Provider Network Report. Contractor shall submit to DHCS, in a format specified by DHCS, a report summarizing changes in the provider network.
A. The report shall be submitted at a minimum:
1) Quarterly
2) At the time of a significant change to the network affecting provider capacity and services, including:
a) Change in services or benefits;
b) Geographic service area or payments; or
c) Enrollment of a new population.
B. The report shall identify number of Primary Care Providers, provider deletions and additions, and the resulting impact to:
1) Geographic access for the Members;
2) Cultural and linguistic services including provider and provider staff language capability;
3) The percentage of Traditional and Safety-Net providers;
4) The number of Members assigned to each Primary Care Physician;
5) The percentage of Members assigned to Traditional and Safety-Net providers; and
6) The network providers who are not accepting new patients.
C. Contractor shall submit the report 30 calendar days following the end of the reporting quarter.
Provider Network Report. Contractor shall submit to DHCS, in a format specified by DHCS, a report summarizing changes in the provider network.
A. The report shall be submitted at a minimum:
1) Annually, according to DHCS instructions and timeline.
B. The report shall identify number of Primary Care Providers, provider deletions and additions, and the resulting impact to:
1) Geographic access for the Enrollees;
2) Cultural and linguistic services including provider and provider staff language capability;
Provider Network Report. HMO must submit to the Enrollment Broker an electronic file summarizing changes in HMO's provider network including PCPs, specialists, ancillary providers and hospitals. The file must indicate if the PCPs and specialists participate in a closed network and the name of the delegated network. The electronic file must be submitted in the format specified by TDH and can be submitted as often as daily but must be submitted at least weekly.
Provider Network Report. Contractor shall submit to DHCS on a quarterly basis, in a format specified by DHCS, a report summarizing changes in the Provider Network.
A. The report shall be submitted at a minimum:
Provider Network Report. The PDHP must submit a database of provider network information each quarter. The file may be submitted via email attachment to the following address: xxxxxxxx@xxxx.xxxxx.xx.
