Common use of Network Requirements Clause in Contracts

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. (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 Contractor shall have at least two dental primary care providers within 40 miles of each Enrollee’s residence. This requirement shall not apply to rural areas where there is a general shortage of dentistsPrimary Care Providers. (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 Primary Care 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. (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 Contractor 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.