Common use of PROVIDER DIRECTORY REQUIREMENTS Clause in Contracts

PROVIDER DIRECTORY REQUIREMENTS. The contractor shall prepare a provider director which shall be presented in the following manner. Fifty (50) copies of the provider directory, and any updates, shall be provided to the HBC, and ten (10) copies shall be provided to DMAHS at least every six months or within 30 days of an update. A. Primary care providers who will serve enrollees listed by • County, by city by specialty • Provider name and degree; specialty board eligibility/certification status; office address(es) (actual street address); telephone number; fax number if available; office hours at each location; indicate if a provider services enrollees with disabilities and how to receive additional information such as type of disability; hospital affiliations, transportation availability; special appointment instructions if any; languages spoken; disability access; and any other pertinent information that would assist the enrollee in choosing a PCP. B. Contracted specialists and ancillary services providers who will service enrollees Listed by county, by city, by physician specialty, by non-physician specialty, and by adult specialist and by pediatric specialist for those specialties indicated in Section 4.8.8.C. C. Subcontractors Contracting, as a consultant, or on a referral basis. Payment mechanism and rates shall be negotiated directly with the center. C. The contractor shall include primary care providers experienced in caring for enrollees with special needs (See A.4.1 provider network file).

PROVIDER DIRECTORY REQUIREMENTS. The contractor shall prepare a provider director directory which shall be presented in the following manner. Fifty (50) copies of the provider directory, and any updates, shall be provided to the HBC, and ten (10) copies shall be provided to DMAHS at least every six months or within 30 days of an update. A. Primary care providers who will serve enrollees listed by • County, by city city, by specialty • Provider name and degree; specialty board eligibility/certification status; office address(es) (actual street address); telephone number; fax number if available; office hours at each location; indicate if a provider services serves enrollees with disabilities and how to receive additional information such as type of disability; hospital affiliations, ; transportation availability; special appointment instructions if any; languages spoken; disability access; and any other pertinent information that would assist the enrollee in choosing a PCP. B. Contracted specialists and ancillary services providers who will service serve enrollees • Listed by county, by city, by physician specialty, by non-physician specialty, and by adult specialist and by pediatric specialist for those specialties indicated in Section 4.8.8.C. C. Subcontractors Contracting, as a consultant, or on a referral basis. Payment mechanism and rates shall be negotiated directly with the center. C. The contractor shall include primary care providers experienced in caring for enrollees with special needs (See A.4.1 provider network file).4.8.8.C.