Termination of Participating Providers. A provider’s participation with MVP may be terminated at any time by MVP or the provider. In such event, MVP shall provide notice to affected Enrollees within fifteen (15) days of our receipt of a notice of termination without cause or the date of a termination for cause. Covered Services rendered by the provider to Enrollees between the date of notice of termination or the date of termination and ten (10) business days after notice is mailed, shall continue to be Covered Services. Thereafter, we will not provide benefits for services rendered by the terminated provider. If your PCP is the terminated provider, you must select another PCP. If a non-primary care physician is the terminated provider, you must be referred by his or her PCP to another Participating Provider. It is your responsibility to ensure that a provider is a Participating Provider at the time you receive services. However, we will continue to provide benefits for otherwise covered services for Enrollees with life threatening, disabling or degenerative conditions who are receiving an ongoing course of treatment from the terminated provider until the earlier of: (1) sixty (60) days from the date of the notice of termination or (2) the date you are accepted by a Participating Provider. We will also continue to provide benefits for Covered Services for Enrollees in their second or third trimester of pregnancy who are receiving services from the terminated provider until the completion of postpartum care. We will provide these benefits only if the terminated provider agrees to abide by MVP’s payment rates, quality of care standards and protocols, and to provide MVP with any necessary clinical information.
Termination of Participating Providers. A provider’s participation with MVP may be terminated at any time by MVP or the provider. In such event, MVP shall provide notice to affected Members within fifteen (15) days of our receipt of a notice of termination without cause or the date of a termination for cause. Covered Services rendered by the provider to Members between the date of notice of termination or the date of termination and ten (10) business days after notice is mailed, shall continue to be Covered Services. Thereafter, we will not provide benefits for services rendered by the terminated provider. It is your responsibility to ensure that a provider is a Participating Provider at the time you get services.
