Common use of Monitoring Access Clause in Contracts

Monitoring Access. The MCO is required to systematically and regularly verify that Covered Services furnished by Network Providers are available and accessible to Members in compliance with the standards described in Sections 8.1.3.1 and 8.1.3.2, and for Covered Services furnished by PCPs, the standards described in Section 8.1.4.2. The MCO must enforce access and other Network standards required by the Contract and take appropriate action with noncompliant Providers.

Monitoring Access. The MCO is required to systematically and regularly verify that Covered Services furnished by Network Providers are available and accessible to Members in compliance with the standards described in Sections 8.1.3.1 and 8.1.3.2, and for Covered Services furnished by PCPs, the standards described in Section 8.1.4.2. The MCO must enforce access and other Network standards required by the Contract and take appropriate action with noncompliant Providers8.1.4.