Network Capable of Full Array of Services Sample Clauses

Network Capable of Full Array of Services. The MCO must establish and maintain provider networks in geographically accessible locations for the populations to be served. These networks must be comprised of hospitals, primary care providers (PCPs), dental, and specialty care providers in sufficient numbers to make available all covered services as required by the availability and access standards of the contract. The MCO must maintain a sufficient number, mix, and geographic distribution of providers. The MCO must contract with sufficient numbers of providers to maintain sufficient access in accordance with BMS’ Medicaid managed care network standards. The MCO must submit written documentation of the adequacy of its provider network as set forth in this contract, at the time the MCO enters into a contract with BMS; when there has been a significant change in MCO operations; when services, benefits, geographic service areas, or payments have been changed; or there is enrollment of a new population in the MCO. The MCO must contract with the full array of providers necessary to deliver a level of care that is at least equal to the community norms and meet the travel time, appointment scheduling, and waiting time standards included in this contract. The MCO must maintain and monitor a network of appropriate, credentialed providers, supported by written arrangements, that is sufficient to provide adequate access (as defined by BMS) to covered services and to meet the needs of the population served. In establishing and maintaining the network, the MCO must consider the following:  Anticipated Medicaid enrollment;  Expected utilization of services, taking into consideration the characteristics and health care needs of specific Medicaid populations represented by the MCO;  Numbers and types (in terms of training, experience, and specialization) of providers required to furnish the contracted Medicaid services;  Numbers of network providers who are not accepting new Medicaid patients; and  Geographic location of providers and Medicaid enrollees, considering distance, travel time, the means of transportation ordinarily used by Medicaid enrollees, and whether the location provides physical access for Medicaid enrollees with disabilities.
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Network Capable of Full Array of Services. In accordance with 42 CFR §438.206(b)(1), the MCO must establish and maintain provider networks in geographically accessible locations for the populations to be served. These networks must be comprised of hospitals, primary care providers (PCPs), dental, and specialty care providers in sufficient numbers to make available all covered services as required by the
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Network Capable of Full Array of Services. In accordance with 42 CFR §438.206(b)(1), the MCO must establish and maintain provider networks in geographically accessible locations for the populations to be served. These networks must be comprised of hospitals, PCPs, dental providers, mental health and substance use disorder providers, specialty care providers, residential treatment providers, and BSS approved non- traditional providers who provide SNS in sufficient numbers to make available all covered services as required by the availability and access standards of the contract. In accordance with 42 DFR §438.207, the MCO must maintain a sufficient number, mix, and geographic distribution of providers. To the extent possible and in accordance with Article III, Section 5.11, the MCO must promote the use of telehealth/ telemedicine to support an adequate provider network and expand the use and availability of telehealth/telemedicine when indicated and appropriate to help ensure geographic accessibility to its enrollees. The MCO must contract with sufficient numbers of providers to maintain sufficient access in accordance with the Department’s Medicaid managed care network standards and SNS provider network standards for all enrollees, including those with limited English proficiency or physical or mental disabilities. The Provider network must include the following: • Primary care and specialist providers who are trained or experienced in trauma-informed approaches to care and in treating individuals with complex special needs, including the entire population that comprises the enrollees covered under this Contract; and • Providers who have knowledge and experience in identifying child abuse and neglect. The MCO must submit to the Department written documentation of the adequacy of its provider network as set forth in this Contract at the following times: • When the MCO enters into a Contract with the Department; • On an annual basis; • When there has been a significant change in MCO operations; • When services, benefits, geographic service areas, or payments have been changed; or • When there is enrollment of a new population in the MCO. The MCO must contract with the full array of providers necessary to deliver a level of care that is at least equal to the community norms and meet the travel time, appointment scheduling, and waiting time standards included in this contract. The MCO must maintain and monitor a network of appropriate, credentialed providers, supported by written arrangements, that is ...
Sample 1See All (4)
Network Capable of Full Array of Services. In accordance with 42 CFR §438.206(b)(1), the MCO must establish and maintain provider networks in geographically accessible locations for the populations to be served. These networks must be comprised of hospitals, PCPs, dental, specialty care providers, residential treatment providers, and BSS approved non-traditional providers who provide SNS in sufficient numbers to make available all covered services as required by the availability and access standards of the contract. In accordance with 42 DFR §438.207, the MCO must maintain a sufficient number, mix, and geographic distribution of providers. To the extent possible and in accordance with Article III, Section 5.11, the MCO must promote the use of telehealth/ telemedicine to support an adequate provider network and expand the use chiropractor, psychologist, dentist, physician assistant, physical or occupational therapist and therapy assistant, speech-language pathologist, audiologist, registered or licensed practical nurse (including nurse practitioner, clinical nurse specialist, certified registered nurse, registered nurse anesthetist, and certified nurse-midwife), licensed certified social worker, registered respiratory therapist, and certified respiratory therapy technician. and availability of telehealth/telemedicine when indicated and appropriate to help ensure geographic accessibility to its enrollees. The MCO must contract with sufficient numbers of providers to maintain sufficient access in accordance with the Department’s Medicaid managed care network standards and SNS provider network standards for all enrollees, including those with limited English proficiency or physical or mental disabilities. The Provider network must include the following: • Primary care and specialist providers who are trained or experienced in trauma-informed approaches to care and in treating individuals with complex special needs, including the entire population that comprises the enrollees covered under this Contract; and • Providers who have knowledge and experience in identifying child abuse and neglect. The MCO must submit to the Department written documentation of the adequacy of its provider network as set forth in this Contract at the following times: • When the MCO enters into a Contract with the Department; • On an annual basis; • When there has been a significant change in MCO operations; • When services, benefits, geographic service areas, or payments have been changed; or • When there is enrollment of a ne...
Sample 1
Network Capable of Full Array of Services. The MCO must establish and maintain provider networks in geographically accessible locations for the populations to be served. These networks must be comprised of hospitals, primary care providers (PCPs), dental, and specialty care providers in sufficient numbers to make available all covered services as required by the availability and access standards of the contract. The MCO must maintain a sufficient number, mix, and geographic distribution of providers. The MCO must contract with sufficient numbers of providers to maintain sufficient access in accordance with BMS’ Medicaid managed care network standards for all enrollees, including those with limited English proficiency or physical or mental disabilities. The MCO must submit
Sample 1

