Common use of Panel Capacity Clause in Contracts

Panel Capacity. A. Provider shall specify a capacity of IO IP members he/she is willing to accept under this Agreement. 1. A full time IO IP practitioner means a practitioner available for appointments a minimum of 30 hours per week who sees only IO IP members. If the practitioner is available for appointments less than thirty (30) hours a week and/or sees a combination of IO IP members and other patients, the practitioner’s capacity shall be reduced proportionately. If the practitioner is also a Choice PCP, the practitioner shall not exceed this capacity for both panels combined. 2. If Provider’s Type is Physician, up to a maximum of two thousand five hundred (2,500) members for a full time IO IP physician and a maximum of eight hundred seventy-five (875) members for a full time resident; 3. If Provider’s Type is Group, up to a maximum of two thousand five hundred (2,500) members for each full time IO IP Physician Professional, a maximum of one thousand two hundred fifty (1,250) for each full time Physician Assistant or Certified Nurse Practitioner Professional; 4. If Provider’s type is Physician Assistant or Certified Nurse Practitioner, up to a maximum of one thousand two hundred and fifty (1,250) members for a full time IO IP Physician Assistant or Certified Nurse Practitioner. B. If Provider initially enrolls as an IO IP PCP, Provider shall specify a capacity of at least 50 members. C. OHCA does not guarantee Provider an enrollment level nor will OHCA pay for members who are not eligible or excluded from enrollment. D. Provider may request a change in his/her/its capacity through the EPE system. This request is subject to review according to program standards. In the event Provider requests a lower capacity, OHCA may lower the capacity by disenrolling members to achieve that number or allowing the capacity to adjust as members change their PCP or lose eligibility.

Panel Capacity. A. Provider shall specify a capacity of IO IP Choice members he/she she/it is willing to accept under this Agreement. 1. B. A full time IO IP Choice practitioner means a practitioner available for appointments a minimum of 30 hours per week who sees only IO IP Choice members. If the practitioner is available for appointments less than thirty (30) hours a week and/or sees a combination of IO IP Choice members and other patients, the practitioner’s capacity shall be reduced proportionately. If the practitioner is also a Choice an Insure Oklahoma PCP, the practitioner shall not exceed this capacity for both panels combined. 2. C. If Provider’s Type type is Physician, up to a maximum of two thousand five hundred (2,500) members for a full time IO IP physician and a maximum of eight hundred seventy-five (875) members for a full time resident;Choice physician. 3. D. If Provider’s Type is Group, up to a maximum of two thousand five hundred (2,500) members for each full time IO IP Physician Choice physician Professional, a maximum of one thousand two hundred fifty (1,250) members for each full time Physician Assistant or Certified Nurse Practitioner Professional;. 4. E. If Provider’s type Type is Physician Assistant or Certified Nurse Practitioner, up to a maximum of one thousand two hundred and fifty (1,250) members for a full time IO IP Choice Physician Assistant or Certified Nurse Practitioner. B. If Provider initially enrolls as an IO IP PCP, F. Provider shall specify a capacity of at least 50 members. C. G. OHCA does not guarantee Provider an enrollment level nor will OHCA pay for members who are not eligible or excluded from enrollment. D. X. Provider may request a change in his/her/its capacity through the EPE system. This request is subject to review according to program standards. In the event Provider requests a lower capacity, OHCA may lower the capacity by disenrolling members to achieve that number or allowing the capacity to adjust as members change their PCP or lose eligibility. I. OHCA shall furnish the Provider a monthly list of Choice panel members. This roster will be mailed to the service location address listed in the Provider Information.

Panel Capacity. A. Provider PROVIDER shall specify a capacity of IO IP Choice members he/she she/it is willing to accept under this Agreement. 1. A full time IO IP Choice practitioner means a practitioner available for appointments a minimum of 30 hours per week who sees only IO IP Choice members. If the practitioner is available for appointments less than thirty (30) hours a week and/or sees a combination of IO IP Choice members and other patients, the practitioner’s capacity shall be reduced proportionately. If the practitioner is also a Choice an Insure Oklahoma PCP, the practitioner shall not exceed this capacity for both panels combined. 2. If ProviderPROVIDER’s Type type is Physician, up to a maximum of two thousand five hundred (2,500) members for a full time IO IP physician and Choice physician; if PROVIDER is a maximum of medical resident, enrollment shall not exceed eight hundred seventy-five (875) members for a full time Choice resident;. 3. If ProviderPROVIDER’s Type is Group, up to a maximum of two thousand five hundred (2,500) members for each full time IO IP Physician Choice physician Professional, a maximum of one thousand two hundred fifty (1,250) members for each full time Physician Assistant or Certified Nurse Practitioner Professional;, and a maximum of eight hundred seventy-five (875) members for each full time medical resident Professional. 4. If ProviderPROVIDER’s type Type is Physician Assistant or Certified Nurse Practitioner, up to a maximum of one thousand two hundred and fifty (1,250) members for a full time IO IP Choice Physician Assistant or Certified Nurse Practitioner. B. If Provider initially enrolls as an IO IP PCP, Provider PROVIDER shall specify a capacity of at least 50 members. C. OHCA X. XXXX does not guarantee Provider PROVIDER an enrollment level nor will OHCA pay for members who are not eligible or excluded from enrollment. D. Provider PROVIDER may request a change in his/her/its capacity through the EPE system. This request is subject to review according to program standards. In the event Provider PROVIDER requests a lower capacity, OHCA may lower the capacity by disenrolling members to achieve that number or allowing the capacity to adjust as members change their PCP or lose eligibility; X. XXXX shall mail PROVIDER a monthly list of Choice panel members. This roster will be mailed to the service location address listed in the Provider Information.

