Utilization Review committee Sample Clauses

Utilization Review committee. Contractor shall have a UR committee that meets on a quarterly basis. Duties of the UR committee are outlined in Attachment XII.
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Utilization Review committee. Committee consisting of representatives of the Corporation and the Contractor (including the Program Medical Director) and chaired by the Medical Director of CHS, which will retrospectively examine utilization decisions and administer a program structured to assure that health care resources provided to Inmates and Infants are both Medically Necessary and efficiently supplied.
Sample 1
Utilization Review committee. All decisions involving permanent transfer of RESIDENT to the Health Center will be made by a Utilization Review Committee consisting of at least the Medical Director, Health Center Administrator, Director of Nursing Services, a representative of the Health Center, PROVIDER'S CEO and RESIDENT or a personal representative of RESIDENT if so legally designated. If RESIDENT is (or in the case of double occupancy both RESIDENTS are) permanently transferred to the Health Center, PROVIDER shall have the right to assign the Living Accommodation for residency to others.
Sample 1
Utilization Review committee. The Utilization Review Committee is comprised of clinicians and representatives from Quality Assurance. The Utilization Review Committee reviews and determines whether treatment, procedures and services are medically necessary. The Committee conducts prior approval, concurrent and retrospective reviews and issues determinations in accordance with regulatory and accreditation standards and timeframes. The Utilization Review Committee establishes criteria for monitoring utilization and tracks and trends utilization. (Refer to Section I, Quality Committee Structure for detailed information about the Utilization Review Committee.)
Sample 1

Related to Utilization Review committee

  • Development Committee As soon as practicable, the Parties will establish a joint development committee, comprised of at least one (1) and up to two (2) representatives of Omega and at least one (1) and up to two (2) representatives of Acuitas (the “JDC”). One such representative from each Party will be such Party’s Workplan Leader. Each Party may replace its Workplan Leader and other JDC representatives at any time upon written notice to the other Party, provided, however, that each Party shall use reasonable efforts to ensure continuity on the JDC. With the consent of the other Party (which will not be unreasonably withheld, conditioned or delayed), each Party may invite non-voting employees and consultants to attend JDC meetings as necessary, subject to consultant’s agreement to be bound to the same extent as a permitted subcontractor under Section 3.1(i).

  • Advisory Committee The Settling State shall designate an Opioid Settlement Remediation Advisory Committee (the “Advisory Committee”) to provide input and recommendations regarding remediation spending from that Settling State’s Abatement Accounts Fund. A Settling State may elect to use an existing advisory committee or similar entity (created outside of a State-Subdivision Agreement or Allocation Statute); provided, however, the Advisory Committee or similar entity shall meet the following requirements:

  • Steering Committee The Project Manager shall set up a Steering Committee for the Project, consisting of representatives from the Department, the Contractor, and any other key organisations whom the project will impact on, to be agreed between the parties. The function of the Steering Committee shall be to review the scope and direction of the Project against its aims and objectives, monitor progress and efficiency, and assess, manage and review expected impact and use of the findings from the Project. The Committee shall meet at times and dates agreed by the parties, or in the absence of agreement, specified by the Department. The Contractor’s representatives on the Steering Committee shall report their views on the progress of the Project to the Steering Committee in writing if requested by the Department. The Contractor’s representatives on the Steering Committee shall attend all meetings of the Steering Committee unless otherwise agreed by the Department.

  • Operating Committee the Consortium’s managing body, composed of representatives of the Manager and the Contractors, pursuant to Annex XI.

  • Compensation Review The compensation of the Executive will be reviewed not less frequently than annually by the board of directors of the Company.

  • Research Committee 2.2.1 Establishment and Functions of RC. ---------------------------------

  • Project Team To accomplish Owner’s objectives, Owner intends to employ a team concept in connection with the construction of the Project. The basic roles and general responsibilities of team members are set forth in general terms below but are more fully set forth in the Design Professional Contract with respect to the Design Professional, in the Program Management Agreement with any Program Manager, and in this Contract with respect to the Contractor.

  • Transition Committee 8.1.0 A transition committee comprised of the employee representatives and the employer representatives, including the Crown, will be established by January 31, 2016 to address all matters that may arise in the creation of the Trust.

  • Management Committee The Members shall act collectively through meetings as a "committee of the whole," which is hereby named the "Management Committee." The Management Committee shall conduct its affairs in accordance with the following provisions and the other provisions of this Agreement:

  • Joint Commercialization Committee As of the Effective Date, the Parties have established a joint commercialization committee (the “Joint Commercialization Committee” or the “JCC”), composed of up to [ * ] representatives of each Party, to monitor and discuss the Commercialization of Products at the operational level. Each JCC representative shall have knowledge and expertise in the commercialization of products similar to Products. The JCC shall in particular:

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