Related to Network Capable of Full Array of Services

  • Attachment A, Scope of Services The scope of services is amended as follows:

  • Supply of Services 3.1 The Supplier agrees to supply the G-Cloud Services and any Additional Services under the terms of the Call-Off Contract and the Supplier’s Application. 3.2 The Supplier undertakes that each G-Cloud Service will meet the Buyer’s acceptance criteria, as defined in the Order Form.

  • General Scope of Services Consultant promises and agrees to furnish to the City all labor, materials, tools, equipment, services, and incidental and customary work necessary to fully and adequately supply the services necessary for the Project ("Services"). The Services are more particularly described in Exhibit "A" attached hereto and incorporated herein by reference. All Services shall be subject to, and performed in accordance with, this Agreement, the exhibits attached hereto and incorporated herein by reference, and all applicable local, state and federal laws, rules and regulations.

  • Scope of Services The specific scope of work for each job shall be determined in advance and in writing between TIPS Member, Member’s design professionals and Vendor. It is permitted for the TIPS Member to provide a general scope description, but the awarded vendor should provide a written scope of work, and if applicable, according to the TIPS Member’s design Professional as part of the proposal. Once the scope of the job is agreed to, the TIPS Member will issue a PO and/or an Agreement or Contract with the Job Order Contract Proposal referenced or as an attachment along with bond and any other special provisions agreed by the TIPS Member. If special terms and conditions other than those covered within this solicitation and awarded Agreements are required, they will be attached to the PO and/or an Agreement or Contract and shall take precedence over those in this base TIPS Vendor Agreement.