Adequate Capacity and Standards. A. The Contractor shall assure adequate network capacity within the standards prescribed by 42 CFR 438.207. 1) Pursuant to 42 CFR 438.207(b), the Contractor shall, when requested by the DHCS, submit documentation to the DHCS, in a format specified by the DHCS, and after receiving reasonable advance notice of its obligation, to demonstrate that the Contractor: a) Offers an appropriate range of SUD treatment services that is adequate for the anticipated number of beneficiaries for the service area; b) Maintains a network of providers that is sufficient in number, mix, and geographic distribution to meet the needs of the anticipated number of beneficiaries in the service area; and c) Consistent with 42 CFR 438.207(c)(2), whenever there is a change in the Contractor’s operation that would cause a decrease of 2 or more in services or providers available to beneficiaries, the Contractor shall report this to the DHCS- SUD-PPFD (XXXXXXX@XXXX.XX.XXX), including details regarding the change and plans to maintain adequate services and providers available to beneficiaries within 24 hours.
Appears in 8 contracts
Samples: Standard Agreement, Standard Agreement, Intergovernmental Agreement
Adequate Capacity and Standards. A. The Contractor shall assure adequate network capacity within the standards prescribed by 42 CFR 438.207.
1) Pursuant to 42 CFR 438.207(b), the Contractor shall, when requested by the DHCS, submit documentation to the DHCS, in a format specified by the DHCS, and after receiving reasonable advance notice of its obligation, to demonstrate that the Contractor:
a) Offers an appropriate range of SUD treatment services that is adequate for the anticipated number of beneficiaries for the service area;
b) Maintains a network of providers that is sufficient in number, mix, and geographic distribution to meet the needs of the anticipated number of beneficiaries in the service area; and
c) Consistent with 42 CFR 438.207(c)(2), whenever there is a change in the Contractor’s operation that would cause a decrease of 2 or more in services or providers available to beneficiaries, the Contractor shall report this to the DHCS- DHCS SUD-PPFD (XXXXXXX@XXXX.XX.XXX), including details regarding the change and plans to maintain adequate services and providers available to beneficiaries within 24 hours.
Appears in 1 contract
Samples: Standard Agreement
Adequate Capacity and Standards.
A. The Contractor shall assure adequate network capacity within the standards prescribed by 42 CFR 438.207.438.207.
1) Pursuant to 42 CFR 438.207(b), the Contractor shall, when requested by the DHCS, submit documentation to the DHCS, in a format specified by the DHCS, and after receiving reasonable advance notice of its obligation, to demonstrate that the Contractor:Contractor:
a) Offers an appropriate range of SUD treatment services that is adequate for the anticipated number of beneficiaries for the service area;area;
b) Maintains a network of providers that is sufficient in number, mix, and geographic distribution to meet the needs of the anticipated number of beneficiaries in the service area; andand
c) Consistent with 42 CFR 438.207(c)(2), whenever there is a change in the Contractor’s operation that would cause a decrease of 2 or more in services or providers available to beneficiaries, the Contractor shall report this to the DHCS- SUD-PPFD (XXXXXXX@XXXX.XX.XXX), including details regarding the change and plans to maintain adequate services and providers available to beneficiaries within 24 hours.hours.
Appears in 1 contract
Samples: Intergovernmental Agreement
