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Provider Recruitment and Enrollment Clause Examples for Any Agreement

Provider Recruitment and Enrollment.ĚýThe AE shall support the development of a network of Waiver Providers, excluding SCOs, through recruitment and other capacity building efforts. The AE shall initiate recruitment of Providers when there is the absence of Provider choice. The AE shall provide ongoing technical support to Providers utilizing ODP’s Provider Handbook on enrollment, qualification and HCSIS and PROMISeâ„� processes, Everyday Lives and LifeCourse tools. This support includes, but is not limited to: 1. The ongoing engagement of the provider network though outreach, meetings, and technical assistance. 2. The provision of information regarding the Provider application, enrollment, and qualification processes. The information must be developed or approved by ODP. 3. The provision of “hands-onâ€� technical support or referral to the appropriate entity for enrollment support. 4. Communication to the appropriate regional ODP regarding issues related to Provider recruitment and enrollment processes. 5. Oversight of transition planning in the event of provider closure or notification that a provider is no longer willing to provide supports to a Participant. This shall include actions to ensure that any affected waiver Participant(s) is afforded choice of provider. 6. The provision of information regarding ODP required provider orientation and training. 7. Orientation or training of providers using the Department’s developed curriculum, when approved or requested by the Department.
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Provider Recruitment and Enrollment.ĚýThe AE shall support the development of a network of Waiver Providers through recruitment and other capacity building efforts. The AE shall initiate recruitment of Providers when there is the absence of Provider choice. The AE shall provide ongoing technical support to Providers utilizing ODP’s Provider Handbook on enrollment, qualification and HCSIS and PROMISeâ„� processes. This support includes, but is not limited to: 1. The provision of information regarding the Provider application, enrollment, and qualification processes. The information must be developed or approved by ODP. 2. The provision of “hands-onâ€� technical support or referral to the appropriate entity for enrollment support. 3. Communication to the appropriate regional ODP regarding issues related to Provider recruitment and enrollment processes.
Source 1
Provider Recruitment and Enrollment.ĚýThe AE shall support the development of a network of Waiver Providers through recruitment and other capacity building efforts. The AE shall initiate recruitment of Providers when there is the absence of Provider choice. The AE shall provide ongoing technical support to Providers utilizing ODP’s Provider Handbook on enrollment, qualification and HCSIS and PROMISeâ„� processes. This support includes, but is not limited to: 1. The provision of information regarding the Provider application, enrollment, and qualification processes. The information must be developed or approved by ODP. 2. The provision of “hands-onâ€� technical support or referral to the appropriate entity for enrollment support. 3. Communication to the appropriate regional ODP regarding issues related to Provider recruitment and enrollment processes. 4. Oversight of transition planning in the event of provider closure or notification that a provider is no longer willing to provide supports to a Participant. This shall include actions to ensure that any affected waiver Participant(s) is afforded choice of provider. 5. The provision of information regarding ODP required provider orientation and training. 6. Orientation or training of providers, when approved or requested by the Department.
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Related to Provider Recruitment and Enrollment

  • Medicaid Enrollment Treatment Grantees shall enroll as a provider with Texas Medicaid and Healthcare Partnership (TMHP) and all Medicaid Managed Care organizations in Grantee’s service region within the first quarter of this procurement term and maintain through the procurement term.

  • Recruitment and Selection Swedish Medical Center will recruit and hire the most qualified applicants to meet the staffing needs of the Center and thereafter transfer, promote, and retain such persons as employees. All such actions and decisions shall comply with the Center’s desire to promote from within whenever qualified candidates are identified, interested, and available.

