Provider Education and Training. 2.7.4.1. The Contractor must: 2.7.4.1.1. Inform its Provider Network about its Covered Services and service delivery model; 2.7.4.1.2. Educate its Provider Network about its responsibilities for the integration and coordination of Covered Services; 2.7.4.1.3. Provide information about Grievances and Appeals policies, including about procedures and timeframes, to all providers and First Tier, Downstream, and Related Entities, per 42 C.F.R. § 438.414; 2.7.4.1.4. Inform its Provider Network about its quality improvement efforts and the Providers‘ role in such a program; 2.7.4.1.5. Inform its Provider Network about its policies and procedures, especially regarding in and out-of-network referrals; 2.7.4.1.6. Develop and provide continuing education programs for members of the Provider Network, including but not limited to: 2.7.4.1.6.1. Identification and management of depression and alcohol abuse 2.7.4.1.6.2. Identification of abuse and neglect of Enrollees; 2.
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Samples: Three Way Contract for Capitated Model, Three Way Contract for Capitated Model, Three Way Contract for Capitated Model
Provider Education and Training. 2.7.4.1. The Contractor must:
2.7.4.1.1. Inform its Provider Network about its Covered Services and service delivery model;
2.7.4.1.2. Educate its Provider Network about its responsibilities for the integration and coordination of Covered Services;
2.7.4.1.3. Provide information about Grievances and Appeals policies, including about procedures and timeframes, to all providers and First Tier, Downstream, and Related Entities, per 42 C.F.R. § 438.414;
2.7.4.1.4. Inform its Provider Network about its quality improvement efforts and the Providers‘ ’ role in such a program;
2.7.4.1.5. Inform its Provider Network about its policies and procedures, especially regarding in and out-of-network referrals;
2.7.4.1.6. Develop and provide continuing education programs for members of the Provider Network, including but not limited to:
2.7.4.1.6.1. Identification and management of depression and alcohol abuse
2.7.4.1.6.2. Identification of abuse and neglect of Enrollees; 2.
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