Utilisation Management Clause Samples
Utilisation Management. Activity in the contract should be profiled over the 12 months of this contract. There will be no guaranteed levels of activity/volume for the Provider. Activity levels/ volumes will be monitored quarterly to review service levels/requirements The LCCG does not intend to pay for additional services than those specified and will only pay for actual activity undertaken in line with the specification • The Provider shall comply with any Utilisation Management scheme implemented by the LCCG. • The Provider will co-operate with the Utilisation Management Scheme (in particular to share data, allow access for review teams and access to patient notes). • The LCCG will give the Provider 1 months notice in writing of any reasonable variation to the Utilisation Management scheme which the Provider shall then comply with.
Utilisation Management. 4.1 The Commissioner and the Provider may agree the terms of a Utilisation Management Scheme, and when the terms of any Utilisation Management Scheme have been agreed the Commissioner shall give to the Provider one month’s notice in writing of the date on which the Utilisation Management Scheme is to be implemented by the Provider.
4.2 The Provider shall comply and co-operate with any agreed Utilisation Management Scheme, in particular (but without limitation) in sharing data, and allowing access for review teams and access to Service User Records.
4.3 If the Commissioner requires any amendment to be made to a Utilisation Management Scheme, it shall consult with the Provider on the proposed amendment, and when the amendment has been agreed by the Commissioner and the Provider, the Commissioner will give the Provider one month’s notice in writing of the date on which the amendment to the Utilisation Management Scheme is to be implemented by the Provider.