Provider Subcontracts Sample Clauses

Provider Subcontracts. Provider shall obtain CMHSP’s prior written approval before subcontracting any or all of Provider’s obligations hereunder. Furthermore, any subcontract shall: A. Be in writing and include a full specification of the subcontracted supports/services. B. Contain a provision stating this Agreement is incorporated by reference into the subcontract and made a part thereof, and as such, is subject to the terms and conditions of this Agreement. C. Not terminate the legal responsibility of Provider to ensure that supports/services required of Provider hereunder are fulfilled. D. Provide, prior to execution of any such subcontract, commercially reasonable efforts to furnish CMHSP with notice verifying that subcontractor and its professional staff, if any, maintain all approvals, licenses, certifications, registrations, accreditations, and authorizations required by Federal, State, and local laws, ordinances, rules, and regulations to perform the subcontracted supports/services pursuant to the subcontract. E. Allow for the audit and inspection of records and premises by CMHSP, LRE, the Office of Inspector General, or any State of Federal government agency, or their representatives, or any other authorized body, at any time, including but not limited to, access to inspect, review, copy, and/or audit all financial records, licenses, accreditation, certification, and program reports pertaining to the performance of obligations under this Agreement, to the full extent permitted by applicable State and Federal law. F. Provide, prior to execution of any such subcontract, assurance that the subcontractor: 1. Is not listed by MDHHS or another agency of the Federal government or State of Michigan as being suspended from participation in Medicaid or Medicare programs. 2. Is not listed by MDHHS or any other agency of the State of Michigan in its registry for unfair labor practices. 3. Is not listed by the U.S. General Services Administration in its “Excluded Parties List” as to Federal funding. 4. Maintains workers’ compensation and unemployment insurance coverage for its employees, as required by law. 5. Maintains liability insurance coverages required by CMHSP or LRE, as the case may be, for all contracted services,

Provider Subcontracts. (a) If Provider, with CMHSP’s prior written consent, subcontracts any supports/services required of Provider under this Agreement, any such subcontract shall: (1) Be in writing and include a full specification of the subcontracted supports/services; (2) Contain a provision stating that this Agreement is incorporated by reference into the subcontract and made a part thereof; and (3) Contain a provision stating that the subcontract is subject to the terms and conditions of this Agreement. Any such subcontract shall not terminate the legal responsibility of Provider to ensure that supports/services required of Provider hereunder are fulfilled. (b) Prior to the execution of any such subcontract, Provider shall use commercially reasonable efforts to furnish CMHSP with notice verifying that: (1) The subcontractor and its professional staff, if any, maintain all approvals, licenses, certifications, registrations, accreditations, and authorizations required by Federal, State and local laws, ordinances, rules and regulations to perform the subcontracted supports/services for Covered Persons. (2) The subcontractor is not listed by a MDHHS or agency of the Federal government or the State of Michigan as being suspended from participation in Medicaid or Medicare Programs; (3) The subcontractor is not listed by a MDHHS or agency of the State of Michigan in its registry for unfair labor practices; (4) The subcontractor is not listed by the U.S. General Services Administration in its (5) The subcontractor maintains workers’ compensation and unemployment insurance coverage for its employees; and (6) The subcontractor maintains liability insurance coverages required by CMHSP, LRE or Administrator for all contracted services. Provider shall immediately notify CMHSP in writing if, subsequent to execution of any such subcontract, Provider discovers that any of the above cited verifications are no longer true. (c) Any subcontractor shall ensure, as applicable, that its professional staff, if any, meet CMHSP’s, LRE’s or Administrator’s, as the case may be, credentialing and privileging requirements, including privileging and competency standards and/or that its nonprofessional staff meets the CMHSP’s or LRE’s, as the case may be, requirements for qualifications and competency standards, necessary to perform the subcontracted Supports/Services.

Provider Subcontracts. If Provider, with CMHSP’s prior written consent, subcontracts any supports/services required of Provider under this Agreement, any such subcontract shall:

