Common use of CHIP Provider Network Clause in Contracts

CHIP Provider Network. In each Service Area, the HMO must seek to obtain the participation in its Provider Network of CHIP Significant Traditional Providers (STPs), defined by HHSC as PCP Providers currently serving the CHIP population and DSH hospitals. The Procurement Library includes CHIP STPs by Service Area. The HMO must give STPs the opportunity to participate in its Network if the STPs: 1. Agree to accept the HMO’s Provider reimbursement rate for the provider type; and 2. Meet the standard credentialing requirements of the HMO, provided that lack of board certification or accreditation by the Joint Commission on Accreditation of Health Care Organizations (JCAHO) is not the sole grounds for exclusion from the Provider Network.