Open Panel definition

Open Panel means that the contractor shall subcontract with all providers who are appropriately licensed, certified, or accredited to provide covered, required, or optional services, and who meet the credentialing criteria, agree to the standard contract terms, and wish to participate.

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Open Panel means Providers who are accepting new patients for the HMO Program(s) served.

Open Panel means PCPs who are accepting new patients for the MCO Program(s) served. Operational Start Date means the first day on which an MCO is responsible for providing Covered Services to MCO Program Members and all related Contract functions in a Service Area. The Operational Start Date may vary per MCO Program and Service Area. The Operational Start Date(s) applicable to this Contract are set forth in the HHSC Managed Care Contract document.

Examples of Open Panel in a sentence

• At a minimum, the HMO must ensure that all Members have access to an age-appropriate PCP in the Provider Network with an Open Panel within 30 miles of the Member’s residence.

• At a minimum, the MCO must ensure that all adult Members have access to one age-appropriate Network PCP with an Open Panel within 30 miles of the Member's residence.

• CHIP PCP Access: At a minimum, the MCO must ensure that all Members have access to one age-appropriate PCP in the Provider Network with an Open Panel within 30 miles of the Member's residence.

• Child Members must have access to two age-appropriate Network PCPs with an Open Panel within 30 miles of the Member's residence.

• At a minimum, the MCO must ensure that all Members have access to an age-appropriate PCP in the Provider Network with an Open Panel within 30 miles of the Member’s residence.

• Open Panel – Primary Care Physicians (PCPs) who are accepting new patients for the MCO.

• Responsible Office: HHSC Office of General Counsel (OGC) Subject: Attachment B-1 – HHSC Joint Medicaid/CHIP HMO RFP, Section 8 Version 1.0 Outpatient Behavioral Health Service Provider Access: At a minimum, the HMO must ensure that all Members have access to an outpatient Behavioral Health Service Provider in the Network with an Open Panel within 75 miles of the Member’s residence.

• PCP Access: At a minimum, the MCO must ensure that all Members have access to an age-appropriate PCP in the Provider Network with an Open Panel within 30 miles of the Member's residence.

• At a minimum, the HMO must ensure that all Members have access to a Network specialist physician with an Open Panel within 75 miles of the Member’s residence for common medical specialties.

• OB/GYN Access: At a minimum, the HMO must ensure that all female Members have access to an OB/GYN in the Provider Network with an Open Panel within 75 miles of the Member’s residence.

More Definitions of Open Panel

Open Panel. Providers who are accepting new CHIP Members as patients from the Contractor.

Open Panel means Providers who are accepting new Members for the MCO Program.

Open Panel means Providers who are accepting new patients for the HMO Program(s) served. Operational Start Date means the first day on which an HMO is responsible for providing Covered Services to Members of an HMO Program in a Service Area in exchange for a Capitation Payment under the Contract. The Operational Start Date may vary per HMO Program and Service Area. The Operational Start Date(s) applicable to this Contract are set forth in the HHSC Managed Care Contract document.

Open Panel means Main Dentists who are accepting new patients for the Dental Program.