Provider Subcontracts. (a) Generally. CONTRACTOR must enter into written contracts with properly credentialed health care service providers, licensed in Texas, either directly or through intermediaries, such as Independent Practice Associations (IPAs). CONTRACTOR must have its own credentialing process to review, approve, and periodically re-certify the credentials of all participating providers in compliance with 28 T.A.C. Section 11.1902. CONTRACTOR may delegate credentialing in accordance with TDI regulations. (b) Subcontract terms. CONTRACTOR must ensure that, as part of its contract with the provider, or in its intermediary's contract with the actual provider of health services, in addition to any requirements imposed by state insurance law or TDI regulation, the following requirements are included: (1) A statement to the effect that the provider is subject to all state and federal laws, rules and regulations that apply to all persons or entities receiving state and federal funds, including provisions of the Clean Air Act and the Federal Water Pollution Control Act, as amended, found at 42 C.F.R. 7401, et seq. and 33 U.S.C. 1251, et seq., respectively; the exclusion, debarment, and suspension provisions of Section 1128(a) or (b) of the Social Security Act (42 USC Section 1320 a-7), or Executive Order 12549; the provisions of the Byrd Anti-Lobbying Amendment, found at 31 U.S.C. 1352, rel▇▇▇▇g to use of federal funds for lobbying for or obtaining federal contracts; Health and Safety Code, Chapter 85, Subchapter E, relating to the Duties of State Agencies and State Contractors for the confidentiality of AIDS and HIV-related medical information and an anti-discrimination policy for employees and Members with communicable diseases; confidentiality provisions relating to Member information (cite); Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Americans with Disabilities Act of 1990, and all requirements imposed by the regulations implementing these acts and all amendments to the laws and regulations; the provisions of Executive Order 11246, as amended by 11375, relating to Equal Employment Opportunity; Texas Government Code, Title 10, Subtitle D, Chapter 2161 and 1 TAC Section 111.11(b) and 111.13(c)(7) relating to the good faith effort to use Historically Underutilized Businesses (HUBs); section 9-7.06 of article IX of the General Appropriations Act of 1999 regarding "Buy Texas"; Texas Family Code Section 231.006 regarding child sup...

Provider Subcontracts. Provider shall not, without prior approval from MCNA, enter into any subcontract or other agreement for any of the work contemplated under this Agreement without receiving approval from MCNA. In the event Provider secures prior approval and enters into any subcontract agreement with another provider to provide Covered Services to Covered Persons, such agreement shall meet all requirements of the Agreement.

Provider Subcontracts. See Recital B.

Provider Subcontracts. 50 ------------- (a) Generally............................................................................................51 (b) Subcontract terms...................................................................................51 SECTION 15.02 PROVIDER ACCESSIBILITY..........................................................................52 ------------- SECTION

Provider Subcontracts. The Contractor’s Subcontracts shall contain the following provisions: 9.5.1 A statement that Subcontractors receiving GFS or FBG funds shall cooperate with the Contractor or HCA-sponsored Quality Improvement (QI) activities. 9.5.2 A means to keep records necessary to adequately document services provided to Consumers for all delegated activities including QI, Utilization Management, and Consumer Rights and Protections.

Provider Subcontracts. The Contractor’s Subcontracts shall contain the following provisions: 9.5.1 A statement that Subcontractors receiving GFS or FBG funds shall cooperate with the Contractor or HCA-sponsored Quality Improvement (QI) activities. 9.5.2 A means to keep records necessary to adequately document services provided to Individuals for all delegated activities including QI, Utilization Management, and Individual Rights and Protections. 9.5.3 For providers, a requirement to provide discharge planning services which shall, at a minimum: 9.5.3.1 Coordinate a community-based discharge plan for each Individual served under this Contract beginning at intake. Discharge planning shall apply to all Individuals regardless of length of stay or whether they complete treatment. 9.5.3.2 Coordinate exchange of assessment, admission, treatment progress, and continuing care information with the referring entity. Contact with the referral agency shall be made within the first week of residential treatment. 9.5.3.3 Establish referral relationships with assessment entities, outpatient providers, vocational or employment services, and courts which specify aftercare expectations and services, including procedure for involvement of entities making referrals in treatment activities; 9.5.3.4 Coordinate, as needed, with DBHR prevention services, vocational services, housing services and supports, and other community resources and services that may be appropriate, including the DCYF, and the DSHS Economic Services Administration including Community Service Offices (CSOs). 9.5.3.5 Coordinate services to financially-eligible Individuals who are in need of medical services. 9.5.4 A requirement that residential treatment providers ensure that priority admission is given to the populations identified in this contract. 9.5.5 Requirements for information and data sharing to support Care Coordination consistent with this Contract. 9.5.6 A requirement to implement a Grievance process that complies with WAC 182-538C- 110 and as described in the Grievance System Section of this Contract. 9.5.7 A requirement that termination of a Subcontract shall not be grounds for an appeal, Administrative Hearing, or a Grievance for the Individual if similar services are immediately available in the service area. 9.5.8 Requirements for how Individuals will be informed of their right to a Grievance or Appeal in the case of: 9.5.8.1 Denial or termination of service related to medical necessity determinations. 9.5.8.2 Failu...