Provider Directories. Provider agrees to the publication of Provider's name, address and telephone number in any participating provider directories published by BCBSM or BCBS.
Provider Directories. MCP provider directories must include all MCP-contracted providers [except as specified by ODJFS] as well as certain non-contracted providers. At the time of ODJFS’ review, the information listed in the MCP’s provider directory for all ODJFS-required provider types specified on the attached charts must exactly match the data currently on file in the ODJFS PVS, or other designated process. MCP provider directories must utilize a format specified by ODJFS. Directories may be region-specific or include multiple regions, however, the providers within the directory must be divided by region, county, and provider type, in that order. The directory must also specify: • provider address(es) and phone number(s); • an explanation of how to access providers (e.g. referral required vs. self-referral); • an indication of which providers are available to members on a self-referral basis • foreign-language speaking PCPs and specialists and the specific foreign language(s) spoken; • how members may obtain directory information in alternate formats that takes into consideration the special needs of eligible individuals including but not limited to, visually-limited, LEP, and LRP eligible individuals; and • any PCP or specialist practice limitations.
Provider Directories. Network provider directories and periodic updates will be furnished by the Claims Administrator for each Subscriber upon their enrollment under the managed health care coverage benefits administered by HEBP. This service will be identified in the most current Fee Schedule attached to and made a part of this Agreement.
Provider Directories. Provider agrees to the publication of Provider’s name, location and specialty to Members in web directories or printed directories.
Provider Directories. For the Benefit Plans in which you participate, we agree to list you in our applicable provider directories that are made available to State Health Plan Members as long as you meet our credentialing requirements and provide the necessary information. However, should either party issue Written Notice of termination, our obligation to list you in the applicable provider directories will not apply during such termination notice period. Providing false information or failing to provide information necessary for inclusion in our provider directories is grounds for termination with cause in accordance with Section 5.2.1.
Provider Directories. The MCOP’s provider directory shall include all MCOP-contracted providers as well as certain non-contracted providers as specified by ODM with the exception of those providers operating under single case agreements. At the time of ODM’s review, the information listed in the MCOP’s provider directory for all MCOP contracted providers shall exactly match the data submitted to the provider network management system except plans may submit panel providers to the provider network management system who are not listed in the provider directory and are not yet enrolled with ODM for purposes of meeting panel standards. The MCOP may supplement ODM provider network management system data with MCOP information to the extent needed to comply with the provider directory content requirements in this Agreement.
a. The MCOP’s provider directory shall utilize a format specified by ODM. The directory may be region-specific, include multiple regions, or, with prior-approval from ODM, be proximity-based to the member; however, the providers within the directory may be divided by county and provider type. The directory shall also specify the following when available and applicable:
i. Provider’s name as well as any group affiliation;
ii. Provider’s street addresses;
iii. Provider’s telephone numbers;
iv. Provider’s website URL;
v. Provider’s specialty;
vi. Indication of the provider’s office/facility accessibility and accommodations (e.g. offices, exam room(s), and equipment);
vii. Indication of whether the provider offers telehealth, and if so, when telehealth is available;
viii. Indication of whether the provider is accepting new members;
ix. Indication of the provider’s linguistic capabilities, including the specific language(s) offered, including ASL, and whether they are offered by the provider or a skilled medical interpreter at the provider’s office;
x. Provider’s cultural competence training status; and
xi. How members may obtain directory information in alternate formats that takes into consideration the special needs of eligible individuals including but not limited to, visually-limited, LEP, and LRP eligible individuals.
xii. For the CY 2021 provider directory, the MCOP must describe in detail any sole-sourced or selectively contracted network providers (e.g. durable medical equipment). The description must clearly identify:
1. The services, including supplies or equipment, that must be obtained from the provider;
2. How to obtain the services;
3. How to contact the ...
Provider Directories. The provider directory must conform to the requirements listed below. Carriers must provide access to the provider directory on their website and send a provider directory to any Enrollee who requests a copy. Please note that a Federal employee, Tribal Employee, or annuitant choosing your Plan during the Open Season is doing so with the expectation that the Plan's provider directory is accurate and that providers shown will be available starting January 1.
Provider Directories. The MCOP’s provider directory shall include all MCOP-contracted providers as well as certain non-contracted providers as specified by ODM with the exception of those providers operating under single case agreements. At the time of ODM’s review, the information listed in the MCOP’s provider directory for all MCOP contracted providers shall exactly match the data submitted to the provider network management system except plans may submit panel providers to the provider network management system who are not listed in the provider directory and are not yet enrolled with ODM for purposes of meeting panel standards. The MCOP may supplement ODM provider network management system data with MCOP information to the extent needed to comply with the provider directory content requirements in this Agreement.
Provider Directories. CRNA agrees to the publication of his/her name, location and specialty to Members.
Provider Directories. The CONTRACTOR shall distribute information regarding general provider directories (see Section 2.17.8.5 below) to new members within thirty (30) calendar days of receipt of notification of enrollment in the CONTRACTOR’s MCO or prior to the member’s enrollment effective date. Such information shall include how to access the provider directory, including the right to request a hard copy and to contact the CONTRACTOR’s member services line to inquire regarding a provider’s participation in the CONTRACTOR’s network. Members receiving a hard copy of the provider directory shall be advised that the CONTRACTOR’s network may have changed since the directory was printed, and how to access current information regarding the CONTRACTOR’s participating providers.
