Common use of Network Requirements Clause in Contracts

Network Requirements. (A) The Contractor shall maintain and monitor a network of appropriate Network Providers that is supported by written agreements and is sufficient to provide adequate access to all Covered Services for all Enrollees, including those with limited English proficiency, physical disabilities, and/or mental disabilities. In establishing and maintaining the network of Network Providers the Contractor shall consider: (1) the anticipated Medicaid enrollment; (2) the expected utilization of services, taking into consideration the characteristics and health care needs of specific Medicaid populations represented in the Contractor’s Service Area; (3) the numbers and types (in terms of training, experience, and specialization) of Providers required to furnish the Covered Services; (4) the number of Network Providers who are not accepting new Medicaid patients; and (5) the geographic location of Network Providers and Enrollees, considering distance, travel time, the means of transportation ordinarily used by Enrollees, and whether the location provides physical access for Enrollees with disabilities. (B) The Contractor shall allow each Enrollee the ability to choose a Network Provider to the extent possible and appropriate. (C) The Contractor shall ensure that Network Providers provide physical access, reasonable accommodations, culturally competent communications, and accessible equipment for Enrollees with physical or mental disabilities.

Appears in 9 contracts

Sources: Prepaid Mental Health Plan, Prepaid Mental Health Plan, Prepaid Mental Health Plan Healthy U Behavioral Amendment 9

Network Requirements. (A) The Contractor shall maintain and monitor a network of appropriate Network Providers that is supported by written agreements and is sufficient to provide adequate access to all Covered Services for all Enrollees, including those with limited English proficiency, proficiency or physical disabilities, and/or or mental disabilities. In establishing and maintaining the network of Network Providers the Contractor shall consider: (1) the anticipated Medicaid enrollment; (2) the expected utilization of services, taking into consideration the characteristics and health care needs of specific Medicaid populations represented in the Contractor’s Service Area; (3) the numbers and types (in terms of training, experience, and specialization) of Providers required to furnish the Covered Services; (4) the number of Network Providers who are not accepting new Medicaid patients; and (5) the geographic location of Network Providers and Enrollees, considering distance, travel time, the means of transportation ordinarily used by Enrollees, and whether the location provides physical access for Enrollees with disabilities. (B) The Contractor shall demonstrate that its network includes sufficient family planning Providers to ensure timely access to Covered Services. (C) The Contractor shall allow each Enrollee the ability to choose a Network Provider to the extent possible and appropriate. (CD) The Contractor shall ensure that Network Providers provide physical access, reasonable accommodations, culturally competent communications, and accessible equipment for Enrollees with physical or mental disabilities.

Appears in 2 contracts

Sources: Contract, Utah Medicaid Integrated Care Contract

Network Requirements. (A) The Contractor shall maintain and monitor a network of appropriate Network Providers that is supported by written agreements and is sufficient to provide adequate access to all Covered Services for all Enrollees, including those with limited English proficiency, proficiency or physical disabilities, and/or or mental disabilities. In establishing and maintaining the network of Network Providers the Contractor shall consider: (1) the anticipated Medicaid enrollment; (2) the expected utilization of services, taking into consideration the characteristics and health care needs of specific Medicaid populations represented in the Contractor’s Service Area; (3) the numbers and types (in terms of training, experience, and specialization) of Providers required to furnish the Covered Services; (4) the number of Network Providers who are not accepting new Medicaid patients; and (5) the geographic location of Network Providers and Medicaid Enrollees, considering distance, travel time, the means of transportation ordinarily used by Medicaid Enrollees, and whether the location provides physical access for Medicaid Enrollees with disabilities. (B) The Contractor shall demonstrate that its network includes sufficient family planning providers to ensure timely access to Covered Services. (C) The Contractor shall allow each Enrollee the ability ablility to choose a Network Provider to the extent possible and appropriate. (CD) The Contractor shall ensure that Network Providers provide physical access, reasonable accommodations, culturally competent communications, and accessible equipment for Enrollees with physical or mental disabilities.

Appears in 2 contracts

Sources: Accountable Care Organization (Aco) Contract, Accountable Care Organization (Aco) Contract

Network Requirements. (A) The Contractor shall maintain and monitor a network of appropriate appropriate, Network Providers that is supported by written agreements and is sufficient to provide adequate access to all Covered Services services covered under this Contract for all Enrollees, including those with limited English proficiency, proficiency or physical disabilities, and/or or mental disabilities. In establishing and maintaining the network of Network Providers Providers, the Contractor shall considerconsider the following: (1) the The anticipated Medicaid enrollment; (2) the The expected utilization of services, taking into consideration the characteristics and health care needs of specific Medicaid populations represented in the Contractor’s Service Area; (3) the The numbers and types (in terms of training, experience, and specialization) of Providers required to furnish the Covered Servicescontracted services; (4) the The number of Network Providers who are not accepting new Medicaid patients; and (5) the The geographic location of Network Providers and Enrollees, considering distance, travel time, the means of transportation ordinarily used by Enrollees, and whether the location provides physical access for Enrollees with disabilities; and (6) Demonstrates that it’s network includes sufficient family planning providers to ensure timely access to covered services. (B) The Contractor shall allow each Enrollee the ability ablility to choose a Network Provider to the extent possible and appropriate. (C) The Contractor shall ensure that Network Providers provide provider physical access, reasonable accommodations, culturally competent communications, and accessible equipment for Enrollees with physical or mental disabilities.

