Common use of Provider Directories Clause in Contracts

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. 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.

Appears in 2 contracts

Samples: Assistance Provider Agreement (Wellcare Health Plans, Inc.), Molina Healthcare Inc

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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.

Appears in 2 contracts

Samples: Provider Agreement (Molina Healthcare Inc), Wellcare Health Plans, Inc.

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. Appendix H 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.

Appears in 1 contract

Samples: Medical Assistance Provider Agreement (Molina Healthcare Inc)

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 '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. 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.

Appears in 1 contract

Samples: Provider Agreement (Wellcare Health Plans, Inc.)

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 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.

Appears in 1 contract

Samples: Provider Agreement (Wellcare Health Plans, Inc.)

Provider Directories. MCP provider directories must include all MCP-contracted providers [except as specified by ODJFS] as well as certain ODJFS non-contracted providers. At the time of ODJFS' review, the information listed in the MCP’s 's provider directory for all ODJFS-required provider types specified on the attached charts must exactly match with the data currently on file in the ODJFS PVS. 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.. Appendix H

Appears in 1 contract

Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Wellcare Health Plans, Inc.)

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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. 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 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.

Appears in 1 contract

Samples: Medical Assistance Provider Agreement (Wellcare Health Plans, Inc.)

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 '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. 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.

Appears in 1 contract

Samples: Ohio Medical Assistance Provider Agreement (Wellcare Health Plans, Inc.)

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 PVSMCPN, 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.

Appears in 1 contract

Samples: Wellcare Health Plans, Inc.

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