63
38. CLAIMS PAYMENT/HEALTH INFORMATION SYSTEM
66
39. SPECIALTY CONTRACTS
69
40. HOSPITAL SUBCONTRACTING AND REIMBURSEMENT
70
41. RESPONSIBILITY FOR NURSING FACILITY REIMBURSEMENT
70
42. PHYSICIAN INCENTIVES/PAY FOR PERFORMANCE
71
43. MANAGEMENT SERVICES AGREEMENT AND COST ALLOCATION PLAN
72
CYE '09 Acute Care Contract
October 1, 2008
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Contract/RFP No. YH09-0001
44. RESERVED
72
45. RESERVED
72
46. PERFORMANCE BOND OR BOND SUBSTITUTE
73
47. AMOUNT OF PERFORMANCE BOND
73
48. ACCUMULATED FUND DEFICIT
73
49. ADVANCES, DISTRIBUTIONS, LOANS AND INVESTMENTS
74
50. FINANCIAL VIABILITY STANDARDS
74
51. SEPARATE INCORPORATION
76
52. MERGER, REORGANIZATION AND CHANGE OF OWNERSHIP
76
53. COMPENSATION
76
54. PAYMENTS TO CONTRACTORS
78
55. CAPITATION ADJUSTMENTS
79
56. RESERVED
79
57. REINSURANCE
79
58. COORDINATION OF BENEFITS
83
59. COPAYMENTS
86
60. MEDICARE SERVICES AND COST SHARING
86
61. MARKETING
87
62. CORPORATE COMPLIANCE
87
63. RECORDS RETENTION
88
64. DATA EXCHANGE REQUIREMENTS
89
65. ENCOUNTER DATA REPORTING
90
66. ENROLLMENT AND CAPITATION TRANSACTION UPDATES
92
67. PERIODIC REPORT REQUIREMENTS
93
68. REQUESTS FOR INFORMATION
93
69. DISSEMINATION OF INFORMATION
93
70. OPERATIONAL AND FINANCIAL READINESS REVIEWS
93
71. OPERATIONAL AND FINANCIAL REVIEWS
94
72. SANCTIONS
94
73. BUSINESS CONTINUITY AND RECOVERY PLAN
96
74. TECHNOLOGICAL ADVANCEMENT
97
75. PENDING LEGISLATIVE / OTHER ISSUES
98
76. SUPPORT OF ARIZONA BASED TRANSLATIONAL AND CLINICAL RESEARCH
99
77. RESERVED
99
78. RESERVED
99
SECTION E: CONTRACT CLAUSES
100
1) APPLICABLE LAW
100
2) AUTHORITY
100
3) ORDER OF PRECEDENCE
100
4) CONTRACT INTERPRETATION AND AMENDMENT
100
5) SEVERABILITY
100
6) RELATIONSHIP OF PARTIES
100
7) ASSIGNMENT AND DELEGATION
100
8) INDEMNIFICATION
101
9) INDEMNIFICATION - PATENT AND COPYRIGHT
101
10) COMPLIANCE WITH APPLICABLE LAWS, RULES AND REGULATIONS
101
11) ADVERTISING AND PROMOTION OF CONTRACT
101
12) PROPERTY OF THE STATE
101
13) THIRD PARTY ANTITRUST VIOLATIONS
102
14) RIGHT TO ASSURANCE
102
15) TERMINATION FOR CONFLICT OF INTEREST
102
16) GRATUITIES
102
17) SUSPENSION OR DEBARMENT
102
18) TERMINATION FOR CONVENIENCE
102
19) TEMPORARY MANAGEMENT/OPERATION OF A CONTRACTOR AND TERMINATION
103
CYE '09 Acute Care Contract
October 1, 2008
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20) TERMINATION - AVAILABILITY OF FUNDS
104
21) RIGHT OF OFFSET
104
22) NON-EXCLUSIVE REMEDIES
104
23) NON-DISCRIMINATION
104
24) EFFECTIVE DATE
104
25) INSURANCE
104
26) DISPUTES
105
27) RIGHT TO INSPECT PLANT OR PLACE OF BUSINESS
105
28) INCORPORATION BY REFERENCE
105
29) COVENANT AGAINST CONTINGENT FEES
105
30) CHANGES
106
31) TYPE OF CONTRACT
106
32) AMERICANS WITH DISABILITIES ACT
106
33) WARRANTY OF SERVICES
106
34) NO GUARANTEED QUANTITIES
106
35) CONFLICT OF INTEREST
106
36) CONFIDENTIALITY AND DISCLOSURE OF CONFIDENTIAL INFORMATION
106
37) COOPERATION WITH OTHER CONTRACTORS
107
38) ASSIGNMENT OF CONTRACT AND BANKRUPTCY
107
39) OWNERSHIP OF INFORMATION AND DATA
107
40) AUDITS AND INSPECTIONS
107
41) LOBBYING
108
42) CHOICE OF FORUM
108
43) DATA CERTIFICATION
108
44) OFF SHORE PERFORMANCE OF WORK PROHIBITED
108
45) FEDERAL IMMIGRATION AND NATIONALITY ACT
108
46) IRS W-9 FORM
108
47) CONTINUATION OF PERFORMANCE THROUGH TERMINATION
108
SECTION F: