Common use of Provider Handbooks Clause in Contracts

Provider Handbooks. 4.9.2.1 The Contractor shall issue a Provider Handbook to all network Providers at the time the Provider Contract is signed. The Contractor may choose not to distribute the Provider Handbook via mail, provided it submits a written notification to all Providers that explains how to obtain the Provider Handbook from the CMO’s Web site. This notification shall also detail how the Provider can request a hard-copy from the CMO at no charge to the Provider. All Provider Handbooks and bulletins shall be in compliance with State and federal laws. The Provider Handbook shall serve as a source of information regarding GHF Covered Services, policies and procedures, statutes, regulations, telephone access and special requirements to ensure all Contract requirements are being met. At a minimum the Provider Handbook shall include the following information: 4.9.2.1.1 Description of the GHF; 4.9.2.1.2 Covered Services; 4.9.2.1.3 Emergency Service responsibilities; 4.9.2.1.4 Health Check/EPSDT program services and standards; 4.9.2.1.5 Policies and procedures of the Provider complaint system; 4.9.2.1.6 Information on the Member Grievance System, including the Member’s right to a State Administrative Law Hearing, the timeframes and requirements, the availability of assistance in filing, the toll-free numbers and the Member’s right to request continuation of Benefits while utilizing the Grievance System; 4.9.2.1.7 Medical Necessity standards and practice guidelines; 4.9.2.1.8 Practice protocols, including guidelines pertaining to the treatment of chronic and complex Conditions;

Provider Handbooks. 4.9.2.1 The Contractor shall issue a Provider Handbook to all network Providers at the time the Provider Contract is signed. The Contractor may choose not to distribute the Provider Handbook via mail, provided it submits a written notification to all Providers that explains how to obtain the Provider Handbook from the CMO’s Web site. This notification shall also detail how the Provider can request a hard-hard copy from the CMO at no charge to the Provider. All Provider Handbooks and bulletins shall be in compliance with State and federal laws. The Provider Handbook shall serve as a source of information regarding GHF GF Covered Services, policies and procedures, statutes, regulations, telephone access and special requirements to ensure all Contract requirements are being met. At a minimum minimum, the Provider Handbook shall include the following information: 4.9.2.1.1 Description of the GHFGF; 4.9.2.1.2 Covered Services; 4.9.2.1.3 Emergency Service responsibilities; 4.9.2.1.4 Health Check/EPSDT program services and standards; 4.9.2.1.5 Policies and procedures of the Provider complaint system; 4.9.2.1.6 Information on the Member Grievance System, including the Member’s right to a State Administrative Law Hearing, the timeframes and requirements, the availability of assistance in filing, the toll-free numbers and the Member’s right to request continuation of Benefits while utilizing the Grievance System; 4.9.2.1.7 Medical Necessity standards and practice guidelines; 4.9.2.1.8 Practice protocols, including guidelines pertaining to the treatment of chronic and complex Conditions;

Provider Handbooks. 4.9.2.1 The Contractor shall issue a Provider Handbook to all network Providers at the time the Provider Contract is signed. The Contractor may choose not to distribute the Provider Handbook via mail, provided it submits a written notification to all Providers that explains how to obtain the Provider Handbook from the CMO’s 's Web site. This notification shall also detail how the Provider can request a hard-hard copy from the CMO at no charge to the Provider. All Provider Handbooks and bulletins shall be in compliance with State and federal laws. The Provider Handbook shall serve as a source of information regarding GHF GF Covered Services, policies and procedures, statutes, regulations, telephone access and special requirements to ensure all Contract requirements are being met. At a minimum minimum, the Provider Handbook shall include the following information: 4.9.2.1.1 Description of the GHFGF; 4.9.2.1.2 Covered Services; 4.9.2.1.3 Emergency Service responsibilities; 4.9.2.1.4 Health Check/EPSDT program services and standards; 4.9.2.1.5 Policies and procedures of the Provider complaint system;; Revised 5/19/2008 4.9.2.1.6 Information on the Member Grievance System, including the Member’s 's right to a State Administrative Law Hearing, the timeframes and requirements, the availability of assistance in filing, the toll-free numbers and the Member’s 's right to request continuation of Benefits while utilizing the Grievance System; 4.9.2.1.7 Medical Necessity standards and practice guidelines; 4.9.2.1.8 Practice protocols, including guidelines pertaining to the treatment of chronic and complex Conditions;