  • Disenrollment The Contractor shall: Have a mechanism for receiving timely information about all disenrollments from the Contractor’s One Care Plan, including the effective date of disenrollment, from CMS and MassHealth systems. All enrollments and disenrollment‑related transactions will be performed by the EOHHS customer service vendor. Subject to 42 C.F.R. § 423.100, § 423.38 and § 438.56. Enrollees can elect to disenroll from the One Care Plan or the Demonstration at any time and enroll in another One Care Plan, a Medicare Advantage plan, PACE, or Senior Care Options (if they meet applicable eligibility requirements); or may elect to receive services through Medicare fee‑for‑service and a prescription drug plan and to receive Medicaid services in accordance with the Commonwealth’s State plan and any waiver programs. Disenrollments received by MassHealth or the Contractor, or by CMS or its contractor by the last calendar day of the month will be effective on the first calendar day of the following month; Be responsible for ceasing the provision of Covered Services to an Enrollee upon the effective date of disenrollment; Notify EOHHS of any individual who is no longer eligible to remain enrolled in the One Care Plan per CMS enrollment guidance, in order for EOHHS to disenroll the individual. This includes where an Enrollee remains out of the Service Area or for whom residence in the One Care Plan Service Area cannot be confirmed for more than six (6) consecutive months; Not interfere with the Enrollee’s right to disenroll through threat, intimidation, pressure, or otherwise; Not request the disenrollment of any Enrollee due to an adverse change in the Enrollee’s health status or because of the Enrollee’s utilization of treatment plan, medical services, diminished mental capacity, or uncooperative or disruptive behavior resulting from his or her special needs. The Contractor, however, may submit a written request, accompanied by supporting documentation, to the Contract Management Team (CMT) to disenroll an Enrollee, for cause, for the following reason: The Enrollee’s continued enrollment seriously impairs the Contractor’s ability to furnish services to either this Enrollee or other Enrollees, provided the Enrollee’s behavior is determined to be unrelated to an adverse change in the Enrollee's health status, or because of the Enrollee's utilization of medical services, diminished mental capacity, or uncooperative or disruptive behavior resulting from his or her special needs.

  • Contract for Professional Services of Physicians, Optometrists, and Registered Nurses In accordance with Senate Bill 799, Acts 2021, 87th Leg., R.S., if Texas Government Code, Section 2254.008(a)(2) is applicable to this Contract, Contractor affirms that it possesses the necessary occupational licenses and experience.

  • Recruitment and Retention Avenal, Ironwood, Calipatria and Chuckawalla Valley Prisons A. Effective July 1, 1998, employees who are employed at Avenal, Ironwood, Calipatria or Chuckawalla Valley State Prisons, Department of Corrections, for twelve (12) consecutive qualifying pay periods, shall be eligible for a recruitment and retention bonus of $2,400, payable thirty (30) days following the completion of the twelve (12) consecutive qualifying pay periods. B. If an employee voluntarily terminates, transfers, or is discharged prior to completing twelve (12) consecutive pay periods at Avenal, Ironwood, Calipatria, or Chuckawalla State Prisons, there will be no pro rata payment for those months at either facility. C. If an employee is mandatorily transferred by the department, he/she shall be eligible for a pro rata share for those months served. D. If an employee promotes to a different facility or department other than Avenal, Ironwood, Calipatria or Chuckawalla Valley State Prisons prior to completion of twelve (12) consecutive qualifying pay periods, there shall be no pro rata of this recruitment and retention bonus. After completing the twelve (12) consecutive qualifying pay periods, an employee who promotes within the Department will be entitled to a pro rata share of the existing retention bonus. E. Part-time and intermittent employees shall receive a pro rata share of the annual recruitment and retention differential based on the total number of hours worked excluding overtime during the twelve (12) consecutive qualifying pay periods. F. Annual recruitment and retention payments shall not be considered as compensation for purposes of retirement contributions. G. Employees on IDL shall continue to receive this stipend. H. If an employee is granted a leave of absence, the employee will not accrue time towards the twelve (12) qualifying pay periods, but the employee shall not be required to start the calculation of the twelve (12) qualifying pay periods all over. For example, if an employee has worked four (4) months at a qualifying institution, and then takes six (6) monthsâ€� maternity leave, the employee will have only eight (8) additional qualifying pay periods before receiving the initial payment of 2,400.