Common use of Board Certification Requirements Clause in Contracts

Board Certification Requirements. The Contractor shall maintain a policy with respect to Board Certification for PCPs and specialty physicians that ensures that the percentage of board-certified PCPs and specialty physicians participating in the Provider Network, at a minimum, is approximately equivalent to the community average for PCPs and specialty physicians in the Contractor’s Service Area. Specifically, the policy shall: a. Require that all applicant physicians, as a condition for participation in the Contractor’s Network, meet one of the following, except as otherwise set forth in paragraph b. below: 1) Be board certified in their practicing medical specialty; 2) Be in the process of achieving initial certification; or 3) Provide documentation demonstrating that the physician either is currently board eligible or has been board eligible in the past. b. If necessary to ensure adequate access, the Contractor may contract with Providers who have training consistent with board eligibility but are neither board certified nor were ever eligible to be board certified. In such circumstances, the Contractor shall submit to EOHHS for review and approval, on a case-by-case basis, documentation describing the access need that the Contractor is trying to address; and c. Provide a mechanism to monitor participating physician compliance with the Contractor’s board certification requirements, including, but not limited to, participating physicians who do not achieve board certification eligibility.”

Board Certification Requirements. The Contractor shall maintain a policy with respect to Board Certification for PCPs and specialty physicians that ensures that the percentage of board-certified PCPs and specialty physicians participating in the Provider Network, at a minimum, is approximately equivalent to the community average for PCPs and specialty physicians in each of the Service Areas that comprise the Regions served by the Contractor’s Service Area. Specifically, the policy shall: a. Require that all applicant physicians, as a condition for participation in the Contractor’s Network, meet one of the following, except as otherwise set forth in paragraph b. below: 1) Be board certified in their practicing medical specialty; 2) Be in the process of achieving initial certification; or 3) Provide documentation demonstrating that the physician either is currently board eligible or has been board eligible in the past. b. If necessary to ensure adequate access, the Contractor may contract with Providers who have training consistent with board eligibility but are neither board certified nor were ever eligible to be board certified. In such circumstances, the Contractor shall submit to EOHHS for review and approval, on a case-by-case basis, documentation describing the access need that the Contractor is trying to address; and c. Provide a mechanism to monitor participating physician compliance with the Contractor’s board certification requirements, including, but not limited to, participating physicians who do not achieve board certification eligibility.” 27. Section 2.9 is hereby amended by adding a new Section 2.9.S as follows: “S.

Board Certification Requirements. The Contractor shall maintain a policy with respect to Board Certification for PCPs and specialty physicians that ensures that the percentage of board-board certified PCPs and specialty physicians participating in the Provider Network, at a minimum, is approximately equivalent to the community average for PCPs and specialty physicians in the Contractor’s Service AreaArea(s). Specifically, the policy shall: a. : Require that all applicant physicians, as a condition for participation in the Contractor’s Network, meet one of the following, except as otherwise set forth in paragraph b. below: 1) : Be board certified in their practicing medical specialty; 2) ; Be in the process of achieving initial certification; or 3) or Provide documentation demonstrating that the physician either is currently board eligible or has been board eligible in the past. b. . If necessary to ensure adequate access, the Contractor may contract with Providers who have training consistent with board eligibility but are neither board certified nor were ever eligible to be board certified. In such circumstances, the Contractor shall submit to EOHHS for review and approval, on a case-by-case basis, documentation describing the access need that the Contractor is trying to address; and c. Provide a mechanism to monitor participating physician compliance with the Contractor’s board certification requirements, including, but not limited to, participating physicians who do not achieve board certification eligibility.”

Board Certification Requirements. The Contractor shall maintain a policy with respect to Board Certification for PCPs and specialty physicians that ensures that the percentage of board-board certified PCPs and specialty physicians participating in the Provider Network, at a minimum, is approximately equivalent to the community average for PCPs and specialty physicians in the Contractor’s Service AreaArea(s). Specifically, the policy shall: a. Require that all applicant physicians, as a condition for participation in the Contractor’s Network, meet one of the following, except as otherwise set forth in paragraph b. below: 1) Be board certified in their practicing medical specialty; 2) Be in the process of achieving initial certification; or 3) Provide documentation demonstrating that the physician either is currently board eligible or has been board eligible in the past. b. If necessary to ensure adequate access, the Contractor may contract with Providers who have training consistent with board eligibility but are neither board certified nor were ever eligible to be board certified. In such circumstances, the Contractor shall submit to EOHHS for review and approval, on a case-by-case basis, documentation describing the access need that the Contractor is trying to address; and c. Provide a mechanism to monitor participating physician compliance with the Contractor’s board certification requirements, including, but not limited to, participating physicians who do not achieve board certification eligibility.”