Common use of STATE AUDIT Clause in Contracts

STATE AUDIT. The State will conduct regular audits of the Contractor’s Medically Frail assessment and confirmation process pursuant to Section 3.3.2.2, to determine appropriate identification and placement of medically frail members. The State anticipates that less than ten percent (10%) of the Contractor’s total newly eligible adult HIP population will be designated as medically frail. The Contractor shall consistently apply the Milliman Guidelines to every medically frail determination and review.

Appears in 11 contracts

Sources: Contract Amendment, Contract, Contract for Providing Risk Based Managed Care Services

STATE AUDIT. The State will conduct regular audits of the Contractor’s Medically Frail assessment and confirmation process pursuant to Section 3.3.2.23.3.2. 2, to determine appropriate identification and placement of medically frail members. The State anticipates that less than ten percent (10%) of the Contractor’s total newly eligible adult HIP population will be designated as medically frail. The Contractor shall consistently apply the Milliman Guidelines to every medically frail determination and review.

Appears in 1 contract

Sources: Contract Amendment

STATE AUDIT. The State will conduct regular audits of the Contractor’s Medically Frail assessment and confirmation process pursuant to Section 3.3.2.2, to determine appropriate identification and placement of medically frail members. The State anticipates that less than ten percent (10%) of the Contractor’s total newly eligible adult HIP population will be designated as medically frail. The Contractor shall consistently apply the Milliman Guidelines to every medically frail determination and review.

Appears in 1 contract

Sources: Professional Services