Proximity Access Requirements. 2.7.9.1. The ICDS Plan must demonstrate annually that its Provider Network meets the stricter of the following standards: 2.7.9.1.1. 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/MMPInformationandGuidance/Inform ationandGuidanceforPlans.html); 2.7.9.1.2. For Medicare pharmacy providers, time, distance and minimum number as required in and 42 C.F.R. § 423.120. 2.7.9.2. Within the following State Specific Standards: 2.7.9.2.1. LTSS Providers-The ICDS Plan must contract with at least the minimum number of LTSS providers as required by ODM per Appendix H of the MyCare Ohio Provider Agreement and; 2.7.9.2.2. Adult Day Health/Assisted Living: Effective July 1, 2022, ninety percent (90%) of all members residing in a county must be within thirty
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Proximity Access Requirements. 2.7.9.1. The ICDS Plan must demonstrate annually that its Provider Network meets the stricter of the following standards:
2.7.9.1.1. 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- xxxx://xxx.xxx.xxx/Medicare-Medicaid-Coordination/Medicare-and- Medicaid-Coordination/Medicare-Medicaid-Coordination- Office/FinancialAlignmentInitiative/MMPInformationandGuidance/Inform ationandGuidanceforPlans.html)InformationandGuidanceforPlans.html ) ;
2.7.9.1.2. For Medicare pharmacy providers, time, distance and minimum number as required in and 42 C.F.R. § 423.120.
2.7.9.2. Within the following State Specific Standards:
2.7.9.2.1. LTSS Providers-The ICDS Plan must contract with at least the minimum number of LTSS providers as required by ODM per Appendix H of the MyCare Ohio Provider Agreement and;
2.7.9.2.2. Adult Day Health/Assisted Living: Effective July At least one (1, 2022, ninety percent ) adult day health and one (90%1) assisted living provider within thirty (30) miles of all members residing in a county must be each zip code within thirtythe region.
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