LTSS standards Sample Clauses

LTSS standards. Unless the State approves an exception, for the first year of the demonstration (October 1, 2013 – December 31, 2014) Demonstration Plans will be required to offer contracts to all nursing facilities and supportive living facilities, as well as any willing LTSS provider in the service area that renders such Covered Services so long as such provider meets all applicable State and federal requirements for participation in the Medicaid program and meets the qualifications of the applicable HCBS waiver. After the first year of the Demonstration, Demonstration Plans may establish quality standards and may contract with only those providers that meet such standards, provided that all of the contracting providers are informed of any such quality standards no later than 90 days after the start of the first year of the Demonstration and that the State has given prior approval of the quality standards. Any such quality standards that are not established within 90 days after the start of the Demonstration must be in effect for 12 months before the Demonstration Plan may terminate a contract of a provider based on a failure to meet such quality standards. The State may grant exceptions to these contracting requirements for reasons other than failure to meet the quality standards. The Demonstration Plan must transition beneficiaries, or have a plan to transition beneficiaries, to new providers prior to terminating the contracts. The following provider specific standards also apply: 1. For Nursing Facilities (NFs) and Supportive Living Facilities (SLFs), Demonstration Plans must maintain the adequacy of its provider network within each county of the service area provided that each provider meets all applicable State and federal requirements for participation in the Medicaid Program. 2. For providers of each of the Covered Services listed below under a HCBS waiver, within each county in the service area, Demonstration Plans must enter into and maintain contracts with a set of providers that provided at least eighty percent (80%) of the fee-for-service services during CY 2012. For counties where there is more than one provider of Covered Services, Demonstration Plans shall enter into contracts with at least two of such providers, even if one served more than eighty percent (80%) of the current clients. HCBS services subject to this standard include: • Adult Day Care • Homemaker • Day Habilitation (BI waiver) • Supported Employment (BI waiver) • Home Delivered Meals • Home...
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Related to LTSS standards

  • OMB Standards Unless specified otherwise within this agreement, the Subrecipient shall procure all materials, property, or services in accordance with the requirements of 24 CFR 84.40−48.

  • Ethical Standards ‌ 7.8.1 Within ninety (90) days after the Effective Date, Developer shall adopt written policies establishing ethical standards of conduct for all Developer-Related Entities, including Developer’s supervisory and management personnel, in dealing with (a) IFA and the Department and (b) employment relations. Such policy shall be subject to review and comment by IFA prior to adoption. Such policy shall include standards of ethical conduct concerning the following: 7.8.1.1 Restrictions on gifts and contributions to, and lobbying of, IFA, the Department and any of their respective members, commissioners, directors, officers and employees, and elected State officials; 7.8.1.2 Protection of employees from unethical practices in selection, use, hiring, compensation or other terms and conditions of employment, or in firing, promotion and termination of employees; 7.8.1.3 Protection of employees from retaliatory actions (including discharge, demotion, suspension, threat, harassment, pay reduction or other discrimination in the terms and conditions of employment) in response to reporting of illegal (including the making of a false claim), unethical or unsafe actions or failures to act by any Developer-Related Entity; 7.8.1.4 Restrictions on directors, members, officers or supervisory or management personnel of any Developer-Related Entity engaging in any transaction or activity, including receiving or offering a financial incentive, benefit, loan or other financial interest, that is, or to a reasonable person appears to be, in conflict with or incompatible with the proper discharge of duties or independence of judgment or action in the performance of duties, or adverse to the interests of the Project or employees; 7.8.1.5 Restrictions on use of office or job position for a purpose that is, or would to a reasonable person appear to be, primarily for the private benefit of a director, member, officer or supervisory or management person, rather than primarily for the benefit of Developer or the Project, or primarily to achieve a private gain or an exemption from duty or responsibility for a director, member, officer or supervisory or management person; and 7.8.1.6 Restrictions on directors, members, officers or employees of any Developer-Related Entity performing any of the Work if the performance of such services would be prohibited under IFA’s conflict of interest rules and policies. 7.8.2 Developer shall cause its directors, members, officers and supervisory and management personnel, and require those of all other Developer-Related Entities, to adhere to and enforce the adopted policy on ethical standards of conduct. Developer shall establish reasonable systems and procedures to promote and monitor compliance with the policy. 7.8.3 Notwithstanding the foregoing in this Section 7.8, Developer has an affirmative obligation under this Agreement to disclose to IFA and to the Indiana State Ethics Commission when an interested party is or becomes an employee of IFA or the State. This obligation extends only to those facts that Developer knows or reasonably could know. For purposes of this Section 7.8.3, “interested party” means (a) the individual executing this Agreement, (b) an individual who has an interest of three percent (3%) or more of Developer, (c) any member of the immediate family of an individual specified in clause (a) or (b). For purposes of the preceding sentence, “immediate family” means the spouse and the unemancipated children of an individual.‌

  • Technical Standards The Generation System shall be installed and operated by the Interconnection Customer consistent with the requirements of this Agreement; the Technical Requirements; the applicable requirements located in the National Electrical Code (NEC); the applicable standards published by the American National Standards Institute (ANSI) and the Institute of Electrical and Electronic Engineers (IEEE); and local building and other applicable ordinances in effect at the time of the installation of the Generation System.

  • Safety Standards Performance of the Contract for all commodities or contractual services must comply with requirements of the Occupational Safety and Health Act and other applicable State of Florida and federal requirements.

  • Professional Standards The Contractor agrees to maintain the professional standards applicable to its profession and to consultants doing business in the United States Virgin Islands.