Common use of SCOPE OF WORK – HOOSIER HEALTHWISE Clause in Contracts

SCOPE OF WORK – HOOSIER HEALTHWISE. Specialties Ancillary Providers ⮚ Optometrists* ⮚ Orthodontists* ⮚ Orthopedic surgeons* ⮚ Orthopedists ⮚ Otolaryngologists ⮚ Pathologists** ⮚ Physical therapists* ⮚ Psychiatrists* ⮚ Pulmonologists* ⮚ Radiation oncologists** ⮚ Rheumatologists** ⮚ Speech therapists* ⮚ Urologists* OMPP requires that the Contractor maintain network access standards for the listed ancillary providers as follows: ▪ Two (2) durable medical equipment providers shall be available to provide services to the Contractor’s members in each county or contiguous county; and ▪ Two (2) home health providers shall be available to provide services to the Contractor’s members in each county or contiguous county. In addition, the Contractor shall demonstrate the availability of providers with training, expertise and experience in providing tobacco dependence treatment services, especially to pregnant women. Evidence that providers are trained to provide tobacco dependence treatment services must be available during OMPP’s monthly onsite visits. The Contractor shall contract with the Indiana Hemophilia and Thrombosis Center or a similar OMPP-approved, federally recognized hemophilia treatment center. This requirement is based on the findings of the Centers for Disease Control and Prevention (CDC) which illustrate that persons affected by a bleeding disorder receiving treatment from a federally recognized treatment center require fewer hospitalizations, experience less bleeding episodes and experience a forty percent (40%) reduction in morbidity and mortality. The Contractor shall arrange for laboratory services only through those IHCP enrolled laboratories with Clinical Laboratory Improvement Amendments (CLIA) certificates.