MCO must Sample Clauses
The 'MCO must' clause sets out specific obligations that the Managed Care Organization (MCO) is required to fulfill under the agreement. Typically, this clause details mandatory actions or standards the MCO must adhere to, such as providing certain healthcare services, maintaining compliance with regulations, or submitting required reports. By clearly outlining these duties, the clause ensures accountability and helps prevent misunderstandings about the MCO's responsibilities, thereby promoting effective contract performance and regulatory compliance.
MCO must. (1) actively monitor the quality of care and services, as well as the quality of reporting data, provided under a Subcontract;
(2) provide HHSC with a copy of TDI filings of delegation agreements;
(3) unless otherwise provided in this Contract, provide HHSC with written notice no later than:
(i) three (3) Business Days after receiving notice from a Material Subcontractor of its intent to terminate a Subcontract;
(ii) 180 calendar days prior to the termination date of a Material Subcontract for MIS systems operation or reporting;
(iii) 90 calendar days prior to the termination date of a Material Subcontract for non-MIS MCO Administrative Services; and
(iv) 30 calendar days prior to the termination date of any other Material Subcontract. HHSC may grant a written exception to these notice requirements if, in HHSC’s reasonable determination, the MCO has shown good cause for a shorter notice period.
MCO must. (1) actively monitor the quality of care and services, as well as the quality of reporting data, provided under a Subcontract;
(2) provide HHSC with a copy of TDI filings of delegation agreements;
(3) unless otherwise provided in this Contract, provide HHSC with written notice no later than:
(i) three Business Days after receiving notice from a Material Subcontractor of its intent to terminate a Subcontract;
(ii) 180 Days prior to the termination date of a Material Subcontract for MIS systems operation or reporting;
(iii) 90 Days prior to the termination date of a Material Subcontract for non-MIS Administrative Services; and
(iv) 30 Days prior to the termination date of any other Material Subcontract. HHSC may grant a written exception to these determination, MCO has shown good cause for a shorter notice period.
(4) the MCO must demonstrate that a Material Subcontractor assuming delegated functions satisfies all requirements of a pre- delegation audit before the applicable functions can be delegated. The MCO must conduct the audit, which must include: a standard audit tool approved by HHSC, site visit, file review (if applicable), staff interviews, and scoring to ensure compliance is achieved.
MCO must actively monitor the quality of care and services, as well as the quality of reporting data, provided under a Subcontract;