Network Reporting Clause Samples
The Network Reporting clause establishes the requirements for parties to provide regular updates or reports regarding the status, performance, or usage of a network. Typically, this clause outlines the frequency, format, and content of such reports, which may include metrics like uptime, incidents, or data traffic. Its core practical function is to ensure transparency and accountability between parties by keeping all stakeholders informed about the network's operation and any issues that may arise.
Network Reporting. AHS shall review variable definitions used by DVHA and any relevant reporting by DVHA’s contractors relative to beneficiary access to services to ensure that providers enrolled in the Vermont Medicaid Program offers an appropriate range of covered services adequate for the anticipated number of enrollees for a given service area; and that it the network of providers that is sufficient in number, mix and geographic distribution to meet the needs of the enrollees in the service area. At the time it enters this IGA, and on a quarterly basis, DVHA will provide AHS with a network adequacy report that includes: geographic service area, a summary of all complaints received through DVHA's member services call center and maps that show provider-to-member ratios for primary care providers and specialists in the network. Whenever a significant change has been made to the provider network, DVHA will notify AHS immediately. DVHA and its IGA Partners will assure that a system, policies and procedures are in place through which providers must identify report and investigate critical incidents that occur within the delivery of Choices for Care Program services. Providers will also be educated about systems to prevent, detect and report, investigate and remediate abuse, neglect and exploitation for persons receiving Choices for Care Program services.
Network Reporting. AHS shall review variable definitions used by DVHA and any relevant reporting by DVHA’s contractors relative to beneficiary access to services to ensure that providers enrolled in the Vermont Medicaid Program offers an appropriate range of covered services adequate for the anticipated number of enrollees for a given service area; and that it the network of providers that is sufficient in number, mix and geographic distribution to meet the needs of the enrollees in the service area. DVHA in collaboration with its IGA partners will update network capacity data any time there has been a significant change in operations that would affect adequate capacity or services, including changes in services, benefits, payments or enrollment of a new population.
Network Reporting. The AHS shall provide report formats and variable definitions for the OVHA to use in providing network capacity data to demonstrate that it offers an appropriate range of covered services adequate for the anticipated number of enrollees for the service area; and that it maintains a network of providers that is sufficient in number, mix and geographic distribution to meet the needs of the anticipated number of enrollees in the service area. Network capacity documentation shall be submitted annually and at any time there has been a significant change in the OVHA’s operations that would affect adequate capacity or services, including changes in services, benefits, payments or enrollment of a new population. Monthly reports are due within 30 days following the end of the month. Annual and quarterly reports are due within 45 days following the end of the reporting period.