Appears in 2 contracts

Sources: Managed Care Contract, Managed Care Contract

Network Requirements. (A) The Contractor shall maintain and monitor a network of appropriate Network Providers that is supported by written agreements and is sufficient to provide adequate access to all Covered Services for all Enrollees, including those with limited English proficiency, proficiency or physical disabilities, and/or or mental disabilities. In establishing and maintaining the network of Network Providers the Contractor shall consider: (1) the anticipated Medicaid enrollment; (2) the expected utilization of services, taking into consideration the characteristics and health care needs of specific Medicaid populations represented in the Contractor’s Service Area; (3) the numbers and types (in terms of training, experience, and specialization) of Providers required to furnish the Covered Services; (4) the number of Network Providers who are not accepting new Medicaid patients; and (5) the geographic location of Network Providers and Medicaid Enrollees, considering distance, travel time, the means of transportation ordinarily used by Medicaid Enrollees, and whether the location provides physical access for Medicaid Enrollees with disabilities. (B) The Contractor shall demonstrate that its network includes sufficient family planning providers to ensure timely access to Covered Services. (C) The Contractor shall allow each Enrollee the ability is able to choose a Network Provider to the extent possible and appropriate. (CD) The Contractor shall ensure that Network Providers provide physical access, reasonable accommodations, culturally competent communications, and accessible equipment for Enrollees with physical or mental disabilities.

Appears in 2 contracts

Sources: Integrated Care Contract, Accountable Care Organization (Aco) Contract

Network Requirements. (A) The Contractor shall maintain and monitor a network of appropriate Network Providers that is supported by written agreements and is sufficient to provide adequate access to all Covered Services for all Enrollees, including those with limited English proficiency, proficiency or physical disabilities, and/or or mental disabilities. In establishing and maintaining the network of Network Providers the Contractor shall consider: (1) the anticipated Medicaid enrollment; (2) the expected utilization of services, taking into consideration the characteristics and health care needs of specific Medicaid populations represented in the Contractor’s Service Area; (3) the numbers and types (in terms of training, experience, and specialization) of Providers required to furnish the Covered Services; (4) the number of Network Providers who are not accepting new Medicaid patients; and (5) the geographic location of Network Providers and Medicaid Enrollees, considering distance, travel time, the means of transportation ordinarily used by Medicaid Enrollees, and whether the location provides physical access for Medicaid Enrollees with disabilities. (B) The Contractor shall allow each Enrollee the ability ablility to choose a Network Provider to the extent possible and appropriate. (C) The Contractor shall ensure that Network Providers provide physical access, reasonable accommodations, culturally competent communications, and accessible equipment for Enrollees with physical or mental disabilities.

Appears in 1 contract

Sources: Home Program Contract

Network Requirements. (A) The Contractor shall maintain and monitor a network of appropriate Network Providers that is supported by written agreements and is sufficient to provide adequate access to all Covered Services for all Enrollees, including those with limited English proficiency, physical disabilities, and/or mental disabilities. In establishing and maintaining the network of Network Providers the Contractor shall consider: (1) the anticipated Medicaid enrollment; (2) the expected utilization of services, taking into consideration the characteristics and health care needs of specific Medicaid populations represented in the Contractor’s Service Area; (3) the numbers and types (in terms of training, experience, and specialization) of Providers required to furnish the Covered Services; (4) the number of Network Providers who are not accepting new Medicaid patients; and (5) the geographic location of Network Providers and Enrollees, considering distance, travel time, the means of transportation ordinarily used by Enrollees, and whether the location provides physical access for Enrollees with disabilities. (B) The Contractor shall demonstrate that its network includes sufficient family planning Network Providers to ensure timely access to Covered Services. (C) The Contractor shall allow each Enrollee the ability to choose a Network Provider to the extent possible and appropriate. (CD) The Contractor shall ensure that Network Providers provide physical access, reasonable accommodations, culturally competent communications, and accessible equipment for Enrollees with physical or mental disabilities.

Appears in 1 contract

Sources: Home Program Amendment 5

Network Requirements. (A) The Contractor shall maintain and monitor a network of appropriate Network Providers that is supported by written agreements and is sufficient to provide adequate access to all Covered Services for all Enrollees, including those with limited English proficiency, physical disabilities, and/or mental disabilities. In ln establishing and maintaining the network of Network Providers the Contractor shall consider: (1) the anticipated Medicaid CHlP enrollment; (2) the expected utilization of services, taking into consideration the characteristics and health care needs of specific Medicaid CHlP populations represented in the Contractor’s 's Service Area; (3) the numbers and types (in terms of training, experience, and specialization) of Providers required to furnish the Covered Services; (4) the number of Network Providers who are not accepting new Medicaid CHlP patients; and (5) the geographic location of Network Providers and Enrollees, considering distance, travel time, the means of transportation ordinarily used by Enrollees, and whether the location provides physical access for Enrollees with disabilities. (B) The Contractor shall demonstrate that its network includes sufficient family planning Network Providers to ensure timely access to Covered Services. (C) The Contractor shall allow each Enrollee the ability to choose a Network Provider to the extent possible and appropriate. (CD) The Contractor shall ensure that Network Providers provide physical access, reasonable accommodations, culturally competent communications, and accessible equipment for Enrollees with physical or mental disabilities.

Appears in 1 contract

Sources: Molina Chip Contract