Common use of Notice of Deficiency Clause in Contracts

Notice of Deficiency. A written notice from the State to the Contractor notifying the Contractor of non-compliance with the requirements of this Contract. Nursing Facility (NF) – A facility that meets the requirements of Sections 1819 or 1919 of the Social Security Act and 42 CFR Part 483 and is licensed and certified as Medicaid nursing facility. (The initial letter of each word in this term is not capitalized in this Contract.) Overpayment – Any payment made to a participating provider by the Contractor to which the participating provider is not entitled to under Title XIX of the Social Security Act or any payment to a Contractor by the State to which the Contractor is not entitled. Outcomes – Changes in patient health, functional status, satisfaction or goal achievement that result from health care or supportive services. Participating Provider – Any provider, group of providers, or entity that is employed by or has signed a provider participation agreement with the Contractor or Subcontractor, and receives Medicaid funding directly or indirectly to order, refer, or provide Health Care Services. A Participating Provider is not a Subcontractor by virtue of the participation agreement. Pathways to Employment (Pathways) – A program developed and administered by various divisions within Delaware State government, with oversight by DMMA, to provide clients with disabilities the option and supports they need to work.

Appears in 3 contracts

Sources: Master Service Agreement, Master Service Agreement, Medicaid Managed Care Master Service Agreement