the member’s natural support system. The goal is to help members gain optimum health or improved functional capability, in the right setting and in a cost-effective manner. Complex case management with provider focus is the active coordination by the Contractor of care and services between providers while navigating the extensive systems and resources required for the member. It involves comprehensive assessment, determination of available benefits, development and implementation of a complex case management plan directed at the chronic health conditions. At a minimum, the Contractor must provide complex case management services for members discharged from an inpatient psychiatric, drug overdose, or substance abuse hospitalization, for no fewer than ninety (90) calendar days following that inpatient hospitalization discharge. The Contractor must also provide complex case management services for any member at risk for inpatient psychiatric or substance abuse re -hospitalization. Care managers must contact members during an inpatient hospitalization or as soon as practicable upon receiving notification of a member’s inpatient behavioral health hospitalization. The care manager must work with the hospital discharge planner, provider case manager and/or natural supports (i.e. family) to ensure that an outpatient follow-up appointment is scheduled to occur no later than seven (7) calendar days following the inpatient behavioral health hospitalization discharge and transportation is not a barrier to attending the appointment. Complex case management with provider focus includes all of the services and benefits from disease management and care management. In addition,
Level of Service. The Service levels, if any, initially requested by Recipient (the “Initial Service Levels”) shall be as set forth in Schedule A. Recipient shall furnish Provider with an updated Schedule A at least thirty (30) days prior to the end of each fiscal quarter, indicating the anticipated Service needs of Recipient for the next fiscal quarter (each, a “Service Request”), and the Parties shall thereafter consult with one another and agree, as provided in Section 1.01 above, as to the elimination of any Service and the timing of, and adjustment to any Service Fees related to, the elimination of such Services. Subject to Sections 1.10, 1.11 and 1.12, Service levels may not be increased from the Initial Service Levels, including the enhancement of any Services or addition of any new Services, without the written agreement of the Parties.
Level of Service. Complex case management with member focus involves the active coordination of care and services with the member and between providers while navigating the extensive systems and resources required for the member. It includes comprehensive assessment, determination of available benefits, development and implementation of a complex case management plan directed at the member’s chronic health conditions. Complex case management targets members with two (2) or more disease states who need assistance with care coordination, making preventive care appointments or accessing care to address the members’ chronic health condition or members who have had an inpatient hospital stay in the last ninety (90) days or members with high dollar claims of over fifty thousand $50,000 thousand dollars (>$50,000) in six (6) months. The focus is on working with the providers to meet the needs of the individual through communication with the member, PMP (if applicable), other providers, and the member’s natural support system. The member’s active involvement will help EXHIBIT 1 SCOPE OF WORK – HOOSIER HEALTHWISE members gain optimum health or improved functional capability, in the right setting and in a cost-effective manner. At a minimum, the Contractor must provide complex case management services for members discharged from an inpatient psychiatric or substance abuse hospitalization, for no fewer than ninety (90) calendar days following that inpatient hospitalization. The Contractor must also provide complex case management services for any member at risk for inpatient psychiatric, drug overdose, or substance abuse re-hospitalization. Care managers must contact members during an inpatient hospitalization, or as soon as practicable upon receiving notification of a member’s inpatient behavioral health hospitalization. The care manager must work with the hospital discharge planner, behavioral health provider case manager and/or natural supports (i.e. family) to ensure that an outpatient follow-up appointment is scheduled to occur no later than seven (7) calendar days following the inpatient behavioral health hospitalization discharge. The Contractor must ensure that lack of transportation is not a barrier to the member attending the appointment. Complex case management includes all of the services and benefits from disease management and care management. The Contractor shall use community health workers, to physically make contact when members cannot be reached via telephone within...
Level of Service. The County agrees to provide all services in a professional and workmanlike manner.
Level of Service. The City shall provide emergency services within the jurisdictional limits of both parties’ boundaries pursuant to this agreement and to the extent required by law. In providing such service, the City shall endeavor to maintain a rating from the Washington Survey and Rating Bureau or any successor agency at least as favorable as that which is now held by each of the parties. The Washington Survey and Rating Bureau’s current rating for the parties at the time of the signing of this agreement are: City of Xxxxxxx – Class 3 King County Fire District 34 – Class 4 Provided, however, that the level of service shall be established through the Fire Department’s operational plan adopted as part of the City of Redmond’s budgeting process, which shall be approved, by the Board of Commissioners and City Council. In preparing the biennial budget for fire services, the City of Xxxxxxx shall prepare and/or revise an operational services plan for the District's review. The plan shall define the department's divisional services (administration, operations, training, emergency medical services, prevention/inspections, public education, emergency preparedness, apparatus maintenance), report on prior biennial accomplishments, outline the prospective biennium's work plan initiatives by divisional services, and summarize departmental budget and staff resources. Fire services capital needs shall also be included in the plan for District review.
Level of Service. Experian's obligation to furnish the Services shall be no less nor more extensive than the normal service provided by Experian to Experian Subscribers. Consistent with the foregoing, Experian may impose terms and conditions relating to the sale of the Services, and Affiliate agrees to comply with such terms and conditions, which are incorporated into and made a part of this Agreement by this reference. In the event of equipment or labor shortages, communication problems or similar problems, Experian will allocate available resources in a prudent manner without arbitrarily discriminating in favor of its own direct credit reporting business.
Level of Service. Xxxxxxxx undertakes to use the same degree of care in rendering services under this Agreement as it respectively utilizes in rendering such services for its own operations and shall not be liable for any failure to provide services other than a failure caused by or attributable to its gross negligence or intentional misconduct or that of any of its affiliates, employees, officers or other agents. Nothing in this Agreement will require Xxxxxxxx to perform or cause to be performed any service in a manner that would constitute a violation of applicable laws.
Level of Service. 20.01 The parties recognize and agree that service delivery and service levels, including the number of volunteers necessary to provide such service delivery, will be established by Town Council. In the event Town Council changes the level of service, or the number of volunteers required, the Association will not be prevented from making a presentation to Council in regard to such change in the delivery of emergency services.
Level of Service. Seller will use reasonable commercial efforts to perform the Transition Services in the manner and at a relative level of service substantially similar to that provided by Seller with respect to the Company during the six month period immediately prior to the Closing Date; provided, however, that, subject to Section 3(b) of this Agreement, nothing in this Agreement will require Seller to favor Buyer or any of its Affiliates, including the Company, after the Closing, over its own business operations or those of its Affiliates.
