Service Delivery Network Clause Samples
Service Delivery Network. In the maintenance, monitoring and reporting of its network, the Contractor must consider the following (42 C.F.R. § 438.206(b)):
Service Delivery Network. In the maintenance and monitoring of its network, the Contractor must consider the following (42 CFR 438.206(b)):
5.2.1 Adequate access to all services covered under this Contract.
5.2.2 The expected utilization of services, taking into consideration the characteristics and health care needs of the Medicaid population represented by the Contractor’s enrollees.
5.2.3 The number and types (in terms of training, experience and specialization) of providers required to furnish the contracted services.
5.2.4 The number of network providers who are not accepting new Medicaid enrollees.
5.2.5 The geographic location of providers and enrollees, considering distance, travel time, the means of transportation ordinarily used by potential enrollees, and whether the location provides physical access for the Contractor’s enrollees with disabilities.
5.2.6 The cultural, ethnic, race and language needs of enrollees.
Service Delivery Network. In the maintenance, monitoring and reporting of its network, the Contractor must consider the following (42 C.F.R. § 438.206(b)):
6.2.1 Expected enrollment for each service area in which the Contractor offers services under this Contract.
6.2.2 Adequate access to all services covered under this Contract.
6.2.3 The expected utilization of services, taking into consideration the characteristics and health care needs of the population represented by the Contractor’s enrollees and potential enrollees.
6.2.4 The number and types (in terms of training, experience and specialization) of providers required to furnish the contracted services, including mental health providers by provider type.
6.2.5 The number of network providers who are not accepting new enrollees or who have placed a limit, or given the Contractor notice of the intent to limit their acceptance of enrollees.
6.2.6 The geographic location of providers and enrollees, considering distance, travel time, the means of transportation ordinarily used by enrollees or potential enrollees, and whether the location provides physical access for the Contractor’s enrollees with disabilities.
6.2.7 The cultural, racial/ethnic composition and language needs of enrollees.
Service Delivery Network. In the maintenance and monitoring of its network, the Contractor must consider the following (42 CFR 438.206(b)):
5.2.1. The stated capacity in Exhibit B of this Contract
5.2.2. Adequate access to all services covered under this Contract
5.2.3. The expected utilization of services, taking into consideration the characteristics and health care needs of the Medicaid population represented by the Contractor’s enrollees;
5.2.4. The number and types (in terms of training, experience and specialization) of providers required to furnish the contracted services;
5.2.5. The number of network providers who are not accepting new Medicaid enrollees;
5.2.6. The geographic location of providers and enrollees, considering distance, travel time, the means of transportation ordinarily used by potential enrollees, and whether the location provides physical access for the Contractor’s enrollees with disabilities.
5.2.7. The cultural, ethnic, race and language needs of enrollees.