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, 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), Provider Agreement (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, 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: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Wellcare Health Plans, Inc.), Ohio Medical Assistance Provider Agreement for Managed Care Plan (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 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. 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: Ohio Medical Assistance Provider Agreement for Managed Care Plan (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 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. Appendix H Aged, Blind or Disabled (ABD) population Page 8 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 (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 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 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, 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: 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, 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.. 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 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: 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, 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: Ohio Medical Assistance Provider Agreement for Managed Care Plan Abd Eligible Population (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: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Wellcare Health Plans, Inc.)

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