Timely Access. (A) The Contractor and its Network Providers shall meet the Department’s standards for timely access to Covered Services, as described in Article 10.4 of this attachment, taking into account the urgency of the need for services. (B) The Contractor's shall ensure its Network Providers offer hours of operation that are no less than the hours of operation offered to commercial enrollees or are comparable to Medicaid FFS enrollees, if the Network Provider serves only Medicaid Enrollees. (C) The Contractor shall make all Covered Services available 24 hours a day, 7 days a week, when Medically Necessary.
Appears in 10 contracts
Samples: Utah Medicaid Contract, Utah Medicaid Contract, Utah Medicaid Contract
Timely Access. (A) The Contractor and its Network Providers shall meet the Department’s standards for timely access to Covered Services, as care described in Article 10.4 of this attachment, taking into account the urgency of the need for services10.4.
(B) The Contractor's Contractor shall ensure its Network Providers offer hours of operation that are no less than the hours of operation offered to commercial enrollees or are comparable to Medicaid FFS Fee-For-Service enrollees, if the Network Provider serves only Medicaid Enrollees.
(C) The Contractor shall make all Covered Services available 24 hours a day, 7 days a week, when Medically Necessary.
Appears in 7 contracts
Samples: Prepaid Mental Health Plan (Pmhp) Contract, Prepaid Mental Health Plan (Pmhp) Contract, Prepaid Mental Health Plan (Pmhp) Contract
Timely Access. (A) The Contractor and shall require that its Network Providers shall meet offer hours of operation that are no less than the Department’s standards for timely access hours of operation offered to Covered Servicescommercial enrollees or Medicaid Fee-For-Service enrollees, as described in Article 10.4 of this attachment, taking into account if the urgency of the need for servicesNetwork Provider serves only Medicaid Enrollees.
(B) The Contractor's Contractor shall ensure its Network Providers offer hours of operation that are no less than the hours of operation offered to commercial enrollees or are comparable to Medicaid FFS enrollees, if the Network Provider serves only Medicaid Enrollees.
(C) The Contractor shall make ensure that all Covered Services are available 24 hours a day, 7 days a week, when Medically Necessary.
Appears in 4 contracts
Samples: McNa Dental Contract, Premier Access Contract Prepaid Ambulatory Health Plan (Pahp), Prepaid Ambulatory Health Plan (Pahp) Contract
Timely Access. (A) The Contractor and its Network Providers shall meet the Department’s standards for timely access to Covered Servicescare and services, as described in Article 10.4 of this attachment10.2.6, taking into account the urgency of the need for services.
(B) . The Contractor's Contractor shall ensure require that its Network Providers offer hours of operation that are no less than the hours of operation offered to commercial enrollees or are comparable to Medicaid FFS Fee-For-Service enrollees, if the Network Provider serves only Medicaid Enrollees.
(C) . The Contractor shall make ensure that all Covered Services are available 24 hours a day, 7 days a week, when Medically Necessary.
Appears in 3 contracts
Samples: Contract, Health Services Agreement, Contract
Timely Access. (A) The Contractor and its Network Providers shall meet the Department’s standards for timely access to Covered Services, as described in Article 10.4 10.2.6 of this attachment, taking into account the urgency of the need for services.
(B) The Contractor's shall ensure its Network Providers offer hours of operation that are no less than the hours of operation offered to commercial enrollees or are comparable to Medicaid FFS enrollees, if the Network Provider serves only Medicaid Enrollees.
(C) The Contractor shall make all Covered Services available 24 hours a day, 7 days a week, when Medically Necessary.
Appears in 3 contracts
Samples: Home Program Contract, Contract, Utah Medicaid Integrated Care Contract
Timely Access. (A) The Contractor and its Network Providers shall meet the Department’s standards for timely access to Covered Servicescare and services, as described in Article 10.4 of this attachment10.2.6, taking into account the urgency of the need for services.
(B) . The Contractor's Contractor shall ensure require that its Network Providers offer hours of operation that are no less than the hours of operation offered to commercial enrollees or are comparable to Medicaid FFS enrollees, if the Network Provider serves only Medicaid EnrolleesFFS.
(CB) The Contractor shall make ensure that all Covered Services are available 24 hours a day, 7 days a week, when Medically Necessary.
(C) The Contractor shall ensure that all Covered Services are available 24 hours a day, 7 days a week, when Medically Necessary.
Appears in 2 contracts
Samples: Premier Access Chip Contract, Prepaid Ambulatory Health Plan (Pahp) Contract
Timely Access. (A) The Contractor and its Network Providers shall meet the Department’s standards for timely access to Covered Servicescare and services, as described in Article 10.4 of this attachment10.2.6, taking into account the urgency of the need for services.
(B) The Contractor's Contractor shall ensure its that the Network Providers offer hours of operation that are no less than the hours of operation offered to commercial enrollees or are comparable to Medicaid FFS enrollees, if the Network Provider serves only Medicaid Enrollees.
(C) The Contractor shall make all Covered Services available 24 hours a day, 7 days a week, when Medically Necessary.
Appears in 2 contracts
Samples: Accountable Care Organization (Aco) Contract, Accountable Care Organization (Aco) Contract
Timely Access. (A) The Contractor and its Network Providers shall meet the Department’s standards for timely access to Covered Servicescare and services, as described in Article 10.4 of this attachment10.2.6, taking into account the urgency of the need for services.
(B) The Contractor's Contractor shall ensure that its Network Providers offer hours of operation that are no less than the hours of operation offered to commercial enrollees or are comparable to Medicaid FFS enrollees, if the Network Provider serves only Medicaid Enrolleesenrollees.
(C) The Contractor shall make all Covered Services available 24 hours a day, 7 days a week, when Medically Necessary.
Appears in 2 contracts
Samples: Integrated Care Contract, Accountable Care Organization (Aco) Contract
Timely Access. (A) The Contractor and its Network Providers shall meet the Department’s standards for timely access to Covered Servicescare and services, as described in Article 10.4 of this attachment10.2.6, taking into account the urgency of the need for services.
(B) The Contractor's Contractor shall ensure that its Network Providers offer hours of operation that are no less than the hours of operation offered to commercial enrollees or are comparable to Medicaid FFS enrollees, if the Network Provider serves only Medicaid Enrolleesenrollees.
(C) The Contractor shall make shall make all Covered Services are available 24 hours a day, 7 days a week, when Medically Necessary.
Appears in 2 contracts
Samples: Managed Care Contract, Managed Care Contract
Timely Access. (A) The Contractor and its Network Providers shall meet the Department’s standards for timely access to Covered Servicescare and services, as described in Article 10.4 of this attachment10.2.6, taking into account the urgency of the need for services.
(B) The Contractor's Contractor shall ensure its Network Providers offer hours of operation that are no less than the hours of operation offered to commercial enrollees or are comparable to Medicaid FFS enrollees, if the Network Provider serves only Medicaid Enrollees.
(C) The Contractor shall make all Covered Services available 24 hours a day, 7 days a week, when Medically Necessary.
Appears in 1 contract
Samples: Home Program Contract