Panel Capacity. A. Provider shall specify a capacity of IO IP Choice members he/she Provider is willing to accept under this Agreement. 1. B. A full time IO IP Choice practitioner means a practitioner available for appointments a minimum of 30 hours per week who sees only IO IP Choice members. If the practitioner is available for appointments less than thirty (30) hours a week and/or sees a combination of IO IP Choice members and other patients, the practitioner’s capacity shall be reduced proportionately. If the practitioner is also a Choice an Insure Oklahoma PCP, the practitioner shall not exceed this capacity for both panels combined. 2. C. If Provider’s Type type is Physician, up to a maximum of two two-thousand five hundred (2,500) members for a full time IO IP physician and a maximum of eight hundred seventy-five (875) members for a full time resident;Choice physician. 3. D. If Provider’s Type is Group, up to a maximum of two thousand five hundred (2,500) members for each full time IO IP Physician Choice physician Professional, a maximum of one thousand two hundred fifty (1,250) members for each full time Physician Assistant or Certified Nurse Practitioner Professional;. 4. E. If Provider’s type Type is Physician Assistant or Certified Nurse Practitioner, up to a maximum of one thousand two hundred and fifty (1,250) members for a full time IO IP Choice Physician Assistant or Certified Nurse Practitioner. B. If Provider initially enrolls as an IO IP PCP, F. Provider shall specify a capacity of at least 50 members. C. G. OHCA does not guarantee Provider an enrollment level nor will OHCA pay for members who are not eligible or excluded from enrollment. D. H. Provider may request a change in his/her/its Providers’ capacity through the EPE system. This request is subject to review according to program standards. In the event Provider requests a lower capacity, OHCA may lower the capacity by disenrolling members to achieve that number or allowing the capacity to adjust as members change their PCP or lose eligibility. I. OHCA shall furnish the Provider a monthly list of Choice panel members. This roster will be mailed to the service location address listed in the Provider Information.

Panel Capacity. A. Provider PROVIDER shall specify a capacity of IO IP members he/she is willing to accept under this Agreement. 1. A full time IO IP practitioner means a practitioner available for appointments a minimum of 30 hours per week who sees only IO IP members. If the practitioner is available for appointments less than thirty (30) hours a week and/or sees a combination of IO IP members and other patients, the practitioner’s capacity shall be reduced proportionately. If the practitioner is also a Choice PCP, the practitioner shall not exceed this capacity for both panels combined. 2. If ProviderPROVIDER’s Type is Physician, up to a maximum of two thousand five hundred (2,500) members for a full time IO IP physician and a maximum of eight hundred seventy-five (875) members for a full time resident; 3. If ProviderPROVIDER’s Type is Group, up to a maximum of two thousand five hundred (2,500) members for each full time IO IP Physician Professional, a maximum of one thousand two hundred fifty (1,250) for each full time Physician Assistant or Certified Nurse Practitioner Professional, and a maximum of eight hundred seventy-five (875) members for each medical resident Professional; 4. If ProviderPROVIDER’s type is Physician Assistant or Certified Nurse Practitioner, up to a maximum of one thousand two hundred and fifty (1,250) members for a full time IO IP Physician Assistant or Certified Nurse Practitioner. B. If Provider PROVIDER initially enrolls as an IO IP PCPPCP after October 1, Provider 2008, PROVIDER shall specify a capacity of at least 50 members. C. OHCA X. XXXX does not guarantee Provider PROVIDER an enrollment level nor will OHCA pay for members who are not eligible or excluded from enrollment. D. Provider PROVIDER may request a change in his/her/its capacity through the EPE system. This request is subject to review according to program standards. In the event Provider PROVIDER requests a lower capacity, OHCA may lower the capacity by disenrolling members to achieve that number or allowing the capacity to adjust as members change their PCP or lose eligibility.;