Common use of MCO must Clause in Contracts

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.