FUNCTIONS AND DUTIES OF THE DEPARTMENT Sample Clauses

FUNCTIONS AND DUTIES OF THE DEPARTMENT. In consideration of the functions and duties of the County contained in this Contract, the Department shall:
Sample 1Sample 2Sample 3See All (11)
AutoNDA by SimpleDocs
FUNCTIONS AND DUTIES OF THE DEPARTMENT. In consideration of the functions and duties of the HMO contained in this Contract, the Department must:
Sample 1Sample 2Sample 3See All (6)
FUNCTIONS AND DUTIES OF THE DEPARTMENT. Department of Health Services The Division of Medicaid Services (DMS) is the primary point of contact among the Department, the Contractor, and the Department’s contracted agencies responsible for the administration and operation of the IRIS program. DMS staff may assist the Contractor in identifying system barriers to implementation of the programs and may facilitate intra- and interagency communications and work groups necessary to accomplish full implementation. Notification of Changes in Functional Eligibility Criteria The Department will notify the Contractors of any changes in administrative code requirements related to functional eligibility, including, but not limited to, code changes that result in changes to the LTCFS algorithms or logic in determining functional eligibility for the programs. Reports from the Contractors The Department will acknowledge receipt of the reports required in this contract. The Department shall have systems in place to ensure that reports and data required to be submitted by the Contractor shall be reviewed and analyzed by the Department in a timely manner. The Department will respond with any concerns.
Sample 1
FUNCTIONS AND DUTIES OF THE DEPARTMENT. 6.01 ELIGIBILITY DETERMINATIONS The DEPARTMENT or its agent will determine the initial and ongoing eligibility for the HUSKY B program of each Member enrolled under this contract in accordance with the DEPARTMENT'S eligibility policies.
Sample 1
FUNCTIONS AND DUTIES OF THE DEPARTMENT. 6.1 Eligibility Determinations
Sample 1
FUNCTIONS AND DUTIES OF THE DEPARTMENT. In consideration of the functions and duties of the County contained in this Contract, the Department will: ELIGIBILITY DETERMINATION----Verify, at the time of enrollment that members identified on the enrollment requests from the County are: BadgerCare Plus – Standard Plan eligible, if all other enrollment eligibility requirements are met. Under 19 years of age. Not currently residing in a psychiatric hospital. Residents of Dane County. Verified, during on-site medical record reviews conducted by the Department that the individuals enrolled in the County meet the definition of severely emotionally disturbed. At imminent risk of placement in a psychiatric hospital, a residential care center, or a juvenile correction facility. Are residents of Dane County. Have been screened as eligible for services by the Administrative Review Board (ARB). ENROLLMENT----Promptly notify the County of all BadgerCare Plus members enrolled under this Contract. Notification shall be effected through the County Enrollment Reports. All members listed as an ADD or CONTINUE on either the Initial or Final County Enrollment Report are members of the County Managed Care Program during the enrollment month. The reports shall be generated in the sequence specified under the County Enrollment Reports. These reports shall be in hard copy formats or available through electronic file transfer capability and shall include medical status codes. DISENROLLMENT----Promptly notify the County of all BadgerCare Plus members no longer eligible to receive services through the County under this Contract. Notification shall be effected through the County Enrollment Reports, which the Department will transmit to the County for each month of coverage throughout the term of the Contract. The reports shall be generated in the sequence under COUNTY ENROLLMENT REPORTS. Any member who was enrolled in the County’s Managed Care Program in the previous enrollment month, but does not appear as an ADD or CONTINUE on either the Initial or Final County Enrollment report for the current enrollment month, is disenrolled from the County’s Managed Care Program effective the last day of the previous enrollment month. Members will be disenrolled if either: Member loses BadgerCare Plus – Standard Plan eligibility. Member loses Dane County eligibility. Member is disenrolled upon their request. Member completes the program. Court ordered correctional placements. Member is 19 years of age or older. The Department approves a J...
Sample 1
FUNCTIONS AND DUTIES OF THE DEPARTMENT. In consideration of the functions and duties of the County contained in this Contract, the Department shall: Deleted: recipients
Sample 1
AutoNDA by SimpleDocs
FUNCTIONS AND DUTIES OF THE DEPARTMENT. A. Utilization Review and Control‌ The Department will waive, to the extent allowed by law, any present Department requirements for prior authorization, second opinions, , or other BadgerCare Plus and/or Medicaid SSI restrictions for the provision of contract services provided by the HMO to members, except as may be required by the terms of this contract.
Sample 1
FUNCTIONS AND DUTIES OF THE DEPARTMENT 
Sample 1Sample 2Sample 3

Related to FUNCTIONS AND DUTIES OF THE DEPARTMENT

  • Powers and Duties of the President Subject to the powers of the Chairman, if there be such an officer, the President shall be the principal executive officer of the Trust. The President may call meetings of the Trustees and of any Committee thereof when he deems it necessary and, in the absence of the Chairman, shall preside at all meetings of the Shareholders and the Trustees. Subject to the control of the Trustees, the Chairman and any Committees of the Trustees, within their respective spheres, as provided by the Trustees, the President shall at all times exercise a general supervision and direction over the affairs of the Trust. The President shall have the power to employ attorneys and counsel for the Trust or any Series or Class thereof, and other advisers and agents for the Trust and to employ such subordinate officers, agents, clerks and employees as the President may find necessary to transact the business of the Trust or any Series or Class thereof. The President shall also have the power to grant, issue, execute or sign such powers of attorney, proxies or other documents as may be deemed advisable or necessary in furtherance of the interests of the Trust or any Series or Class thereof. The President shall have such other powers and duties, as from time to time may be conferred upon or assigned to him by the Trustees.

  • AUTHORITY AND DUTIES OF THE OWNER TRUSTEE ACTION BY CERTIFICATEHOLDERS

  • Certain Duties and Responsibilities of the Trustee In entering into this Supplemental Indenture, the Trustee shall be entitled to the benefit of every provision of the Indenture relating to the conduct or affecting the liability or affording protection to the Trustee, whether or not elsewhere herein so provided.

  • Powers and Duties of the Trustee The rights, powers, duties and authorities of the Trustee under this Agreement, in its capacity as Trustee of the Trust, shall include:

  • DUTIES OF THE COMPANY The Company shall provide Consultant, on a regular and timely basis, with all approved data and information about it, its subsidiaries, its management, its products and services and its operations as shall be reasonably requested by Consultant, and shall advise Consultant of any facts which would affect the accuracy of any data and information previously supplied pursuant to this paragraph. The Company shall promptly supply Consultant with full and complete copies of all financial reports, all fillings with all federal and state securities agencies; with full and complete copies of all stockholder reports; with all data and information supplied by any financial analyst, and with all brochures or other sales materials relating to its products or services.

Time is Money Join Law Insider Premium to draft better contracts faster.