Plan Responsibilities Clause Samples
Plan Responsibilities. The plan shall be responsible for the following:
(a) Ensuring a smooth transition for the client through the assignment of an "Interim PCP” ; and
(b) Immediately notifying the client, by mail or by telephone, that the client is being temporarily assigned to another PCP within the same plan and that the new PCP shall be responsible for meeting the client’s health care needs until a transfer can be completed/activated by the EBS.
Plan Responsibilities. PLAN shall share confidential beneficiary information with COUNTY to promote shared understanding of the consumer’s needs and ensure appropriate access to IHSS. PLAN may receive confidential beneficiary information necessary to implement the provisions of WIC section 14186.35 and this MOU and will use such data only for such purposes. PLAN will store confidential information received pursuant to this MOU in a place physically secure from access by unauthorized persons. PLAN shall instruct any employee with access to the confidential information received pursuant to this MOU regarding the confidential nature of the information. PLAN, in consultation with COUNTY shall establish a referral process, care coordination team processes, and other coordination that needs to be established or enhanced to promote the integration of the IHSS Program into managed care. PLAN will designate a contact position, with the current employee’s name, to be responsible for oversight and supervision of the terms of this MOU and to act as a liaison throughout the term of the MOU. PLAN will immediately notify COUNTY in writing of a change in the liaison. The contact position at PLAN and contact information is:: Plan will notify the County when emergency backup services are authorized so that the hours provided can be deducted from the IHSS authorized hours. [INSERT ADDITIONAL AGREED UPON FUNCTIONS]
Plan Responsibilities. Client has the sole authority and responsibility for the Plan and its operation, including the authority and responsibility for administering, construing, and interpreting the provisions of the Plan and making all determinations thereunder. The Client gives SHARx the authority to act on behalf of Client, but only as expressly stated in this Agreement or as mutually agreed upon in writing between Client and SHARx. All final determinations as to an Enrollee’s entitlement to Plan benefits are to be made by Client, including any determination upon appeal of a denied claim for Plan benefits. The Client is considered the plan administrator and named fiduciary of the Plan benefits for purposes of the Employee Retirement Income Security Act of 1974 (“ERISA”), as amended. Client shall operate the SHARx Program in compliance with and as required by applicable federal, state, and local statutes and regulations.
Plan Responsibilities