PCP Notification Sample Clauses
PCP Notification. The HMO must furnish each PCP with a current list of enrolled Members enrolled or assigned to that Provider no later than five (5) working days after the HMO receives the Enrollment File from the HHSC Administrative Services Contractor each month. The HMO may offer and provide such enrollment information in alternative formats, such as through access to a secure Internet site, when such format is acceptable to the PCP.
PCP Notification. The MCO must furnish each PCP with a current list of Members enrolled or assigned to that Provider no later than five (5) Business Days after the MCO receives the Enrollment File from the HHSC Administrative Services Contractor each month. The MCO may offer and provide such enrollment information in alternative formats, such as through access to a secure Internet site, when such format is acceptable to the PCP.
PCP Notification. The contractor shall provide each PCP, on a calendar quarter basis, a list of the PCP's enrollees who have not had an encounter during the past year and/or who have not complied with the EPSDT periodicity and immunization schedules for children. Primary care sites/PCPs and/or the contractor shall be required to contact these enrollees to arrange an appointment. Documentation of the outreach efforts and responses is required.
PCP Notification. The Contractor shall provide each PCP, on a calendar quarter basis, a list of the PCP’s enrollees who have not had an encounter or dental visit during the past year and/or who have not complied with the EPSDT periodicity, NJ FamilyCare dental periodicity, and immunization schedules for children. Primary care sites/PCPs and/or the Contractor shall be required to contact these enrollees to arrange an appointment. Documentation of the outreach efforts and responses is required. PCPs should be advised that the list of participating dentists seeing children under the age of six (6) is on their website.
