Network Provider Directory. (A) For each of the provider types covered under the Contract, the Contractor shall make the following information on the Contractor’s Network Providers available to the Enrollee in paper form upon request and in electronic form:
(1) names, as well as any group affiliations;
(2) street addresses;
(3) telephone numbers;
(4) website URLs, as appropriate;
(5) specialties, as appropriate;
(6) whether Network Providers will accept new Enrollees;
(7) the cultural and linguistic capabilities of Network Providers, including languages (including ASL) offered by the Network Provider or a skilled medical interpreter at the provider's office; and
(8) whether Network Providers’ offices/facilities have accommodations for people with physical disabilities, including offices, exam room(s) and equipment.
(B) The Contractor shall update the paper Network Provider directory at least:
(1) monthly, if the Contractor does not have a mobile-enabled electronic directory; or
(2) quarterly, if the Contractor has a mobile-enabled directory.
(C) The Contractor shall update the electronic Network Provider directory no later than 30 calendar days after the Contractor receives updated Provider information.
(D) The Contractor shall make the Network Provider directory available on the Contractor’s website in a machine-readable file and format as specified by the Secretary of HHS.
Network Provider Directory. A. The Contractor must make a directory available of Network Providers in paper form upon request and in electronic form.
B. The following information must be included in the directory of Network Providers for physicians, including Specialists; hospitals; and behavioral health providers:
1. The Provider's name as well as any group affiliation.
2. The Provider’s street address(es).
3. The Provider’s telephone number(s).
4. The Provider’s web site URL, as appropriate.
5. The Provider’s specialty, as appropriate.
6. Whether the Provider is accepting new Participants.
7. The Provider's cultural and linguistic capabilities, including languages (including American Sign Language) offered by the Provider or a skilled medical interpreter at the Provider's office, and whether the Provider has completed cultural competence training.
8. Whether the Provider's office/facility has accommodations for people with physical disabilities, including offices, exam room(s), and equipment.
C. Information included in a paper Provider directory must be updated at least monthly and electronic Provider directories must be updated no later than thirty (30) days after the Contractor receives updated information about a Network Provider.
D. Network Provider directories must be made available on the Contractor’s website in a machine-readable file and format as specified by CMS.
Network Provider Directory. (A) For each of the following provider types covered under the Contract, the Contractor shall make the following information on the Contractor’s Network Providers available to the Enrollee in paper form upon request and in electronic form:
(1) Names, as well as any group affiliations;
(2) Street addresses;
(3) Telephone numbers;
(4) Website URLs, as appropriate;
(5) Specialties, as appropriate;
(6) Whether Network Providers will accept new Enrollees;
(7) The cultural and linguistic capabilities of Network Providers, including languages (including ASL) offered by the Provider or a skilled medical interpreter at the Provider’s office, and whether the Provider has completed cultural competence training; and
(8) Whether Network Providers’ offices/facilities have accommodations for people with physical disabilities, including offices, exam room(s) and equipment.
(B) The Contractor shall update the paper Network Provider directory at least monthly. The Contractor shall update the electronic Network Provider directory no later than 30 calendar days after the Contractor receives updated Provider information.
(C) The Contractor shall make the Network Provider directory available on the Contractor’s website in a machine readable file and format as specified by the Secretary of Department of Health and Human Services.
(D) The Contractor shall comply with the Network Provider directory requirements found in this Article 3.6.6 by July 1, 2018.
Network Provider Directory. 9.4.1 The provider directory and any revisions must be approved by TDH prior to publication and distribution to prospective Members (see Article
3.4.1 regarding the process for plan materials review). The directory must contain all critical elements specified by TDH. See Appendix D, Required Critical Elements, 1999 Renewal Contract Harrxx Xxxvice Area 100 August 9, 1999 for specific details regarding content requirements.
9.4.2 If HMO contracts with limited provider networks, the provider directory must comply with the requirements of 28 TAC 11.1600(b)(11), relating to the disclosure and notice of limited provider networks.
9.4.3 Updates to the provider directory must be provided to the Enrollment Broker at the beginning of each State fiscal year quarter. This includes the months of September, December, March and June. HMO is responsible for submitting draft updates to TDH only if changes other than PCP information are incorporated. HMO is responsible for sending three final paper copies and one electronic copy of the updated provider directory to TDH each quarter. If an electronic format is not available, five paper copies must be sent. TDH will forward two updated provider directories, along with its approval notice, to the Enrollment Broker to facilitate the distribution of the directories.
Network Provider Directory. (i) DVHA must provide the following information regarding its network providers (which, at a minimum, includes primary care physicians, specialists, hospitals, pharmacies, behavioral health providers, and Long-Term Services and Supports (LTSS) providers) to all beneficiaries:
(1) Names, as well as any group affiliations;
(2) Street addresses; DocuSign Envelope ID: F73EF454-508D-44AC-ABD8-2A528194331A
(3) Telephone numbers;
(4) Website URLs, as appropriate;
(5) Specialties, as appropriate;
(6) Whether the providers will accept new beneficiaries;
(7) The provider’s cultural and linguistic capabilities, including languages (including ASL) offered by the provider or a skilled medical interpreter at the provider's office; and
(8) Whether provider’s offices/facilities have accommodations for people with physical disabilities, including offices, exam room(s), and equipment.
(ii) The provider directory will be available in paper format upon request and must be updated at least monthly; electronic provider directories must be updated no later than 30 calendar days after DVHA receives updated provider information. Electronic provider directories must be made available on DVHA’s web site in a machine-readable file and format.
Network Provider Directory. 52 7.2 PROVIDER ACCESSIBILITY...............................53 7.3
Network Provider Directory. 80 ARTICLE X MIS SYSTEM REQUIREMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Network Provider Directory. 9.4.1 HMO must submit a provider directory to TDH no later than 180 days prior to the Implementation Date. Any revisions must be approved by TDH prior to publication and distribution to prospective Members (see Article
3.4.1 regarding the process for plan materials review). The directory must contain all critical elements specified by TDH. See Appendix, Required Critical Elements, for specific details regarding content requirements.
Network Provider Directory. 9.4.1 HMO must submit a provider directory to TDH no later than 180 days prior to the Implementation Date. HMO must provide the provider directory to the Enrollment
Network Provider Directory. 9.4.1 HMO must submit a provider directory to TDH no later than 180 days prior to the Implementation Date. HMO must provide the provider directory to the Enrollment Broker for prospective members. The directory must contain all critical elements specified by TDH. See Appendix M, Required Critical Elements, for specific details regarding content requirements.
9.4.2 If HMO contracts with limited provider networks, the provider directory must comply with the requirements of 28 TAC 11.1600(b)(11), relating to the disclosure and notice of limited provider networks. El Paso Service Area HMO Contract
9.4.3 Updates to the provider directory must be provided to the Enrollment Broker at the beginning of each State fiscal year quarter. This includes the months of September, December, March and June. HMO is responsible for submitting draft updates to TDH only if changes other than PCP information are incorporated. HMO is responsible for sending five final copies of the updated provider directory to TDH each quarter. TDH will forward two updated provider directories, along with its approval notice, to the Enrollment Broker to facilitate their distribution.
