REGISTRATION
64
37. SUBCONTRACTS
64
38. CLAIMS PAYMENT/HEALTH INFORMATION SYSTEM
67
39. SPECIALTY CONTRACTS
70
40. HOSPITAL SUBCONTRACTING AND REIMBURSEMENT
71
41. RESPONSIBILITY FOR NURSING FACILITY REIMBURSEMENT
71
42. PHYSICIAN INCENTIVES/PAY FOR PERFORMANCE
72
43. MANAGEMENT SERVICES AGREEMENT AND COST ALLOCATION PLAN
73
2
44. RESERVED
73
45. RESERVED
73
46. PERFORMANCE BOND OR BOND SUBSTITUTE
74
47. AMOUNT OF PERFORMANCE BOND
74
48. ACCUMULATED FUND DEFICIT
75
49. ADVANCES, DISTRIBUTIONS, LOANS AND INVESTMENTS
75
50. FINANCIAL VIABILITY STANDARDS
75
51. SEPARATE INCORPORATION
76
52. MERGER, REORGANIZATION AND CHANGE OF OWNERSHIP
76
53. COMPENSATION
77
54. PAYMENTS TO CONTRACTORS
79
55. CAPITATION ADJUSTMENTS
79
56. RESERVED
80
57. REINSURANCE
80
58. COORDINATION OF BENEFITS
85
59. COPAYMENTS
89
60. MEDICARE SERVICES AND COST SHARING
89
61. MARKETING
89
62. CORPORATE COMPLIANCE
90
63. RECORDS RETENTION
91
64. DATA EXCHANGE REQUIREMENTS
91
65. ENCOUNTER DATA REPORTING
92
66. ENROLLMENT AND CAPITATION TRANSACTION UPDATES
94
67. PERIODIC REPORT REQUIREMENTS
95
68. REQUESTS FOR INFORMATION
95
69. DISSEMINATION OF INFORMATION
96
70. OPERATIONAL AND FINANCIAL READINESS REVIEWS
96
71. OPERATIONAL AND FINANCIAL REVIEWS
96
72. SANCTIONS
97
73. BUSINESS CONTINUITY AND RECOVERY PLAN
98
74. TECHNOLOGICAL ADVANCEMENT
99
75. PENDING LEGISLATIVE / OTHER ISSUES
100
76. SUPPORT OF ARIZONA BASED TRANSLATIONAL AND CLINICAL RESEARCH
101
77. RESERVED
101
78. RESERVED
101
SECTION E: CONTRACT CLAUSES
102
1) APPLICABLE LAW
102
2) AUTHORITY
102
3) ORDER OF PRECEDENCE
102
4) CONTRACT INTERPRETATION AND AMENDMENT
102
5) SEVERABILITY
102
6) RELATIONSHIP OF PARTIES
102
7) ASSIGNMENT AND DELEGATION
102
8) INDEMNIFICATION
103
9) INDEMNIFICATION - PATENT AND COPYRIGHT
103
10) COMPLIANCE WITH APPLICABLE LAWS, RULES AND REGULATIONS
103
11) ADVERTISING AND PROMOTION OF CONTRACT
103
12) PROPERTY OF THE STATE
103
13) THIRD PARTY ANTITRUST VIOLATIONS
104
14) RIGHT TO ASSURANCE
104
15) TERMINATION FOR CONFLICT OF INTEREST
104
16) GRATUITIES
104
17) SUSPENSION OR DEBARMENT
104
18) TERMINATION FOR CONVENIENCE
105
19) TEMPORARY MANAGEMENT/OPERATION OF A CONTRACTOR AND TERMINATION
105
3
20) TERMINATION - AVAILABILITY OF FUNDS
106
21) RIGHT OF OFFSET
106
22) NON-EXCLUSIVE REMEDIES
106
23) NON-DISCRIMINATION
106
24) EFFECTIVE DATE
106
25) INSURANCE
106
26) DISPUTES
107
27) RIGHT TO INSPECT PLANT OR PLACE OF BUSINESS
107
28) INCORPORATION BY REFERENCE
107
29) COVENANT AGAINST CONTINGENT FEES
108
30) CHANGES
108
31) TYPE OF CONTRACT
108
32) AMERICANS WITH DISABILITIES ACT
108
33) WARRANTY OF SERVICES
108
34) NO GUARANTEED QUANTITIES
108
35) CONFLICT OF INTEREST
108
36) CONFIDENTIALITY AND DISCLOSURE OF CONFIDENTIAL INFORMATION
108
37) COOPERATION WITH OTHER CONTRACTORS
109
38) ASSIGNMENT OF CONTRACT AND BANKRUPTCY
109
39) OWNERSHIP OF INFORMATION AND DATA
109
40) AUDITS AND INSPECTIONS
109
41) LOBBYING
110
42) CHOICE OF FORUM
110
43) DATA CERTIFICATION
110
44) OFF SHORE PERFORMANCE OF WORK PROHIBITED
110
45) FEDERAL IMMIGRATION AND NATIONALITY ACT
110
46) IRS W-9 FORM
110
47) CONTINUATION OF PERFORMANCE THROUGH TERMINATION
110
SECTION F: RESERVED
112
SECTION G: RESERVED
113
SECTION H: RESERVED
114
SECTION I: RESERVED
115
SECTION J: LIST OF