Provider Directory. The Contractor shall develop, regularly maintain and make available Provider Directories that include information for all types of Providers in the Contractor’s network, including, but not limited to PCPs, hospitals, specialists, Providers of ancillary services, behavioral health/substance use disorder facilities, and pharmacies. In accordance with 42 C.F.R. § 438.10(h), the Provider Directory shall include, but is not limited to, the following information for physicians (including, but limited to, specialists), hospitals, pharmacies, and behavioral health providers:
Provider Directory. The Contractor shall maintain a Provider directory specific to CHIP. The Contractor shall develop, regularly maintain, and make available Provider directories that include information for all types of Providers in the Contractor’s network including, but not limited to PCPs, hospitals, specialists, Providers of ancillary services, Behavioral H e a l t h facilities, and pharmacies. In accordance with 42 C.F.R. § 438.10(f)(6), the Provider directory shall include, but is not limited to:
Provider Directory. The Contractor shall develop a searchable provider directory. A printed copy of the provider directory shall also be available to members and OMPP upon request. The Contractor may use the same provider directory for its Indiana State Medicaid lines of business as long as the directory clearly designates which population(s) the provider serves. In accordance with 42 CFR 438.10(h), the provider directory shall include the following information: Lists of PMPs, the PMPs’ service locations (including county), phone numbers, office hours, type of PMP (i.e., family practice, general practitioners, general internists, general pediatricians, obstetricians and gynecologists, and internal medicine physicians specializing in pediatrics or endocrinology) and whether the PMPs are accepting new members; Lists of specialty providers (including behavioral health providers and community mental health centers), their service locations (including county), phone numbers, office hours, type of specialty; Lists of hospital providers, home care providers and all other network providers; Languages spoken by the provider or the provider’s office personnel; Provider web sites, if applicable; If the provider has accommodations for people with physical disabilities; and Pharmacies and behavioral health providers. The Contractor shall include the aforementioned provider network information in an OMPP- approved format (compliant with Section 508 of the US Rehabilitation Act) on its member website. The Contractor shall list provider network information by county on the Contractor’s website and update the information every two (2) weeks. Network provider information shall be available to print from a remote user location.
Provider Directory. Network shall maintain a provider directory for the purpose of advising Customers and Participantsof Network Providers participating in the Network, which provider directory shall be accessible through Network’s website. Network shall exercise best efforts to include Network Provider in such provider directory. Network Provider agrees that Network and/or Customers may use Network Provider’s name, practice name, trade names, trademarks, service marks, symbols, addresses, telephone numbers, types of services provided by Network Provider and any other identifying information not only in such provider directory, but also in any other print or electronic media.
Provider Directory. The CHC-MCO must make a single directory for all types of Network Providers. The CHC-MCO must utilize a web-based Provider directory. The CHC- MCO must establish a process to address the accuracy of electronically posted content, including a method to monitor and update changes in Provider information. The CHC-MCO must perform at least monthly reviews and revisions of the web-based Provider directory, subject to random monitoring by the Department. The CHC-MCO must provide the IEE with an updated electronic version of its Provider directory at a minimum on a weekly basis. The CHC-MCO will include information regarding terminations, additions, PCPs and specialists not accepting new assignments, and other information determined by the Department to be necessary. The CHC-MCO must utilize the file layout and format specified by the Department. The format will include, but not be limited to: Correct Provider ID All Providers in the Network The location where the PCP will see Participants, as well as whether the PCP has evening and/or weekendhours Accessibility of the Provider site to persons with physical disabilities Language indicators including non-English language spoken by the Providers. The CHC-MCO must notify its Participants annually of their right to request and obtain a hard copy Provider directory and where the online directory may be found. Upon request, the CHC-MCO must provide Participants with its Provider directory which includes, at a minimum, the information listed in Exhibit S, Provider Directories. Upon request from the Participant, the CHC- MCO will print the most recent electronic version from its Provider file and mail it to the Participant. The CHC-MCO must submit the Provider directory to the Department for advance written approval before distribution to its Participants. Unless the CHC-MCO makes significant format changes, the CHC-MCO is not required to submit changes to the Department for approval. The CHC-MCO must reference and include a link to the directory for the aligned D-SNP in the Provider directory so that Participants enrolled in both plans may easily reference the D-SNP directory.
Provider Directory. Authoritative, state-level provider directory based on the National Plan and Provider Enumeration System and state licensure Data from Pennsylvania Department of Health and Pennsylvania Department of State. It is a standalone service that is accessed by Authorized Users from the P3N web portal. The provider directory: