Provider Directories. Provider agrees to the publication of Provider's name, address and telephone number in any participating provider directories published by BCBSM or BCBS.
Provider Directories. MCP provider directories must include all MCP-contracted providers [except as specified by ODJFS] as well as certain non-contracted providers. At the time of ODJFS’ review, the information listed in the MCP’s provider directory for all ODJFS-required provider types specified on the attached charts must exactly match the data currently on file in the ODJFS PVS, or other designated process. MCP provider directories must utilize a format specified by ODJFS. Directories may be region-specific or include multiple regions, however, the providers within the directory must be divided by region, county, and provider type, in that order. The directory must also specify: • provider address(es) and phone number(s); • an explanation of how to access providers (e.g. referral required vs. self-referral); • an indication of which providers are available to members on a self-referral basis • foreign-language speaking PCPs and specialists and the specific foreign language(s) spoken; • how members may obtain directory information in alternate formats that takes into consideration the special needs of eligible individuals including but not limited to, visually-limited, LEP, and LRP eligible individuals; and • any PCP or specialist practice limitations.
Provider Directories. Network provider directories and periodic updates will be furnished by the Claims Administrator for each Subscriber upon their enrollment under the managed health care coverage benefits administered by HEBP. This service will be identified in the most current Fee Schedule attached to and made a part of this Agreement. DRAFT
Provider Directories. Provider agrees to the publication of Provider’s name, location and specialty to Members.
Provider Directories. For the Benefit Plans in which you participate, we agree to list you in our applicable provider directories that are made available to State Health Plan Members as long as you meet our credentialing requirements and provide the necessary information. However, should either party issue Written Notice of termination, our obligation to list you in the applicable provider directories will not apply during such termination notice period. Providing false information or failing to provide information necessary for inclusion in our provider directories is grounds for termination with cause in accordance with Section 5.2.1.
Provider Directories. The PH-MCO must make available directories for all types of Network Providers, including, but not limited to: PCPs, hospitals, specialists, Providers of ancillary services, Nursing Facilities, etc. The PH-MCO must utilize a web-based Provider directory. The PH-MCO must establish a process to ensure the accuracy of electronically posted content, including a method to monitor and update changes in Provider information. The PH-MCO must perform monthly reviews of the web-based Provider directory, subject to random monitoring by the Department to ensure complete and accurate entries. The PH-MCO must provide the EAP broker with an updated electronic version of its Provider directory at a minimum on a weekly basis. This will include information regarding terminations, additions, PCPs and specialists not accepting new assignments, and other information determined by the Department to be necessary. The PH-MCO must utilize the file layout and format specified by the Department. The format must include, but not be limited to the following: • Correct PROMISe™ Provider ID • All Providers in the PH-MCO’s Network • The location where the PCP will see Members, as well as whether the PCP has evening and/or weekend hours • Wheel chair accessibility of Provider sites • Language indicators including non-English language spoken by current Providers in the Member’s service area. A PH-MCO will not be certified as “ready” without the completion of the electronic Provider directory component as determined and provided by the Department on the HealthChoices Intranet site. The PH-MCO must notify its Members annually of their right to request and obtain Provider directories. Upon request, the PH- MCO must provide its Members with directories for PCPs, dentists, specialists, hospitals, and Providers of ancillary services, which include, at a minimum, the information listed in Exhibit FF of this Agreement, PCP, Dentists, Specialists and Providers of Ancillary Services Directories. Upon request from the Member, the PH-MCO may print the most recent electronic version from their Provider file and mail it to the Member. The PH-MCO must submit PCP, specialist, and Provider of ancillary services directories to the Department for advance written approval before distribution to its Members if there are significant format changes to the directory. The PH-MCO also must make modifications to its Provider directories if ordered by the Department.
Provider Directories. Carriers must distribute a provider directory along with the Plan’s Federal brochure. The directory must conform to the requirements listed below. You must either send a copy of it along with your Federal brochures (except that provider directories are not to be sent along with the brochures you will be sending to OPM’s distribution center for annuitants) or otherwise make them readily available to agencies and employees. Please send a provider directory to any Federal annuitant who requests a copy. Agencies and their employees will be advised to expect your provider directory. Please bear in mind that a Federal employee or annuitant choosing your Plan during the Open Season is doing so with the expectation that the Plan's provider directory is accurate and that providers shown will be available starting January 1.
Provider Directories. 2.17.8.1 The CONTRACTOR shall distribute information regarding general provider directories (see Section 2.17.8.5 below) to new members within thirty (30) calendar days of receipt of notification of enrollment in the CONTRACTOR’s MCO or prior to the member’s enrollment effective date. Such information shall include how to access the provider directory, including the right to request a hard copy and to contact the CONTRACTOR’s member services line to inquire regarding a provider’s participation in the CONTRACTOR’s network. Members receiving a hard copy of the provider directory shall be advised that the CONTRACTOR’s network may have changed since the directory was printed, and how to access current information regarding the CONTRACTOR’s participating providers.
Provider Directories. The provider directory must conform to the requirements listed below. Carriers must provide access to the provider directory on their website and send a provider directory to any Enrollee who requests a copy. Please note that a Federal employee, Tribal Employee, or annuitant choosing your Plan during the Open Season is doing so with the expectation that the Plan's provider directory is accurate and that providers shown will be available starting January 1.
Provider Directories. CRNA agrees to the publication of his/her name, location and specialty to Members.
