Geographic Access. Upon United’s written request, Vendor shall provide United with a current listing of Participating Providers. Vendor’s Participating Provider network will be sufficient to ensure that all Members within United Service Area have reasonable access to Covered Services and in accordance with applicable state and federal law or state contract availability and access requirements. If United reasonably determines that there are not sufficient Participating Providers to provide Covered Services to Members: - United shall notify Vendor of the alleged deficiency; - United and Vendor shall meet to discuss the alleged deficiency; and - If appropriate, develop a mutually satisfactory plan of correction within thirty (30) days of such notice. United shall have the ability to impose unilaterally a corrective plan of action if the parties cannot develop such a plan in a timely and mutually satisfactory manner. United shall notify Vendor in writing at least ninety (90) days prior to any modification of United’s Service Area. Vendor shall use best efforts to arrange for Participating Providers in such expanded Service Area within ninety (90) days of receiving such notice, at which time the definition of Service Area in this Agreement shall include such expansion without further compliance with Section 11.2 of the Agreement.
Appears in 2 contracts
Sources: Behavioral Health Services Agreement, Administrative Services Agreement
Geographic Access. Upon United’s written request, Vendor shall provide United with a current listing of Participating Providers. Vendor’s Participating Provider network will be sufficient to ensure that all Members within United Service Area have reasonable access to Covered Services and in accordance with applicable state and federal law or state contract availability and access requirements. If United reasonably determines that there are not sufficient Participating Providers to provide Covered Services to Members: - • United shall notify Vendor of the alleged deficiency; - • United and Vendor shall meet to discuss the alleged deficiency; and - • If appropriate, develop a mutually satisfactory plan of correction within thirty (30) days of such notice. United shall have the ability to impose unilaterally a corrective plan of action if the parties cannot develop such a plan in a timely and mutually satisfactory manner. United shall notify Vendor in writing at least ninety (90) days prior to any modification of United’s Service Area. Vendor shall use best efforts to arrange for Participating Providers in such expanded Service Area within ninety (90) days of receiving such notice, at which time the definition of Service Area in this Agreement shall include such expansion without further compliance with Section 11.2 of the Agreement.
Appears in 1 contract
Sources: Dental Services Agreement