Common use of Selection of Providers Clause in Contracts

Selection of Providers. DVHA must implement written policies and procedures for the selection and retention of network providers, that include, at a minimum, the requirements of 42 CFR 438.214. (i) DVHA’s provider selection policies and procedures must not discriminate against particular providers that serve high-risk populations or specialize in conditions that require costly treatment. (ii) DVHA is required to give written notice of the reason for its decision when it declines to include individual or groups of providers in its provider network. (iii) DVHA must comply with any additional provider selection requirements established by AHS.