Common use of Network Development Clause in Contracts

Network Development. Contractor shall develop and maintain a provider network in compliance with the terms of this section and 42 CFR § 438.206. Contractor shall ensure that all of its Participating Providers can respond to the cultural and linguistic needs of its Attributed Members. The network shall be able to meet the unique needs of its Members, particularly those with special health care needs. Contractor will be required to participate in any state efforts to promote the delivery of covered services in a culturally competent manner. Contractor shall ensure that all of its network providers are enrolled as Medicaid providers and follow all Vermont Medicaid provider enrollment criteria. Contractor must monitor medical care standards to evaluate access to care and quality of services provided to Members, evaluate providers regarding their practice patterns, and have a mechanism in place to address quality of care concerns.