Oversight and Program Integrity Sample Clauses

Oversight and Program Integrity. Also required by Section 1313, each Exchange will need to ensure program integrity related to Federal and State funds utilized to start-up and operate the Exchange. Exchanges will need to ensure that they take steps to prevent waste, fraud, and abuse. The Financial Management core area includes the infrastructure the Exchange must establish for financial management while this core area includes the oversight and program integrity activities the Exchange undertakes to ensure compliance with Federal and State requirements, including annual audits.
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Oversight and Program Integrity. It will be necessary for the exchange to combat waste, fraud and abuse within its financial management system, as well as within the processing of data, information and funds that flow through the exchange. Thus, setting up oversight and program integrity functions will be critical for a properly functioning exchange. Ensure the prevention of waste, fraud and abuse: As previously mentioned, the state financial policies already in place ensure the proper use of state and federal funds. The federal grants and budget specialist in HCA is currently developing agency policies specific to bridging the differences between state requirements of funds and those requirements laid out by the federal government. As a part of those requirements, the state will also develop appropriate procedures to meet HHS’ audit requirements.
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Oversight and Program Integrity. ‌ During the Level I grant period, the Exchange will be able to build staff capacity to ensure its ability to comply with annual auditing requirements imposed under state and federal law. The Exchange will engage external consultants to develop a comprehensive plan to prevent waste, fraud and abuse in Exchange programs with specific milestones for staff implementation of the plan.
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Oversight and Program Integrity. The California Exchange is committed to implementing an effective program to prevent waste, fraud and abuse with funds used to start up and operate the California Exchange. The California Exchange Board adopted integrity as one of its core values, defined as earning the public’s trust through its commitment to accountability, responsiveness, transparency, speed, agility, reliability, and cooperation. Strategies include getting outside expertise to review planning processes and decisions and building checks and oversight into major contracts. Further, the Board adopted conflict of interest standards and policies for designated personnel, consultants and new hires. The California Exchange regularly uses outside expertise in its contracting processes to build an additional level of oversight and monitoring. The California Exchange hired retired annuitants with extensive procurement expertise to set up contracting processes. Major solicitations are reviewed prior to release by partner organizations including the DHCS, MRMIB and the California Health and Human Services Agency. Consumer Assistance -- Providing Assistance to Individuals and Small Businesses, Coverage Appeals, and Complaints‌ In order to deliver on the Affordable Care Act goal of a “no wrong door” service system that provides for a consistent and quality consumer experience at all entry points, the California Exchange is investing resources to develop culturally and linguistically appropriate oral and written communications and targeted strategies for populations with limited access such as persons with disabilities. The CalHEERS design will facilitate eligibility determinations and enrollment through multiple access points including the web, mail, phone and in-person applications. In addition to CalHEERS functionality, during the Level I grant (1.1) period, California has been exploring the most effective strategies to assist Exchange enrollees and potential enrollees, including: (1) Development of a robust Assisters Program, including Navigators, who will provide individualized services to persons who require help navigating the eligibility and enrollment process, and (2) Establishment of a consumer assistance function that supports consumers from the point of enrollment inquiry to post-enrollment problem resolution. During the grant period, the California Exchange released a communications solicitation for development of a marketing, outreach and education campaign and plan, including a propose...
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Related to Oversight and Program Integrity

  • Information Technology Accessibility Standards Any information technology related products or services purchased, used or maintained through this Grant must be compatible with the principles and goals contained in the Electronic and Information Technology Accessibility Standards adopted by the Architectural and Transportation Barriers Compliance Board under Section 508 of the federal Rehabilitation Act of 1973 (29 U.S.C. §794d), as amended. The federal Electronic and Information Technology Accessibility Standards can be found at: xxxx://xxx.xxxxxx-xxxxx.xxx/508.htm.

  • Alignment with Modernization Foundational Programs and Foundational Capabilities The activities and services that the LPHA has agreed to deliver under this Program Element align with Foundational Programs and Foundational Capabilities and the public health accountability metrics (if applicable), as follows (see Oregon’s Public Health Modernization Manual, (xxxx://xxx.xxxxxx.xxx/oha/PH/ABOUT/TASKFORCE/Documents/public_health_modernization_man ual.pdf):

  • Monitoring and Management Information C10.1 The Contractor shall comply with the monitoring arrangements set out in the Monitoring Schedule including, but not limited to, providing such data and information as the Contractor may be required to produce under the Contract.

  • Information Management Information and Records

  • Research Use Reporting To assure adherence to NIH GDS Policy, the PI agrees to provide annual Progress Updates as part of the annual Project Renewal or Project Close-out processes, prior to the expiration of the one (1) year data access period. The PI who is seeking Renewal or Close-out of a project agree to complete the appropriate online forms and provide specific information such as how the data have been used, including publications or presentations that resulted from the use of the requested dataset(s), a summary of any plans for future research use (if the PI is seeking renewal), any violations of the terms of access described within this Agreement and the implemented remediation, and information on any downstream intellectual property generated from the data. The PI also may include general comments regarding suggestions for improving the data access process in general. Information provided in the progress updates helps NIH evaluate program activities and may be considered by the NIH GDS governance committees as part of NIH’s effort to provide ongoing stewardship of data sharing activities subject to the NIH GDS Policy.

  • PROFESSIONAL DEVELOPMENT AND EDUCATIONAL IMPROVEMENT A. The Board agrees to implement the following:

  • Enterprise Information Management Standards Grantee shall conform to HHS standards for data management as described by the policies of the HHS Office of Data, Analytics, and Performance. These include, but are not limited to, standards for documentation and communication of data models, metadata, and other data definition methods that are required by HHS for ongoing data governance, strategic portfolio analysis, interoperability planning, and valuation of HHS System data assets.

  • Project Management Plan 1 3.4.1 Developer is responsible for all quality assurance and quality control 2 activities necessary to manage the Work, including the Utility Adjustment Work.

  • Information Technology Enterprise Architecture Requirements If this Contract involves information technology-related products or services, the Contractor agrees that all such products or services are compatible with any of the technology standards found at xxxxx://xxx.xx.xxx/iot/2394.htm that are applicable, including the assistive technology standard. The State may terminate this Contract for default if the terms of this paragraph are breached.

  • Configuration Management The Contractor shall maintain a configuration management program, which shall provide for the administrative and functional systems necessary for configuration identification, control, status accounting and reporting, to ensure configuration identity with the UCEU and associated cables produced by the Contractor. The Contractor shall maintain a Contractor approved Configuration Management Plan that complies with ANSI/EIA-649 2011. Notwithstanding ANSI/EIA-649 2011, the Contractor’s configuration management program shall comply with the VLS Configuration Management Plans, TL130-AD-PLN-010-VLS, and shall comply with the following:

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