Practice Guidelines. A. The Contractor shall adopt practice guidelines. (42 C.F.R. § 438.236(b) and Cal. Code Regs., tit. 9, § 1810.326)
Practice Guidelines. 37.1. CONTRACTOR shall adopt practice guidelines (or adopt COUNTY’S practice guidelines) that meet the following requirements:
Practice Guidelines. Contractor shall comply with and disseminate the Practice Guidelines to all affected staff and, upon request, to beneficiaries and potential beneficiaries. Practice Guidelines can be accessed at xxx.XxxxxXXXX.xxx. [DMC-ODS IA, Exhibit A]
Practice Guidelines. 2.10.12.1. The Contractor shall provide practice guidelines to the Department upon request within ten (10) Business Days, and at no cost to the Department.
Practice Guidelines. 22.1 Contractor shall adopt practice guidelines (or adopt MHP’s practice guidelines) that meet the following requirements:
Practice Guidelines. The Contractor shall comply with 42 CFR 438.236(b) which requires the adoption of practice guidelines. The Contractor shall comply with the practice guidelines established in Exhibit A, Attachment I Section 1.2(B).
Practice Guidelines. In accordance with 42 C.F.R. Section 438.236, HMO must adopt practice guidelines, that are based on valid & reliable clinical evidence or a consensus of health care professionals in the particular field; consider the needs of the HMO's Members; are adopted in consultation with contracting health care professionals; and are reviewed and updated periodically as appropriate. The HMO must disseminate the guidelines to all affected providers and, upon request to Members and potential Members. The HMO's decisions regarding utilization management, member education, coverage of services, and other areas included in the guidelines, must be consistent with the HMO's guidelines."
Practice Guidelines. 4.12.7.1 The Contractor shall adopt a minimum of three (3) evidence-based clinical practice guidelines. Such guidelines shall: · Be based on the health needs and opportunities for improvement identified as part of the QAPI program; · Be based on valid and reliable clinical evidence or a consensus of Health Care Professionals in the particular field; · Consider the needs of the Members; · Be adopted in consultation with network Providers; and · Be reviewed and updated periodically as appropriate.
Practice Guidelines a. The Health Plan shall adopt practice guidelines that meet the following requirements:
Practice Guidelines. 4.12.6.1 The Contractor shall adopt a minimum of three (3) evidence-based clinical practice guidelines, one of which shall be for chronic kidney disease. Such guidelines shall:
