Network Requirements. Customer shall be responsible for ensuring that all aspects of the applicable network environment(s) adhere to the applicable standards and requirements specified in the Documentation and are configured appropriately to its proposed use of Ordered SaaS Services.
Network Requirements. The Contractor shall maintain and monitor a network of appropriate Network Providers that is supported by written agreements and is sufficient to provide adequate access to all Covered Services for all Enrollees, including those with limited English proficiency or physical or mental disabilities. In establishing and maintaining the network of Network Providers the Contractor shall consider:
Network Requirements. (A) The Contractor shall maintain and monitor a network of appropriate, Participating Providers that is supported by written agreements and is sufficient to provide adequate access to all services covered under this Contract. In establishing and maintaining the network of Participating Providers the Contractor must consider the following:
(1) The anticipated Medicaid enrollment;
(2) The expected utilization of services, taking into consideration the characteristics and health care needs of specific Medicaid populations represented in the Contractor’s Service Area;
(3) The numbers and types (in terms of training, experience, and specialization) of Providers required to furnish the contracted Medicaid services;
(4) The number of Participating Providers who are not accepting new Medicaid patients; and
(5) The geographic location of Participating 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.
Network Requirements. Customer is responsible for procuring, maintaining, monitoring and supporting its communications infrastructure, network (LAN or WAN), and all components that connect to the Hosted Service(s). Entrust assumes no responsibility for the reliability or performance of any connections as described in this paragraph for any such external infrastructure, nor for any service degradation or failures caused by network connectivity of such external infrastructure.
Network Requirements. (A) The Contractor shall maintain and monitor a network of appropriate Network Providers that is supported by written agreements and is sufficient to provide adequate access to all services covered under this Contract for all Enrollees, including those with limited English proficiency or physical or mental disabilities. In establishing and maintaining the network of Network Providers the Contractor shall consider:
(1) the anticipated Medicaid enrollment;
(2) the expected utilization of services, taking into consideration the characteristics and health care needs of specific Medicaid populations represented in the Contractor’s Service Area;
(3) the numbers and types (in terms of training, experience, and specialization) of Providers required to furnish the Covered Services;
(4) the number of Network Providers who are not accepting new Medicaid patients; and
(5) the geographic location of Network Providers and Medicaid Enrollees, considering distance, travel time, the means of transportation ordinarily used by Medicaid Enrollees.
(B) The Contractor shall ensure that Network Providers provide physical access, reasonable accommodations, and accessible equipment for Enrollees with physical or mental disabilities.
(C) The Contractor shall allow each Enrollee to choose a Network Provider to the extent possible and appropriate.
Network Requirements. (A) The Contractor shall maintain and monitor a network of appropriate Network Providers that is supported by written agreements and is sufficient to provide adequate access to all Covered Services for all Enrollees, including those with limited English proficiency or physical or mental disabilities. In establishing and maintaining the network of Network Providers the Contractor shall consider:
(1) the anticipated Medicaid enrollment;
(2) the expected utilization of services, taking into consideration the characteristics and health care needs of specific Medicaid populations represented in the Contractor’s Service Area;
(3) the numbers and types (in terms of training, experience, and specialization) of Providers required to furnish the Covered Services;
(4) the number of Network Providers who are not accepting new Medicaid patients; and
(5) the geographic location of Network 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.
(B) The Contractor shall demonstrate that its network includes sufficient family planning providers to ensure timely access to Covered Services.
(C) The Contractor shall allow each Enrollee the ablility to choose a Network Provider to the extent possible and appropriate.
(D) The Contractor shall ensure that Network Providers provide physical access, reasonable accommodations, culturally competent communications, and accessible equipment for Enrollees with physical or mental disabilities.
Network Requirements a) Sufficient Number
i) The Contractor will establish and maintain a network of Participating Providers.
ii) The Contractor's network must contain all of the provider types necessary to furnish the prepaid Benefit Package, including but not limited to: hospitals, physicians (primary care and specialists), mental health and substance abuse providers, allied health professionals, ancillary providers, DME providers and home health providers.
iii) To be considered accessible, the network must contain a sufficient number and array of providers to meet the diverse needs of the Enrollee population. This includes being geographically accessible (meeting time/distance standards) and being accessible for the disabled.
iv) The Contractor shall not include in its network any provider who has been sanctioned or prohibited from serving Medicaid recipients or receiving Medical Assistance payments.
b) Absence of Appropriate Network Provider In the event that the Contractor determines that it does not have a Participating Provider with appropriate training and experience to meet the particular health care needs of an Enrollee, the Contractor shall make a referral to an appropriate Non-Participating Provider, pursuant to a treatment plan approved by the Contractor in consultation with the Primary Care Provider, the Non-Participating Provider and the Enrollee or the Enrollee's designee. The Contractor shall pay for the cost of the services in the treatment plan provided by the Non-Participating Provider.
Network Requirements. User must comply with all applicable Cboe Global Markets Network Requirements, contained in the Connectivity Manual. The Exchange will provide notice of any material amendments to the Cboe Global Markets Network Requirements and User shall comply with the amended Cboe Global Markets Network Requirements within thirty (30) days of receipt of such notice.
Network Requirements. (A) The Contractor shall maintain and monitor a network of appropriate, Participating Providers that is supported by written agreements and is sufficient to provide adequate access to all services covered under this Contract.
(B) The Dental Plan shall have at least two dental providers within 40 miles of each Enrollee’s residence. This requirement shall not apply to rural areas where there is a general shortage of dentists.
(C) If the Department determines that the Contractor does not have a sufficient Participating Provider network, the Department shall give written notice to the Contractor of its non- compliance. Upon receipt of the notice, the Contractor shall have 90 days to become compliant. If the Contractor is non-compliant after 90 days, an Enrollee may use any Dental Provider whose practice address is within 40 miles of the Enrollee’s residence and the Contractor shall reimburse that provider in accordance with the rates found in Attachment C.
Network Requirements. The state must deliver all covered benefits, ensuring high quality care. Services must be delivered in a culturally competent manner, and the MCO network must be sufficient to provide access to covered services. In addition, the MCO must coordinate health care services for demonstration populations. The following requirements must be included in the state’s MCO contracts:
