Specific Capabilities Clause Samples
The "Specific Capabilities" clause defines the particular skills, resources, or technical abilities that a party must possess or provide under the agreement. This clause typically outlines the qualifications, certifications, or specialized equipment required to fulfill contractual obligations, such as having licensed professionals on staff or access to proprietary technology. Its core practical function is to ensure that the party responsible for delivering goods or services meets the necessary standards, thereby reducing the risk of inadequate performance and clarifying expectations for both parties.
Specific Capabilities. The system should:
1. Include a database for utilization, referrals, tracking function for utilization controls, and consultant services.
2. Accommodate and apply standard norms/criteria and medical, behavioral, dental and MLTSS policy standards for quality of care and utilization review.
3. Include all types of claims and encounters data along with service authorizations and referrals.
4. Include pharmacy utilization data from MH/SUD providers.
5. Interface, as applicable, with external utilization and quality assurance/measurement software programs.
6. Include tracking of coordination requirements with MH/SUD providers and the State’s designated Interim Managing Entity (IME) for SUD services.
7. Include ability to protect patient confidentiality through the use of masked identifiers and other safeguards as necessary.
Specific Capabilities. The system should:
Specific Capabilities. The system should:
1. Include a database for utilization, referrals, tracking function for utilization controls, and consultant services.
2. Accommodate and apply standard norms/criteria and medical and dental policy standards for quality of care and utilization review.
3. Include all types of claims and encounters data along with service authorizations and referrals.
4. Include pharmacy utilization data from MH/SA providers.
5. Interface, as applicable, with external utilization and quality assurance/measurement software programs.
6. Include tracking of coordination requirements with MH/SA providers.
7. Include ability to protect patient confidentiality through the use of masked identifiers and other safeguards as necessary.