Common use of PROVIDER PANEL DIRECTORIES Clause in Contracts

PROVIDER PANEL DIRECTORIES. All MCPs must produce a printed ODJFS-approved provider directory by July 1 of each year. At the time of ODJFS’ review, the information listed in the MCP’s provider directory for all ODJFS-required provider types must exactly match with the data currently on file in the ODJFS PVS. MCP provider directories must utilize a format specified by ODJFS and include a county-specific listing of the providers who will serve the MCP’s members, including at a minimum, all providers of those types specified in this appendix. The directory must also specify: • provider address(es) and phone number(s); • which of these providers will be available to members on a self-referral basis and practice limitations for these self-referred providers; • foreign-language speaking PCPs and specialists and the specific foreign language(s) spoken; and • any PCP or specialist practice limitations. MCPs must annually revise their directory and this will be the only ODJFS-allowable revision to the actual directory document. MCPs may supplement their directory on an ongoing basis with inserts detailing recent changes to the MCP’s provider panel. Such inserts must be prior approved by ODJFS. If an MCP wants to include a provider panel directory on their website, this directory must include all information required for their printed directory and the MCP must receive prior approval from ODJFS before adding this directory to their website.

PROVIDER PANEL DIRECTORIES. All MCPs must produce a printed ODJFS-approved provider directory by July 1 of each year. At the time of ODJFS’ ' review, the information listed in the MCP’s 's provider directory for all ODJFS-required provider types must exactly match with the data currently on file in the ODJFS PVS. MCP provider directories must utilize a format specified by ODJFS and include a county-specific listing of the providers who will serve the MCP’s 's members, including at a minimum, all providers of those types specified in this appendix. The directory must also specify: • - provider address(es) and phone number(s); • - which of these providers will be available to members on a self-referral basis and practice limitations for these self-referred providers; • - foreign-language speaking PCPs and specialists and the specific foreign language(s) spoken; and • - any PCP or specialist practice limitations. MCPs must annually revise their directory and this will be the only ODJFS-allowable revision to the actual directory document. MCPs may supplement their directory on an ongoing basis with inserts detailing recent changes to the MCP’s 's provider panel. Such inserts must be prior approved by ODJFS. If an MCP wants to include a provider panel directory on their website, this directory must include all information required for their printed directory and the MCP must receive prior approval from ODJFS before adding this directory to their website.