Participating PCP Modifications. a. The Contractor may request EOHHS’ approval annually for additions to the Contractor’s list of Participating PCPs through the Accountable Care Organization Primary Care Provider Additions process, as further specified by EOHHS. 1) If a requested addition is approved, the new PCP will be added to the Contractor’s list of Participating PCPs for an effective date to be further specified by EOHHS; and 2) For new Enrollees enrolled pursuant to this Section, the Contractor shall collaborate with and support EOHHS in ensuring uninterrupted care as described in Section 2.5.A.4. b. The Contractor shall request provider file maintenance for certain Participating PCP modifications on an ongoing basis as further specified by EOHHS. c. EOHHS shall provide the Contractor with specifications about the Accountable Care Organization Primary Care Provider Additions Process and provider file maintenance process. Such specifications may include when the Contractor must use each process depending on a number of factors, including but not limited to any association between a proposed PCP’s TIN and either the Contractor’s TIN or an existing PCP’s TIN.
Appears in 5 contracts
Samples: Primary Care Accountable Care Organization Contract, Primary Care Accountable Care Organization Contract, Primary Care Accountable Care Organization Contract
