Provider Network Adequacy Sample Clauses

The Provider Network Adequacy clause ensures that a health plan or insurance provider maintains a sufficient number and variety of healthcare providers within its network to meet the needs of its members. This typically involves setting standards for the geographic distribution, types of providers, and appointment availability, so that enrollees have reasonable access to necessary medical services without excessive travel or wait times. The core function of this clause is to protect patients from inadequate access to care, thereby promoting timely and effective healthcare delivery.
Provider Network Adequacy. The Contractor shall submit information in accordance with Appendix L. “
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Provider Network Adequacy. The Contractor shall submit information in accordance with Appendix G that demonstrates that the Contractor has an adequate network that meets the Department’s standards in Section 28.7 above. The MCO shall notify the Department, in writing, of any anticipated network changes that may impact network standards as defined herein. The Contractor shall update this information to reflect changes in the Contractor’s Network on an annual basis, or upon request by the Department.
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Related to Provider Network Adequacy

  • Network Access During its performance of this Contract, Contractor may be granted access to Purchaser’s computer and telecommunication networks (“Networks”). As a condition of Network use, Contractor shall: (a) use the Networks in compliance with all applicable laws, rules, and regulations; (b) use software, protocols, and procedures as directed by Purchaser to access and use the Networks; (c) only access Network locations made available to Contractor by Purchaser; (d) not interfere with or disrupt other users of the Networks;

  • Provider Services Charges for the following Services when ordered by a Physician for the treatment of an Injury or Illness.

  • Interface A defined set of transmission facilities that separate Load Zones and that separate the NYCA from adjacent Control Areas. Investor-Owned Transmission Owners. A Transmission Owner that is owned by private investors. At the present time these include: Central ▇▇▇▇▇▇ Gas & Electric Corporation, Consolidated Edison Company of New York, Inc., New York State Electric & Gas Corporation, Niagara Mohawk Power Corporation, Orange and Rockland Utilities, Inc., and Rochester Gas and Electric Corporation.

  • Data Encryption Contractor must encrypt all State data at rest and in transit, in compliance with FIPS Publication 140-2 or applicable law, regulation or rule, whichever is a higher standard. All encryption keys must be unique to State data. Contractor will secure and protect all encryption keys to State data. Encryption keys to State data will only be accessed by Contractor as necessary for performance of this Contract.

  • System Upgrades The Connecting Transmission Owner shall procure, construct, install, and own the System Upgrade Facilities and System Deliverability Upgrades described in Attachment 6 of this Agreement. To the extent that design work is necessary in addition to that already accomplished in the Class Year Interconnection Facilities Study for the Interconnection Customer, the Connecting Transmission Owner shall perform or cause to be performed such work. If all the Parties agree, the Interconnection Customer may construct System Upgrade Facilities and System Deliverability Upgrades. 5.2.1 As described in Section 32.3.5.3 of the SGIP in Attachment Z of the ISO OATT, the responsibility of the Interconnection Customer for the cost of the System Upgrade Facilities and System Deliverability Upgrades described in Attachment 6 of this Agreement shall be determined in accordance with Attachment S of the ISO OATT, as required by Section 32.3.5.3.2