Common use of Primary Care Provider to Enrollee Ratio Clause in Contracts

Primary Care Provider to Enrollee Ratio. Contractor’s maximum PCP panel size shall be six hundred (600) Enrollees. If Contractor does not satisfy the PCP requirements set forth above, Contractor may demonstrate compliance with these requirements by demonstrating that (i) Contractor’s full time equivalent PCP ratios exceed ninety percent (90%) of the requirements set forth above, and (ii) that Covered Services are being provided in the Contracting Area in a manner which is timely and otherwise satisfactory. Contractor shall comply with Section 1932(b)(7) of the Social Security Act.