Common use of Part 164 Clause in Contracts

Part 164. Each enrollee is guaranteed the right to received information on the managed care program and plan into which he/she is enrolled. The Contractor must make available in electronic or paper form the provider directory as provided for in Section 2.8.H of this Agreement (Provider Network Lists). The Contractor must provide members, in adherence with 42 § C.F.R. 438.10(f)(4)with written notice of any significant changes in enrollee rights or information at least 30 days before the intended effective date of the change.

Part 164. Each enrollee is guaranteed the right to received information on the managed care program and plan into which he/she is enrolled. The Contractor must make available in electronic or paper form the provider directory as provided for in Section 2.8.H of this Agreement (Provider Network Lists). The Contractor must provide members, in adherence with 42 § C.F.R. 438.10(f)(4)with written notice of any significant changes in enrollee rights or information at least 30 days before the intended effective date of the change.. The Contractor shall comply with requirements as specified in 42 C.F.R. §