Networks. 1. Health plan provider networks must have a full range of primary care and specialist physicians with reasonable numbers of each in relationship to eligible State employees.
2. Health plans newly offered to State employees shall insure that no more than a reasonable percent of network providers have closed practices, and shall attempt to facilitate inclusion in their network primary care physicians already serving State employees in their service area.
3. A designated percentage of primary care physicians and specialist physicians shall be board certified.
4. Health plans shall adhere to reasonable standards of access for every employee to primary care physicians and to hospitals in urban and rural areas in time and distance as recommended by the administrative subcommittee of JHCC.
5. Health plans shall agree to refrain from dropping any hospital or health care facility from the network during a benefit period, unless the health plan has notified the Employer, and to the satisfaction of the labor and management co-chairs, attempted to develop a method of delivering continuity of care for those persons who may be adversely affected by the change in the network.
6. Health plans shall include centers of excellence to perform highly specialized, high cost procedures such as transplants. The JHCC may modify this provision to best accommodate health plans while assuring quality services for participants. Furthermore, upon the recommendation of the JHCC, the Director of DAS may provide financial or other incentives (including but not limited to reduced co-pays or co-insurance) to participants to utilize quality providers.
7. Reimbursement to non-network providers shall be at a level no greater than the usual, customary, and reasonable fee/allowed amount which has been established by the plan administrator for that service or supply. HMO plans do not cover services by providers not in their network, except for emergencies. Ohio Med covers services by non-network providers, but at a reduced reimbursement rate.
8. For those employees assigned to work outside of Ohio who are enrolled in an indemnity plan, which does not offer the option of network providers and/or facilities, co-payments ("co-insurance") for services will be at least seventy percent (70%) by the plan and no greater than thirty percent (30%) by the participant, after the deductible and up to the out-of-pocket maximum.
9. No hospital, doctor, laboratory, or other health care provider can be added to ...
Networks. 6.1. General Medicaid Managed Care Program Network Requirements In accordance with 42 CFR § 438.206, the CONTRACTOR must ensure that it possesses a network of Providers sufficient to provide adequate access to all services covered under this contract. In the development and maintenance of its Provider network, at a minimum, the CONTRACTOR must meet the requirements outlined throughout this Section of this contract and all applicable manuals. The CONTRACTOR shall meet the following requirements:
Networks. 1.1 In order to exchange the data needed to execute postal payment services between all designated operators, and to monitor quality of service, designated operators shall use the Universal Postal Union electronic data (EDI) exchange system or any other system ensuring the interoperability of the postal payment services in accordance with this Agreement.
Networks. A networking site is a place where teachers and students can communicate, collaborate, and share content. Examples include email and cloud file storage and sharing and social media networks.
Networks. First Data will provide the Company with Acquiring Services for the following Networks: Visa, MasterCard, UnionPay International, and Japan Credit Bureau, unless the Company selects otherwise in the Application, or the parties agree otherwise in writing.
Networks. (i) The Company operates an analog network of NMT 450i standard and a digital mobile network of GSM 900/1800 standard which are capable of providing service coverage to areas where approximately 65% of the population of Ukraine lives, with a dedicated interface signaling, voice and data backbone network to support hand-off capabilities. The Network provides the following services to subscribers in covered areas with telephone interconnect, including basic voice services, mobile terminated short messaging service, voice mail, call forwarding, call waiting, call forward unconditional, call forward busy, call forward no answer, call number identity presentation, call number identity restricted, hot line, do not disturb, three party calling, direct dial long-distance/international calling, automatic call delivery, automatic short message delivery with SMPP Interface, and voice-mail deposit and retrieval. The respective manufacturers of the Equipment have warranted to the Company that the Equipment has the capability to provide packet data and asynchronous data. (All of the foregoing, the “Services”.) The Network includes the essential types of Equipment listed in Schedule 4.17(i) of the Disclosure Schedule (the “Essential Equipment”) and is located on appropriate premises.
(ii) The Network is in all material respects in compliance with all material standards imposed by Ukrainian Law to the extent necessary to provide the services and have passed acceptance tests under the standards specified in the documents evidencing final acceptance except where such final acceptance documents indicate otherwise.
(iii) The Network has been operated and maintained in all material respects in accordance with the instructions of the manufacturers/providers of the Equipment and the Software and meets in all material respects the functionalities and existing specifications. Each piece of the Essential Equipment and Software in the Network is materially compatible with each other piece of Essential Equipment and Software in the Network.
(iv) The Network is designed, deployed, operated, managed and maintained to provide and is capable of providing outdoor services in the coverage areas described in the maps set out in Schedule 4.17(iv) of the Disclosure Schedule that permit a subscriber to maintain communication 90% of the time in 90% of those locations in Ukraine where coverage is indicated in the map.
(A) In a drive test conducted by the Company on 15 June 2002, 98% of the measu...
Networks. Fiserv will provide the Company with Acquiring Services for Visa®, Mastercard®, eftpos, UnionPay® International and other networks as agreed (Networks).
Networks. Cisco shall, at a minimum, use the following controls to secure its networks that access or Process Protected Data:
A. Network traffic shall pass through firewalls, which are monitored at all times. Cisco must implement intrusion prevention systems that allow traffic flowing through the firewalls and LAN to be logged and protected at all times.
B. Network devices used for administration must utilize industry standard cryptographic con- trols when Processing Protected Data.
C. Anti-spoofing filters and controls must be enabled on routers.
D. Network, application, and server authentication passwords are required to meet minimum complexity guidelines (at least 7 characters with at least 3 of the following four classes: upper case, lower case, numeral, special character) and be changed at least every 180 days; or utilize other strong log-in credentials (e.g., biometrics).
E. Initial user passwords are required to be changed at first log-on. Cisco shall have a policy prohibiting the sharing of user IDs, passwords, or other log-in credentials.
F. Firewalls must be deployed to protect the perimeter of Cisco’s networks.
Networks. 1. Health plan provider networks must have a full range of primary care and specialist physicians with reasonable numbers of each in relationship to eligible State employees.
2. Health plans newly offered to State employees shall insure that no more than a reasonable percent of network providers have closed practices, and shall attempt to facilitate inclusion in their network primary care physicians already serving State employees in their service area.
3. A designated percentage of primary care physicians and specialist physicians shall be board certified.
4. Health plans shall adhere to reasonable standards of access for every employee to primary care physicians and to hospitals in urban and rural areas in time and distance as recommended by the administration subcommittee of JHCC.
Networks. 1. Health plan provider networks must have a full range of primary care and specialist physicians with reasonable numbers of each in relationship to eligible State employees.
2. Health plans newly offered to State employees shall insure that no more than a reasonable percent of network providers have closed practices, and shall attempt to facilitate inclusion in their network primary care physicians already serving State employees in their service area.
3. A designated percentage of primary care physicians and specialist physicians shall be board certified.
4. Health plans shall adhere to reasonable standards of access for every employee to primary care physicians and to hospitals in urban and rural areas in time and distance as recommended by the administrative subcommittee of JHCC.
5. Health plans shall agree to refrain from dropping any hospital or health care facility from the network during a benefit period, unless the health plan has notified the Employer, has consulted with the administrative subcommittee, and has in good faith and to the satisfaction of the subcommittee, attempted to develop a method of delivering continuity of care for those persons who may be adversely affected by the change in the network.
6. Health plans shall include centers of excellence to perform highly specialized, high cost procedures such as transplants. The JHCC may modify this provision to best accommodate health plans while assuring quality services for State employees.
