Service Area Changes. 4.2.1 The Contractor must offer services to all Individuals within the boundaries of the RSA covered by this Contract.
4.2.2 The Contractor may not decrease its service areas or its level of participation in any service area except during Contract renewal.
4.2.3 If the U.S. Postal Service alters the zip code numbers or zip code boundaries within the Contractor’s RSA, HCA shall alter the service area zip code numbers or the boundaries of the service areas with input from the Contractor.
4.2.4 HCA shall determine, in its sole judgment, which zip codes fall within each service area.
4.2.5 HCA will use the Individual’s residential zip code to determine whether an Individual resides within a service area.
Service Area Changes. The Contractor must offer services to all Individuals within the boundaries of the RSA covered by this Contract. The Contractor may not decrease its service areas or its level of participation in any service area except during Contract renewal. If the U.S. Postal Service alters the zip code numbers or zip code boundaries within the Contractor’s RSA, HCA shall alter the service area zip code numbers or the boundaries of the service areas with input from the Contractor. HCA shall determine, in its sole judgment, which zip codes fall within each service area. HCA will use the Individual’s residential zip code to determine whether an Individual resides within a service area.
Service Area Changes. With the written approval of HCA, and upon execution of a formal contract amendment, the Contractor may either expand into an additional service area (an “Area Expansion”) or increase its level of client assignments in a service area if it is already receiving voluntary enrollment, in that service area (an “Area Increase”).
Service Area Changes. 2.1.3.1 The Contractor shall not change its Service Area without prior approval of the HCA. With the written approval of HCA, the Contractor may expand into additional service areas at any time by giving written notice to HCA and DSHS, along with evidence, as HCA may require, demonstrating the Contractor’s ability to support the expansion. HCA may withhold approval of a requested expansion, if, in HCA’s sole judgment, the requested expansion is not in the best interest of HCA.
2.1.3.2 The Contractor shall notify enrollees affected by any service area decrease sixty (60) calendar days prior to the effective date. Notices shall by approved in advance by HCA and DSHS. If the Contractor fails to notify affected enrollees of a service area decrease sixty (60) calendar days prior to the effective date, the decrease shall not be effective until the first day of the month which falls sixty (60) calendar days from the date the Contractor notifies enrollees.
Service Area Changes. 4.2.1 The Contractor must offer services to all Individuals within their service location boundaries of the RSA as described in Exhibit U covered by this Contract.
4.2.2 If the U.S. Postal Service alters the zip code numbers or zip code boundaries within the Contractor’s RSA, GCBH shall alter the service area zip code numbers or the boundaries of the service areas with input from the GCBH.
4.2.3 HCA shall determine, in its sole judgment, which zip codes fall within each service area.
4.2.4 GCBH will use the Individual’s residential zip code to determine whether an Individual resides within a service area.
Service Area Changes.
4.2.1 With the written approval of the Health Care Authority, the Contractor may either expand into an additional service area (an “Area Expansion”) or increase its level of client assignments in a service area if it is already receiving voluntary enrollment, with or without a cap, in that service area (an “Area Increase”)..
4.2.2 To obtain an Area Expansion or an Area Increase, the Contractor must give written notice to the Health Care Authority, along with evidence, as the Health Care Authority may require, demonstrating the Contractor’s ability to support the Area Expansion or Area Increase.
4.2.2.1 The Health Care Authority may withhold approval of an Area Expansion or an Area Increase if, in the Health Care Authority's sole judgment, the request is not in the best interest of the Health Care Authority.
4.2.2.2 If approved, the timing of the Area Expansion or Area Increase will be at the Health Care Authority’s sole discretion.
4.2.3 The Contractor may not decrease its service areas or its level of participation in any service area except during Contract renewal, i.e., when the Contract is extended as provided herein.
4.2.4 If the U.S. Postal Service alters the zip code numbers or zip code boundaries within the Contractor’s service areas, the Health Care Authority shall alter the service area zip code numbers or the boundaries of the service areas with input from the affected contractors.
4.2.5 The Health Care Authority shall determine, in its sole judgment, which zip codes fall within each service area.
4.2.6 The Health Care Authority will use the enrollee’s residential zip code to determine whether an enrollee resides within a service area.
Service Area Changes. Certain changes to a Participant’s operations within its service area have the potential to negatively affect its neighboring Participants and ultimately negatively affect the Automatic Aid System in its entirety. The occurrence of the following events is subject to review by the Life Safety Council.
Service Area Changes. 2.1.3.1 With the written approval of DSHS, the Contractor may expand into additional service areas at any time by giving written notice to DSHS, along with evidence, as DSHS may require, demonstrating the Contractor’s ability to support the expansion. DSHS may withhold approval of a requested expansion, if, in DSHS’ sole judgment, the requested expansion is not in the best interest of DSHS.
2.1.3.2 The Contractor may decrease service areas by giving DSHS ninety (90) calendar days written notice. The decrease shall not be effective until the first day of the month that falls after the ninety (90) calendar days has elapsed.
2.1.3.3 The Contractor shall notify enrollees affected by any service area decrease sixty (60) calendar days prior to the effective date. Notices shall have prior approval of DSHS. If the Contractor fails to notify affected enrollees of a service area decrease sixty (60) calendar days prior to the effective date, the decrease shall not be effective until the first day of the month which falls sixty (60) calendar days from the date the Contractor notifies enrollees.
Service Area Changes. 4.2.1 The Contractor may decrease its service area by giving HCA ninety (90) calendar days’ written notice. The decrease shall not be effective until the first day of the month that falls after the ninety (90) calendar days has elapsed.
4.2.2 The Contractor shall notify enrollees affected by any service area decrease at least sixty (60) calendar days prior to the effective date. Notices shall be approved in advance by HCA. If the Contractor fails to notify affected enrollees of a service area decrease at least sixty (60) calendar days prior to the effective date, the decrease shall not be effective until the first day of the month, which falls sixty (60) calendar days from the date the Contractor notifies enrollees.
4.2.3 If the U.S. Postal Service alters the zip code numbers or zip code boundaries within the Contractor’s service areas, HCA shall alter the service area zip code numbers or the boundaries of the service areas with input from the affected contractors.
4.2.4 HCA shall determine, in its sole judgment, which zip codes fall within the service area.
4.2.5 HCA shall determine whether potential enrollees reside within the service area.
4.2.6 If the Contractor increases or decreases the service area, HCA may recalculate the Contractor’s rate to account for the change.
Service Area Changes. 4.2.1 With the written approval of HCA, and upon execution of a formal contract amendment, the Contractor may either expand into an additional service area (an “Area Expansion”) or increase its level of client assignments in a service area if it is already receiving voluntary enrollment, with or without a cap, in that service area (an “Area Increase”).
4.2.2 To obtain an Area Expansion or an Area Increase, the Contractor must give written notice to HCA, along with evidence, as HCA may require, demonstrating the Contractor’s ability to support the Area Expansion or Area Increase.
4.2.2.1 HCA may withhold approval of an Area Expansion or an Area Increase if, in HCA’s sole judgment, the request is not in the best interest of HCA.
4.2.2.2 If approved, the timing of the Area Expansion or Area Increase will be at HCA’s sole discretion.
4.2.3 The Contractor may not decrease its service areas or its level of participation in any service area except during Contract renewal, i.e., when the Contract is extended as provided herein.
