Common use of Network standards Clause in Contracts

Network standards. Contractor’s QDPs shall comply with the network adequacy standards established by the applicable State Regulators responsible for oversight of Contractor, including those requirements applicable to specialized health care service plans as set forth at Health and Safety Code § 1367.03 and 28 CCR § 1300.67.2.2 (if Contractor is a licensed health care service plan) or Insurance Code § 10133.5 and 10 CCR §§ 2240-2240.5 (if Contractor is regulated by CDI), and, as applicable, other laws, rules and regulations, including those set forth at 45 C.F.R. § 156.230. The information provided to Covered California shall reasonably take into consideration the ethnic and language diversity of providers available to serve Enrollees of Covered California. Contractor shall cooperate with Covered California to implement network changes as necessary to address reasonable concerns identified by Covered California.

Appears in 5 contracts

Samples: Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract

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