NETWORK CHANGES. 4.8.18.1 The Contractor shall notify DCH within seven (7) Business Days of any significant changes to the Provider network or, if applicable, to any Subcontractors’ Provider network. A significant change is defined as: · A decrease in the total number of PCPs by more than five percent (5%); · A loss of all Providers in a specific specialty where another Provider in that specialty is not available within sixty (60) miles; · A loss of a hospital in an area where another contracted hospital of equal service ability is not available within thirty (30) miles; or · Other adverse changes to the composition of the network, which impair or deny the Members’ adequate access to In-Network Providers.
Appears in 2 contracts
Samples: Business Associate Agreement (Centene Corp), Business Associate Agreement (Wellcare Health Plans, Inc.)
NETWORK CHANGES. 4.8.18.1 The Contractor shall notify DCH within seven (7) Business Days of any significant changes to the Provider network or, if applicable, to any Subcontractors’ Provider network. A significant change is defined as: · A decrease in the total number of PCPs by more than five percent (5%); · A loss of all Providers in a specific specialty where another Provider in that specialty is not available within sixty (60) miles; · A loss of a hospital in an area where another contracted hospital of equal service ability is not available within thirty (30) miles; or · Other adverse changes to the composition of the network, which impair or deny the Members’ or P4HB Participants adequate access to In-Network Providers.
Appears in 2 contracts
Samples: Business Associate Agreement (Wellcare Health Plans, Inc.), Business Associate Agreement (Centene Corp)
NETWORK CHANGES. 4.8.18.1 The Contractor shall notify DCH within seven (7) Business Days of any significant changes to the Provider network or, if applicable, to any Subcontractors’ Provider network. A significant change is defined as: · • A decrease in the total number of PCPs by more than five percent (5%); · • A loss of all Providers in a specific specialty where another Provider in that specialty is not available within sixty (60) miles; · • A loss of a hospital in an area where another contracted hospital of equal service ability is not available within thirty (30) miles; or · • Other adverse changes to the composition of the network, which impair or deny the Members’ or P4HB Participants adequate access to In-Network Providers.
Appears in 1 contract
Samples: Business Associate Agreement (Wellcare Health Plans, Inc.)