Provider Directory/Network Listing. The Contractor agrees to develop a provider network listing and make it available to all new and existing members at all times. An electronic copy of the provider network listing is to be included on the Contractor’s member website and available for viewing and downloading. Additionally, members may request an alternate version (paper, audio or specific language) by contacting the Contractor’s Member Services Department. Members receiving a hard copy of the network listing will be advised that the Contractor network may have changed since the directory was printed, and how to access current information regarding the Contractor’s participating providers. The Contractor will update information included in their paper provider directory at least monthly and their electronic provider directory no later than thirty (30) calendar days after the Contractor received updated provider information. Additionally, the Contractor will be responsible for maintaining updated provider information in an online searchable electronic provider directory. A PDF version of the hard copy of the network listing does not meet this requirement. The provider listing will be written at no higher than a sixth-grade level and contain at least the following: • Provider Name, address, telephone number • Open panel status • Provider’s group/site affiliation • Website URL • Provider’s cultural and linguistic capabilities, including languages (inclusive of American Sign Language), or a skilled medical interpreter at the provider’s office and whether the provider has completed cultural competence training • Office ability to accommodate members with physical disabilities, including the office, exam room(s) and equipment • Specialties as appropriate • Whether network providers will accept new members The Contractor is asked to continue to work with the various entities involved with furthering the efforts designed to support the Triple Aim and Health System Transformation Program which includes partnership with the Rhode Island Quality Institute (RIQI) related to the development of a Statewide Common Provider Directory.
