Common use of Provider Network Requirements Clause in Contracts

Provider Network Requirements. 7.1 PROVIDER ACCESSIBILITY ---------------------- 7.1.1 HMO must enter into written contracts with properly credentialed health care service providers. The names of all providers must be submitted to TDH as part of HMO subcontracting process. HMO must have its own credentialing process to review, approve and periodically recertify the credentials of all participating providers in compliance with 28 TAC 11.1902, relating to credentialing of providers in HMOs. 7.1.2 HMO must require tax I.D. numbers from all providers. HMO is required to do backup withholding from all payments to providers who fail to give tax I.D. numbers or who give incorrect numbers.