Common use of Enrollee Notification of Terminated Primary Care Provider Clause in Contracts

Enrollee Notification of Terminated Primary Care Provider. The MCO (or if applicable its subcontractor) shall make a good faith effort to provide written notice of the termination of a Network Provider within fifteen (15) days after the MCO’s (or if applicable its subcontractor’s) receipt or issuance of the Network Provider termination notice, to an Enrollee who receives his or her Primary Care from or was seen on a regular basis by that Network Provider. The STATE may extend the timeframe for Enrollee notification in instances when the MCO has more than sixty (60) days advance notice of a terminated Network Provider. A sample Enrollee notice must be prior approved by the STATE. The MCO must comply with Minnesota Statutes, § 62Q.56, and provide the following information to the STATE:

Enrollee Notification of Terminated Primary Care Provider. The MCO (or if applicable its subcontractor) shall make a good faith effort to provide written notice of the termination of a Network Participating Provider within fifteen (15) days after the MCO’s (or if applicable its subcontractor’s) receipt or issuance of the Network Participating Provider termination notice, to an Enrollee who receives his or her Primary Care from or was seen on a regular basis by that Network Participating Provider. The STATE may extend the timeframe for Enrollee notification in instances when the MCO has more than sixty (60) days advance notice of a terminated Network Participating Provider. A sample Enrollee notice must be prior approved by the STATE. The MCO must comply with Minnesota Statutes, § 62Q.56, and provide the following information to the STATE: