Common use of Network Expansion Clause in Contracts

Network Expansion. The Contractor may expand into any county in Florida following successful review by the Department of the following information submitted to the Contract Manager for each requested service area: letter of expansion request; copies of the first page and signature page of the executed subcontracts; applicable active licenses (the name of the subcontractor should be the same as the license); completed provider network template (electronic and hard copy); and for Contractors licensed as a HMO, a copy of the health care provider certificate for the requested service area; a certification from each subcontractor (EXHIBIT G); geo access map or other Department approved mapping software for all facilities and subcontractors providing services outside of an enrollee’s home services. The Contractor must credential all network subcontractors prior to submitting the expansion request to the Department. Networks for existing counties of operation must meet contract qualifications prior to expansion to additional counties. 2.8.4.1 The requirement for submission of at least two providers for each contractually required service cannot be waived unless certain conditions are met for underserved areas. For underserved areas, alternate providers from a neighboring county may be accepted under certain circumstances, if approved by the Department. In counties where less than two Diversion contractors are currently approved, and/or other underserved areas where there are barriers to the establishment of a network of at least two providers for each required service, the Contractor shall be required to submit additional information to the Department on the Provider Network and Staffing Report. 2.8.4.2 If there are two or more service providers in the area and less than two providers agree to provide the contractually required service, the applicant must maintain and provide to the Department all correspondence and documentation related to the good faith contracting efforts, including the rate offered, for those providers who decline to participate.