Provider Network Adequacy Standard Exceptions and Conditional Approvals Sample Clauses

Provider Network Adequacy Standard Exceptions and Conditional Approvals. 1. Exceptions Process The County may experience a temporary gap in provider networks where it does not meet the standards described in Article IV, E. In these instances, the County may be granted an exception to the network adequacy standard, at the Department’s discretion. The County must provide documentation and justification for an adequate network, despite network adequacy deficiencies, and a description of what it is doing to increase its network capacity to meet the standard.
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