Specifications include, but are not limited to: 2.1 State Registration Contractor shall maintain its registration as a business in good standing with the Vermont Secretary of State. 2.2 Certification Contractor agrees to secure and maintain its status as a Vermont certified accountable care organization in accordance with 18 V.S.A. § 9382 and implementing rules. 2.3 Administrative and Organizational Structure Contractor shall have in place sufficient administrative and clinical staff and organizational components to comply with all Contract requirements and standards. Contractor shall manage the following major operational areas: • Administrative and fiscal management • Member services (but not Medicaid eligibility) • Provider services (but not DVHA provider enrollment) • Provider contracting (limited to contractual relationships between Contractor and its provider network) • Network development and management • Quality management and improvement • Care management • Information systems • Provider payments • Performance data reporting and submission of provider payment transactions • Member and provider grievances, with the exception of fair hearings which are DVHA’s responsibility as set forth in Section 4
