5 POINTS definition

5 POINTS. Failures to meet program requirements, including but not limited to, actions which could impair the member's ability to access information regarding services in a timely manner or which could impair a consumer's or member's rights, as determined by ODJFS. Examples include, but are not limited to, the following: • Violations which result in selection or termination counter to the recipient's preference (e.g., a recipient makes a selection decision based on inaccurate provider panel information from the MCP). • Any violation of a member's rights. • Failure to provide member materials to new members in a timely manner. • Failure to comply with appeal, grievance, or state hearing requirements, including timely submission to ODJFS. • Failure to staff 24-hour call-in system with appropriate trained medical personnel. • Third failure to meet the monthly call-center requirements for either the member services or the 24-hour call-in system lines. • Failure to submit and/or comply with a CAP as a result of a 5-point violation. • Failure to meet the prompt payment requirements (first violation). • Provision of false, inaccurate or materially misleading information to health care providers, the MCP's members, or any eligible individuals. • Failure to submit a required monthly CAMS file (as specified in Appendix L of the Agreement) by the end of the month the submission was required. • Failure to submit a required monthly Members' Designated PCP file (as specified in Appendix L of the Agreement) by the end of the month the submission was required.
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5 POINTS. For Proposer firm designated as a Hire Houston First “City Business” (CB);
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Examples of 5 POINTS in a sentence

  • Appendix N 5 POINTS: Failures to meet program requirements, including but not limited to, actions which could impair the member’s ability to access information regarding services in a timely manner or which could impair a consumer’s or member’s rights, as determined by ODJFS.

  • Criteria CRITERIA FOR STAFF REDUCTION EDUCATIONAL PREPARATION MA + 45 MA + 30 MA + 15 MA BA + 30 BA + 15 BA NON-DEG 35 POINTS 30 POINTS 25 POINTS 20 POINTS 15 POINTS 10 POINTS 5 POINTS 0 POINTS SENIORITY One point for each year in the district to a maximum of 35 points.

Related to 5 POINTS

  • Measurement Point means the emission source for which continuous emission measurement systems (CEMS) are used for emission measurement, or the cross-section of a pipeline system for which the CO2 flow is determined using continuous measurement systems;

  • H-point means the pivot centre of the torso and thigh of the H-point machine when installed in a vehicle seat in accordance with Annex 12. Once determined in accordance with the procedure described in Annex 12, the "H" point is considered fixed in relation to the seat-cushion structure and is considered to move with it when the seat is adjusted.

  • Focal point means the entity of a Party referred to in Article 5 responsible for receiving and submitting information as provided for in Articles 13 and 16;

  • Exit Point means a border control post or any other place designated by a Member State where animals, falling within the scope of Regulation (EC) No 1/2005, leave the customs territory of the Union;

  • Receipt Point(s) means the receipt points set forth in Section 6 of this Toll Schedule.