Common use of Notice of Provider Termination Clause in Contracts

Notice of Provider Termination. The Contractor shall notify LDSS and SDOH of any notice of termination of an IPA, hospital or medical group provider agreement which affects an Enrollee's access to care. Such notification to the LDSS and the SDOH shall be made ninety (90) days prior to the effective date of the termination of the provider agreement or immediately upon notice from such provider if less than ninety (90) days. The Contractor shall also notify LDSS and SDOH in the event that the Contractor and the providers have failed to re-execute a renewal provider agreement forty-five (45) days prior to the expiration of the agreement. The Contractor shall submit a contingency plan to LDSS and SDOH, at least forty-five (45) days prior to the termination of expiration of the agreement, identifying the number of Enrollees affected by the potential withdrawal, if applicable, and specifying how services previously furnished by the participating providers will be provided in the event of their withdrawal. If the provider is a participating hospital, the Contractor shall identify the number of doctors who would not have admitting privileges in the absence of such participating hospital. The Contractor shall develop a transition plan for patients of the departing providers subject to approval by LDSS and SDOH. SDOH and LDSS may direct the Contractor to provide notice to the patients of PCPs or specialists including available options for the patients, and availability of continuing care, consistent with Section 13.7, not less than thirty (30) days prior to the termination of the provider agreement. In the event that provider agreements are terminated with less than the notice period required by this section, the Contractor shall immediately notify LDSS and SDOH, and develop a transition plan on an expedited basis and provide notice to patients subject to the consent of LDSS and SDOH. Upon Contractor notice of failure to re-execute, or termination of, a provider agreement, the SDOH and the LDSS, in their sole discretion, may waive the requirement of submission of a contingency plan upon a determination by the SDOH and the LDSS that: i) the impact upon Enrollees is not significant, and/or ii) the Contractor and provider are continuing to negotiate in good faith and consent to extend the provider agreement for a period of time necessary to provide not less than thirty (30) days notice to Enrollees.

Notice of Provider Termination. The Contractor shall notify LDSS and SDOH of any notice of termination of an IPA, hospital or medical group provider agreement which affects an Enrollee's access to care. Such notification to the LDSS and the SDOH shall be made ninety (90) days prior to the effective date of the termination of the provider agreement or immediately upon notice from such provider if less than ninety (90) days. The Contractor shall also notify LDSS and SDOH in the event that the Contractor and the providers have failed to re-execute a renewal provider agreement forty-five (45) days prior to the expiration of the agreement. The Contractor shall submit a contingency plan to LDSS and SDOH, at least forty-five (45) days prior to the termination of expiration of the agreement, identifying the number of Enrollees affected by the potential withdrawal, if applicable, and specifying how services previously furnished by the participating providers will be provided in the event of their withdrawal. If the provider is a participating hospital, the Contractor shall identify the number of doctors who would not have admitting privileges in the absence of such participating hospital. The Contractor shall develop a transition plan for patients of the departing providers subject to approval by LDSS and SDOH. SDOH and LDSS may direct the Contractor to provide notice to the patients of PCPs or specialists including available options for the patients, and availability of continuing care, consistent with Section 13.7ss.13.7, not less than thirty (30) days prior to the termination of the provider agreement. In the event that provider agreements are terminated with less than the notice period required by this section, the Contractor shall immediately notify LDSS and SDOH, and develop a transition plan on an expedited basis and provide notice to patients subject to the consent of LDSS and SDOH. Upon Contractor notice of failure to re-execute, or termination of, a provider agreement, the SDOH and the LDSS, in their sole discretion, may waive the requirement of submission of a contingency plan upon a determination by the SDOH and the LDSS that: i) the impact upon Enrollees is not significant, and/or ii) the Contractor and provider are continuing to negotiate in good faith and consent to extend the provider agreement for a period of time necessary to provide not less than thirty (30) days notice to Enrollees.

Notice of Provider Termination. The Contractor shall notify LDSS and SDOH of any notice of termination of an IPA, hospital or medical group provider agreement which affects an Enrollee's access to care. Such notification to the LDSS and the SDOH shall be made ninety (90) days prior to the effective date of the termination of the provider agreement or immediately upon notice from such provider if less than ninety (90) days. : The Contractor shall also notify LDSS and SDOH in the event that the Contractor and the providers have failed to re-execute a renewal provider agreement forty-five (45) days prior to the expiration of the agreement. The Contractor shall submit a contingency plan to LDSS and SDOH, at least forty-five (45) days prior to the termination of expiration of OF the agreementAGREEMENT, identifying the number of Enrollees affected by the potential withdrawal, ; if applicable, and specifying how services previously furnished by the participating providers will be provided in the event of their withdrawal. If the provider is a participating hospital, the Contractor shall identify the number of doctors who would not have admitting privileges in the absence of such participating hospital. The Contractor shall THE CONTRACTOR SHALL develop a transition plan for patients of the departing DEPARTING providers subject to approval by LDSS and SDOH. , SDOH and LDSS may direct the Contractor to provide notice to the patients of PCPs or specialists including available options for the patients, and availability of continuing care, consistent with Section 13.7I3.7, not less than thirty (30) days prior to the termination of the provider agreement. In the event that provider agreements are terminated with less than the notice period required by this section, the Contractor shall immediately notify SHALL IMMEDIATELY NOTIFY LDSS and AND SDOH, and develop a transition plan on an expedited basis and provide notice to patients subject to the consent of LDSS and AND SDOH. Upon Contractor CONTRACTOR notice of failure to reRE-executeEXECUTE, or termination of, a provider PROVIDER agreement, the SDOH and the LDSS, in their sole discretion, may waive the requirement of submission REQUIREMENT OF SUBMISSION of a contingency plan upon PLAN UPON a determination by the SDOH and the LDSS that: i) the impact upon UPON Enrollees is not significant, and/or ii) the Contractor and provider are continuing to negotiate in good faith and consent to extend the provider agreement for a period of time necessary to provide not less than thirty (30) days notice to Enrollees.