Proximity Access Requirements. 2.8.2.1. The Contractor must demonstrate annually that its Provider Network meets the stricter of the following standards, as applicable: 2.8.2.1.1. For Medicare medical providers and facilities, time, distance and minimum number standards updated annually on the CMS website (xxxxx://xxx.xxx.xxx/Medicare-Medicaid- Coordination/Medicare-and-Medicaid- Coordination/Medicare-Medicaid-Coordination- Office/FinancialAlignmentInitiative/MMPInformationandGuida nce/MMPApplicationandAnnualRequirements.html); 2.8.2.1.2. For Medicare pharmacy providers, time, distance and minimum number as required in Appendix F, Article II, Section I and 42 C.F.R. §423.120; and 2.8.2.1.3. For non-pharmacy Medicare medical providers and facilities: 2. 8.2.1.3.1. Primary Care Providers 2.8.2.1.3.1.1. Enrollees shall have a choice of at least two (2) PCPs within the applicable time and distance standards set forth in Section 2.8.2.1.1.
Appears in 3 contracts
Samples: Three Way Contract for Capitated Model, Three Way Contract for Capitated Model, Three Way Contract for Capitated Model
Proximity Access Requirements. 2.8.2.1. The Contractor must demonstrate annually that its Provider Network meets the stricter of the following standards, as applicable:
2.8.2.1.1. For Medicare medical providers and facilities, time, distance and minimum number standards updated annually on the CMS website (xxxxx://xxx.xxx.xxx/Medicare-Medicaid- Coordination/Medicarexxxxx://xxx.xxx.xxx/Medicare-Medicaid-Coordination/Medic are-and-Medicaid- Medicaid-Coordination/Medicare-Medicaid-Coordination- Coordinati on-Office/FinancialAlignmentInitiative/MMPInformationandGuida nceMMPInformationandGui dance/MMPApplicationandAnnualRequirements.html);
2.8.2.1.2. For Medicare pharmacy providers, time, distance and minimum number as required in Appendix F, Article II, Section I and 42 C.F.R. §423.120; and
2.8.2.1.3. For non-pharmacy Medicare medical providers and facilities: 2.
8.2.1.3.1. Primary Care Providers
2.8.2.1.3.1.1. Enrollees shall have a choice of at least two (2) PCPs within the applicable time and distance standards set forth in Section 2.8.2.1.1.
Appears in 2 contracts
Samples: Three Way Contract for Capitated Model, Three Way Contract for Capitated Model
Proximity Access Requirements. 2.8.2.1. The Contractor must demonstrate annually that its Provider Network meets the stricter of the following standards, as applicable:
2.8.2.1.1. For Medicare medical providers and facilities, time, distance and minimum number standards updated annually on the CMS website (xxxxx://xxx.xxx.xxx/Medicare-Medicaid- Coordination/Medicarexxxxx://xxx.xxx.xxx/Medicare-Medicaid-Coordination/Medica re-and-Medicaid- Medicaid-Coordination/Medicare-Medicaid-Coordination- Coordinatio n-Office/FinancialAlignmentInitiative/MMPInformationandGuida nceMMPInformationandGuid ance/MMPApplicationandAnnualRequirements.html);
2.8.2.1.2. For Medicare pharmacy providers, time, distance and minimum number as required in Appendix F, Article II, Section I and 42 C.F.R. §423.120; and
2.8.2.1.3. For non-pharmacy Medicare medical providers and facilities: 2.
8.2.1.3.1. Primary Care Providers
2.8.2.1.3.1.1. Enrollees shall have a choice of at least two (2) PCPs within the applicable time and distance standards set forth in Section 2.8.2.1.1.
Appears in 1 contract