Provider Composition Sample Clauses

Provider Composition. The Contractor will include licensed substance use disorder treatment programs and licensed substance use disorder professionals in its substance use disorder provider network. The network will include providers experienced in serving low-income populations, persons with poly- pharmacy and dual diagnosis in sufficient numbers to meet the needs of the population to be served in a timely manner. The composition of the network will also recognize the multi-lingual, multi- cultural nature of the population to be served and include providers in locations where members are concentrated. In order to accomplish this, the Contractor may ease customary credentialing standards provided this does not jeopardize the Contractor’s licensure or accreditation status. The Contractor will assure access to confidential substance use disorder treatment services for minors as provided for in Chapter 14-5-4 of the RI General Laws. The Contractor will include all BHDDH-licensed substance use disorder providers in its network unless it can demonstrate that it has both adequate capacity and an appropriate range of services for vulnerable populations to serve the expected enrollment in a service area without contracting with all licensed BHDDH-licensed substance use disorder providers. The Contractor will work with all Centers of Excellence certified by BHDDH to be providers under the Governor’s Opioid Overdose Prevention and Intervention Task Force.
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Provider Composition. Contractor shall include a mix of long-term care (LTC) providers in its network to assure that a broad range of long-term care institutional and community-based services representing a continuum of care are available to members who are eligible for long-term care that represent a continuum of care. The network shall provide community-based alternatives to institutional care. The long-term care provider network shall at a minimum include State licensed: nursing home facilities, home nursing agencies, home care agencies, adult day care centers, home health care providers, shared living providers, and assisted living facilities, or Rite@Home agencies approved by EOHHS. LTC providers shall be experienced in serving low income populations with multiple complex and chronic conditions. Contractor shall be required to develop a long-term care system that provides timely access to quality institutional and home and community-based services and support to meet member needs twenty-four (24) hour per day, seven (7) days a week. Specific access standards are described in Section 2.10.01. Network home care providers shall not be required to be Medicare certified, but must be affiliated or partnered with a Medicare certified home care provider. Network providers are subject to the rules and regulations of the Department of Health. Home Nursing Home Providers can also be certified to meet Federal Medicare services authorized under the Federal CFR Title 18 regulations. HNCP’s are “certified for Medicare” are referred to as Home Health Agencies (HHA).
Sample 1
Provider Composition. Contractor shall include licensed substance abuse treatment programs and licensed substance abuse professionals in its substance abuse provider network. The network shall include providers experienced in serving low-income populations, persons with polypharmacy and dual diagnosis in sufficient numbers to meet the needs of the population to be served in a timely manner. The composition of the network shall also recognize the multi-lingual, multi-cultural nature of the population to be served and include providers in locations where members are concentrated. In order to accomplish this, Contractor may ease customary credentialing standards provided this does not jeopardize Contractor’s licensure or accreditation status. Contractor shall assure access to confidential substance abuse treatment services for minors as provided for in Chapter 14-5-4 of the RI General Laws.
Sample 1
Provider Composition. The Contractor will include licensed substance use disorder treatment programs and licensed substance use disorder professionals in its substance use disorder provider network. The network will include providers experienced in serving low-income populations, persons with poly- pharmacy and dual diagnosis in sufficient numbers to meet the needs of the population to be served in a timely manner. The composition of the network will also recognize the multi-lingual, multi- cultural nature of the population to be served and include providers in locations where members are concentrated. In order to accomplish this, the Contractor may ease customary credentialing standards provided this does not jeopardize the Contractor’s licensure or accreditation status. The
Sample 1

Related to Provider Composition

  • Influenza Vaccine Upon recommendation of the Medical Officer of Health, all employees shall be required, on an annual basis to be vaccinated and or to take antiviral medication for influenza. If the costs of such medication are not covered by some other sources, the Employer will pay the cost for such medication. If the employee fails to take the required medication, she may be placed on an unpaid leave of absence during any influenza outbreak in the home until such time as the employee has been cleared by the public health or the Employer to return to the work environment. The only exception to this would be employees for whom taking the medication will result in the employee being physically ill to the extent that she cannot attend work. Upon written direction from the employee’s physician of such medical condition in consultation with the Employer’s physician, (if requested), the employee will be permitted to access their sick bank, if any, during any outbreak period. If there is a dispute between the physicians, the employee will be placed on unpaid leave. If the employee gets sick as a reaction to the drug and applies for WSIB the Employer will not oppose the application. If an employee is pregnant and her physician believes the pregnancy could be in jeopardy as a result of the influenza inoculation and/or the antiviral medication she shall be eligible for sick leave in circumstances where she is not allowed to attend at work as a result of an outbreak. This clause shall be interpreted in a manner consistent with the Ontario Human Rights Code.

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