Operations Phase means the period of time when HMO is responsible for providing the Covered Services and all related Contract functions for a Service Area. The Operations Phase begins on the Operational Start Date, and may vary by HMO Program and Service Area.
Operations Phase means the period from the Date of Commercial Operation to the expiry/termination of the Concession Period.
Operations Phase means the period of time when MCO is responsible for providing the Covered Services and all related Contract functions for a Service Area. The Operations Phase begins on the Operational Start Date, and may vary by MCO Program and Service Area. Out-of-Network (OON) means an appropriately licensed individual, facility, agency, institution, organization or other entity that has not entered into a contract with the MCO for the delivery of Covered Services to the MCO’s Members. Outpatient Hospital Services means diagnostic, therapeutic, and rehabilitative services that are provided to Members in an organized medical facility, for less than a 24-hour period, by or under the direction of a physician. Parties means HHSC and MCO, collectively. Party means either HHSC or MCO, individually. Pended Claim means a claim for payment that requires additional information before the claim can be Adjudicated as a Clean Claim. Pharmacy Benefit Manager (PBM) is a third party administrator of prescription drug programs.
Examples of Operations Phase in a sentence
During the Operations Phase, Value-added Services can be added or removed only by written amendment of the Contract.
During the Operations Phase, HHSC may conduct desk and/or onsite reviews as part of its normal Contract monitoring efforts.
The Contractor shall provide detailed written documentation of all new procedures implemented and any system changes made during the Operations Phase.
This Section describes scope of work requirements for the Operations Phase of the Contract.
The HMO must assure that systems services are not disrupted or interrupted during the Operations Phase of the Contract.
More Definitions of Operations Phase
Operations Phase means the period of time during which
Operations Phase means the period from the COD to the expiry/termination of the ConcessionPeriod.
Operations Phase means the period from the Commercial Operation Date to the expiry/termination of the Contract Period.
Operations Phase means the period of time when MCO is responsible for providing the Covered Services and all related Contract functions for a Service Area. The Operations Phase begins on the Operational Start Date, and may vary by MCO Program and Service Area. Out-of-Network (OON) means an appropriately licensed individual, facility, agency, institution, organization or other entity that has not entered into a contract with the MCO for the delivery of Covered Services to the MCO’s Members. Outpatient Hospital Services means diagnostic, therapeutic, and rehabilitative services that are provided to Members in an organized medical facility, for less than a 24-hour period, by or under the direction of a physician. Parties means HHSC and MCO, collectively. Party means either HHSC or MCO, individually. PASRR means the Preadmission Screening and Resident Review, a federally mandated program applied to all individuals seeking admission to a Medicaid-certified Nursing Facility. PASRR helps ensure that individuals are not inappropriately placed in nursing homes for long-term care and requires that all applicants to a Medicaid-certified nursing facility: (1) be evaluated for mental illness, intellectual disability, or both; (2) be offered the most appropriate setting for their needs (in the community, a nursing facility, or acute care settings); and (3) receive the services they need in those settings. PASRR Level I Screening has the meaning assigned in 40 Tex. Admin. Code § 17.102(16). PASRR Level II Evaluation has the meaning assigned in 40 Tex. Admin. Code § 17.102(24).
Operations Phase means the activities required by the Scope of Work, which are performed by the Contractor following the Implementation Phase.