Provider Directory a. The Contractor shall make available in electronic form and, upon request, in paper form, the following information about its network providers:
Provider Directory. The Provider Directory for each applicable HMO Program, and any substantive revisions, must be approved by HHSC prior to publication and distribution. The HMO is responsible for submitting draft Provider directory updates to HHSC for prior review and approval if changes other than PCP information or clerical corrections are incorporated into the Provider Directory. As described in Attachment B-1, Section 7, during the Readiness Review, the HMO must develop and submit to HHSC the draft Provider Directory template for approval and must submit a final Provider Directory incorporating changes required by HHSC prior to the Operational Start Date. Such draft and final Provider Directories must be submitted according to the deadlines established in Attachment B-1, Section 7.
Provider Directory. The names and addresses of Entrust Plan Participating Providers and Hospitals are set forth in a separate booklet which, by reference, is made a part hereof. The list of Participating Providers, which may change from time to time, will be provided to all Contractholders. The list of Participating Providers may also be accessed from AvMed’s website at xxx.xxxxx.xxx. Health Professionals may from time to time cease their affiliation with AvMed. In such cases, Members may be required to receive services from another participating Health Professional. Notwithstanding the printed booklet, the names and addresses of Participating Providers on file with AvMed at any given time will constitute the official and controlling list of Participating Providers.
Provider Directory. The Provider Directory for each MCO Program, and any substantive revisions, must be approved by HHSC prior to publication and distribution, with the exception of PCP information changes or clerical corrections. The MCO is responsible for submitting draft Provider Directory updates to HHSC for prior review and approval. As described in Section 7, “Transition Phase Requirements,” during Readiness Review the MCO must develop and submit to HHSC the draft Provider Directory template for approval and must submit a final Provider Directory incorporating changes required by HHSC prior to the Operational Start Date. Such draft and final Provider Directories must be submitted according to the deadlines established in Section 7, “Transition Phase Requirements.”
Provider Directory. 50.4.1. CONTRACTOR must follow the COUNTY’S provider directory policy, in compliance with MHSUDS IN 18-020.
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. Contractor shall make its Provider Directory available to Providers via Contractor’s web-portal and as described in Section 2.17.
Provider Directory. The MCO must make available:
Provider Directory. You may find participating providers by going to xxx.xxxxxxxxxxxx.xxx and signing in to your account. In the section of the web page entitled FIND A HEALTHCARE PROVIDER, there are links with the names of the provider networks you have access to under this contract. Clicking on a link will take you to the directory of providers participating in that provider network. Coverage may vary according to your provider selection. The list of participating providers frequently changes, and PIC does not guarantee that a listed provider is a participating provider. You may want to verify that a provider you choose is a participating provider by calling PIC Customer Service. If you call PIC Customer Service, PIC will respond to you as soon as practicable but in no case later than 1 business day after your call is received, through a written electronic communication or, at your request, a hard copy communication. Provider directories are available to you upon request. If either:
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.
