LHD Obligations Sample Clauses
The 'LHD Obligations' clause defines the specific duties and responsibilities assigned to the party referred to as LHD under the agreement. This clause typically outlines the actions LHD must perform, such as providing certain services, meeting performance standards, or complying with regulatory requirements. For example, LHD may be required to deliver reports, maintain equipment, or adhere to safety protocols. The core function of this clause is to clearly delineate LHD's role and expectations, thereby ensuring accountability and minimizing misunderstandings between the parties.
LHD Obligations i. LHD must ensure that its CCS Program authorizes and provides medical case management services for the medical conditions outlined and authorized DocuSign Envelope ID: F79290DD-ECCE-476E-A29A-E6F42D469B6D in Cal. Code Regs. tit. 22 Sections 41410-41518.9 for Members who have CCS-covered conditions (referred to as “CCS-Eligible Condition(s)”).22
ii. LHD is responsible for making all CCS Program medical, financial, and residential eligibility determinations for potential CCS-eligible Members, including responding to and tracking appeals relating to CCS Program eligibility determinations and annual redeterminations.
LHD Obligations i. LHD must ensure that its CCS Program authorizes and provides medical case management services for the medical conditions outlined and authorized in Cal. Code Regs. tit. 22 Sections 41410-41518.9 for Members who have CCS-covered conditions (referred to as “CCS-Eligible Condition(s)”).22 DHCS is responsible for CCS Program medical eligibility determinations and redeterminations, and LHD’s CCS Program is responsible for financial and residential eligibility determinations and redeterminations for potential CCS-eligible Members. Such medical eligibility determinations and redeterminations include eligibility determinations 22 Covered conditions and regulations applicable to the CCS Program are described by CCS Numbered Letters (“NL”) located on the CCS website, available at: ▇▇▇▇▇://▇▇▇.▇▇▇▇.▇▇.▇▇▇/services/ccs/Pages/CCSNL.aspx 23 for (i) Medical Therapy Program (“MTP”) services; (ii) High-Risk Infant Follow-up (“HRIF”) Program services; and (iii) organ transplants and related services. DHCS may utilize the information shared by MCPs to conduct medical determinations and redeterminations to determine the Member’s eligibility for the CCS Program. To the extent that DHCS is responsible for conducting the eligibility determinations on behalf of the CCS Program in the dependent county, if DHCS determines a Member is eligible for CCS Program services, it will notify the CCS Program of such eligibility at which point LHD must ensure the CCS Program coordinates the Member’s care and case management with MCPs. LHD will follow any new or updated Dependent County guidelines related to responsibilities due to change or elimination of the Case Management Improvement Plan (CMIP) program.
LHD Obligations. (Clause 4) In addition to those obligations set out in Clause 4, the LHD will: [LHD to populate. Some general examples include transport by LHD staff, refreshments, access to LHD computers. Not specific to Health Services – those requirements should be set out in Annexure C] [Cap on Reimbursable Unavoidable Costs (Clause 17.2(b)(i) [[ ] Dollars ($[ ])] / [Amount equal to the Fee set out in Item 5 of Schedule 1 less the amount of any part of the Fee already paid to the Accrediting Agency as at the date of termination] Item 8 Item 9 Notices (Clause 20.7) To the Accrediting Agency: Name: Address: Telephone: Mobile: Facsimile: To the LHD: Name: Address: Telephone: Mobile: Facsimile: LHD Health Services to be assessed [The parties are to agree a new Annexure C for each Health Service or group of Health Services if more than one Health Service is to be assessed during the same assessment event.] [INSERT LIST OF FACILITIES]
LHD Obligations