PROVIDER MANUAL AND PROVIDER TRAINING Sample Clauses

PROVIDER MANUAL AND PROVIDER TRAINING. 7.4.1 HMO must prepare and issue a Provider Manual(s), including any necessary specialty manuals (e.g. behavioral health) to the providers in the HMO network and to newly contracted providers in the HMO network within five (5) working days from inclusion of the provider into the network. The Provider Manual must contain sections relating to special requirements of the STAR Program as required under this contract. See Appendix D, Required Critical Elements, for specific details regarding content requirements.
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PROVIDER MANUAL AND PROVIDER TRAINING. INSURER must prepare and issue a Provider Manual(s), including any necessary specialty manuals to the providers in the INSURER network and to newly contracted providers in the INSURER network within five (5) working days from inclusion of the provider into the network. The Provider Manual must contain sections relating to special requirements. INSURER must provide training to all network providers and their staff regarding the requirements of THE ADMINISTRATION/INSURER contract and special needs of beneficiaries under this contract. INSURER training for all providers must be completed no later than 30 days after placing a newly contracted provider on active status. INSURER must provide ongoing training to new and existing providers as required by INSURER or THE ADMINISTRATION to comply with this contract. INSURER must maintain and make available upon request enrollment or attendance rosters dated and signed by each attendee or other written evidence of training of each network provider and their staff.
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PROVIDER MANUAL AND PROVIDER TRAINING. The TPA/HCO must prepare and issue a Provider Manual to providers in the HCO network and to newly contracted providers in the network within five (5) working days from the provider’s inclusion in the network. The Provider Manual must contain sections relating to special requirements. The TPA/HCO must provide training to all network providers and their staff related to Managed Care Act regulations, the ADMINISTRATION’s requirements set for time herein, TPA/HCO contracts, and special needs of beneficiaries under the health care plan. All HCO providers and participating providers are required annually to receive at least fifteen (15) hours of orientation, education and familiarization with aspects of managed care related to this Contract. Failure to comply with this requirement shall be sufficient grounds to exclude the provider from GHIP. If at the expiration of the participating provider’s contract term, provider has not fully complied with this requirement, provider shall be excluded as participating provider for subsequent periods. At the discretion of the ADMINISTRATION and for good cause, the excluded provider’s contract may be reinstated if the provider afterwards complies with this education requirement during the subsequent contract term.
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PROVIDER MANUAL AND PROVIDER TRAINING. 7.5.1 HMO must prepare and issue a Provider Manual(s) including any necessary specialty manuals (e.g. behavioral health) to the providers in HMO network and to newly contracted providers in the HMO network within five (5) working days from inclusion of the provider into the network. The Provider Manual must contain sections relating to special requirements of the STAR+PLUS Program as required under this Contract. See Attachment D, Required Critical Elements, for specific details regarding content requirements. The HMO Provider Manual containing the new required critical elements must be distributed no later than March 1, 2000. HMO must submit a Provider Manual to TDHS for approval prior to use. See Article 3.4.1 regarding the process for plan materials review.
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PROVIDER MANUAL AND PROVIDER TRAINING a. INSURER must prepare and issue a Provider Manual(s), including any necessary specialty manuals to the providers in the INSURER network and to newly contracted providers in the INSURER network within five (5) working days from inclusion of the provider into the network. The Provider Manual must contain sections relating to special requirements.
Sample 1
PROVIDER MANUAL AND PROVIDER TRAINING. 7.4.1 HMO must prepare and issue a Provider Manual(s), including any necessary specialty manuals (e.g. behavioral health) to the providers in the HMO network and to newly contracted providers in the HMO network within five
Sample 1

Related to PROVIDER MANUAL AND PROVIDER TRAINING

  • Provider Manual The Provider Manual shall be a comprehensive online reference tool for the Provider and staff regarding, but not limited to, administrative, prior authorization, and referral processes, claims and encounter submission processes, continuity of care requirements, and plan benefits. The Provider Manual shall also address topics such as clinical practice guidelines, availability and access standards, care management programs and Enrollee rights.

  • Maintenance Manual No later than 60 (sixty) days prior to the Project Completion Date, the Contractor shall, in consultation with the Authority’s Engineer, evolve a maintenance manual (the “Maintenance Manual”) for the regular and preventive maintenance of the Project Highway in conformity with the Specifications and Standards, safety requirements and Good Industry Practice, and shall provide 5 (five) copies thereof to the Authority’s Engineer. The Authority’s Engineer shall review the Maintenance Manual within 15 (fifteen) days of its receipt and communicate its comments to the Contractor for necessary modifications, if any.

  • Provider Network The Panel of health service Providers with which the Contractor contracts for the provision of covered services to Members and Out-of-network Providers administering services to Members.

  • Operations Manual AmericaTowne agrees to share with the Licensee one or more manuals, technical bulletins and other written materials (collectively referred to as "Operations Manual") covering ordering of supplies, manufacturing, processing and stocking and other operating and in-store marketing techniques. The Licensee agrees to use the Licensed Methods only as specified in the Operations Manual. The Operations Manual is the sole property of AmericaTowne and shall be used by the Licensee only during the term of this Agreement and in strict accordance with the terms and conditions hereof. The Licensee shall not duplicate the Operations Manual or disclose its contents to persons other than its employees or officers who have signed a Confidentiality and Non-Disclosure Agreement. The Licensee shall return the Operations Manual to AmericaTowne upon the expiration, termination or transfer of this Agreement. AmericaTowne reserves the right to revise the Operations Manual from time to time as it deems necessary to update or change operating and marketing techniques, standards and specifications for all components of the Licensed Methods.

  • Provider Services The Contractor’s system shall collect, process, and maintain current and historical data on program providers. This information shall be accessible to all parts of the MCMIS for editing and reporting.

  • Review Systems; Personnel It will maintain business process management and/or other systems necessary to ensure that it can perform each Test and, on execution of this Agreement, will load each Test into these systems. The Asset Representations Reviewer will ensure that these systems allow for each Review Receivable and the related Review Materials to be individually tracked and stored as contemplated by this Agreement. The Asset Representations Reviewer will maintain adequate staff that is properly trained to conduct Reviews as required by this Agreement.

  • Operation and Maintenance Manuals Receipts for transmittal of Operation and Maintenance Manuals, Brochures and Data to the Design Professional (or Commissioning Agent) as required by Section 6.1.1.5.

  • Project Manual A bound manual prepared by the Design Professional. It includes the Invitation to Bid, Instructions to Bidders, the Bid Form, the Specifications, the General Conditions and Supplementary General Conditions.

  • Training a. The employer, in consultation with the local, shall be responsible for developing and implementing an ongoing harassment and sexual harassment awareness program for all employees. Where a program currently exists and meets the criteria listed in this agreement, such a program shall be deemed to satisfy the provisions of this article. This awareness program shall initially be for all employees and shall be scheduled at least once annually for all new employees to attend.

  • Replacement of Key Personnel The Engineer must notify the State in writing as soon as possible, but no later than three business days after a project manager or other key personnel is removed from association with this contract, giving the reason for removal.

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