NETWORK CHANGES. The Contractor agrees to provide EOHHS, on a quarterly basis, with a list of all its participating dental providers, including those whose practices are open to additional RIte Smiles members. The Contractor will monitor the access and availability of their specialty physician/provider network and report any knowledge of suspected, impending or known significant changes to EOHHS within three (3) calendar days. A significant change in the network includes any change that would affect the adequacy of capacity and timeliness of services, including changes in the Contractor or its subcontractor’s services, benefits, geographic service area, composition of or payments to its provider network. Enrollment of a new population in the MCO is also considered to be a significant change. Contractor is required to adhere to the Compliance Policy regarding member notification and choice. Contractor will require network providers to give written notice of his/her termination from the RIte Smiles network, within fifteen (15) business days after receipt or issuance of the termination notice, to each RIte Smiles member who received his or her preventive dental care from the terminated provider.
Appears in 5 contracts
Samples: Medicaid Program Agreement, Medicaid Rite Smiles Program Agreement, Medicaid Rite Smiles Program Agreement
