Presumptive Eligibility Providers. Contractors must offer Presumptive Eligibility Providers the opportunity to contract at terms which are at least as favorable as the terms offered to other providers performing equivalent services (prenatal care). Contractors need not contract with every Presumptive Eligibility Provider in their County, but must include a sufficient number in their networks of Participating Providers to meet the distance/travel time standards defined for primary care.
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Samples: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.), Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.), Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)
Presumptive Eligibility Providers. Contractors must offer Presumptive Eligibility Providers the opportunity to contract at terms which are at least as favorable as the terms offered to other providers performing equivalent services (prenatal care). Contractors need not contract with every Presumptive Eligibility Provider in their County, but must include a sufficient number in their networks of Participating Providers to meet the distance/travel time standards defined for primary care.must
Appears in 1 contract
Presumptive Eligibility Providers. Contractors must offer Presumptive Eligibility Providers the opportunity to contract at terms which are at least as favorable as the terms offered to other providers performing equivalent services (prenatal care). Contractors need not contract with every Presumptive Eligibility Provider EVERY PRESUMPTIVE ELIGIBILITY PROVIDER in their CountyTHEIR COUNTY, but must include INCLUDE a sufficient number in SUFFICIENT NUMBER IN their networks of Participating Providers to meet the distance/travel time standards defined for primary care.
Appears in 1 contract
Samples: Medicaid Managed Care Model Contract (Amerigroup Corp)
