Enrollee Notification of Terminated 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 calendar (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. [Minnesota Statutes §256B.6925, subd. 2, (4)] 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 provide the following information to the STATE: Date the Network Provider will no longer be available to Enrollees; Number of Enrollees affected in each Minnesota Health Care Program; Impact on the MCO’s Provider network; and MCO’s transition of care plan for the affected Enrollees.
Appears in 5 contracts
Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services
Enrollee Notification of Terminated 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 calendar (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. [Minnesota Statutes §256B.6925, subd. 2, (4)] 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 provide the following information to the STATE: • Date the Network Provider will no longer be available to Enrollees; • Number of Enrollees affected in each Minnesota Health Care Program; • Impact on the MCO’s Provider network; and • MCO’s transition of care plan for the affected Enrollees.
Appears in 2 contracts
Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services
Enrollee Notification of Terminated 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 Provider, within fifteen calendar (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. [Minnesota Statutes Statutes, §256B.6925, subd. 2, (4)] 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 provide the following information to the STATE: • Date the Network Provider will no longer be available to Enrollees; • Number of Enrollees affected in each Minnesota Health Care Program; • Impact on the MCO’s Provider network; and • MCO’s transition of care plan for the affected Enrollees.
Appears in 2 contracts
Samples: Special Needs Basiccare Program Services Contract, Special Needs Basiccare Program Services Contract
Enrollee Notification of Terminated 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 Provider, within fifteen calendar (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. [Minnesota Statutes Statutes, §256B.6925, subd. 2, (4)] 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 provide the following information to the STATE: Date the Network Provider will no longer be available to Enrollees; Number of Enrollees affected in each Minnesota Health Care Program; Impact on the MCO’s Provider network; and MCO’s transition of care plan for the affected Enrollees.
Appears in 2 contracts
Samples: Contract for Special Needs Basiccare Program Services, Contract for Special Needs Basiccare Program Services
Enrollee Notification of Terminated 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 calendar (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. [Minnesota Statutes Statutes, §256B.6925, subd. 2, (4)] 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 provide the following information to the STATE: • Date the Network Provider will no longer be available to Enrollees; • Number of Enrollees affected in each Minnesota Health Care Program; • Impact on the MCO’s Provider network; and • MCO’s transition of care plan for the affected Enrollees.
Appears in 1 contract
Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services