Common use of Network Capacity Clause in Contracts

Network Capacity. A. Contractor shall maintain a provider network that meets adequacy and access requirements stipulated in STC 72. B. Contractor must maintain a network of appropriate providers that is supported by written agreements. C. In establishing and maintaining the network, the entity must consider the following: a) The anticipated enrollment, b) The expected utilization of services, taking into consideration the characteristics and health care needs of specific populations represented, c) The numbers and types (in terms of training, experience, and specialization) of provider required to furnish the contracted services, d) The number of network providers who are not accepting new LIHP patients, and e) The numbers of network providers and Enrollees, considering distance, travel time, the means of transportation ordinarily used by LIHP Enrollees, and whether the location provides physical access for Enrollees with disabilities.

Appears in 2 contracts

Sources: Contract for Low Income Health Program, Contract for Low Income Health Program