Common use of Provider Network Services Clause in Contracts

Provider Network Services. The CMHSP is responsible for maintaining and continually evaluating an effective provider network adequate to fulfill the obligations of this contract. In this regard, the CMHSP agrees to: A. Maintain a regular means of communicating and providing information on changes in policies and procedures to its providers. This may include guidelines for answering written correspondence to providers, offering provider-dedicated phone lines, and a regular provider newsletter. B. Have clear written mechanisms to address provider grievances and complaints, and an appeal system to resolve disputes. C. Provide a copy of the CMHSP's prior authorization policies to the provider when the provider joins the CMHSP's provider network. The CMHSP must notify providers of any changes to prior authorization policies as changes are made. D. Provide to the MDCH in the format specified by the MDCH, provider agency information profiles that contain a complete listing and description of the provider network available to recipients in the service area. E. Notify MDCH within seven (7) days of any changes to the composition of the provider network organizations. CMHSPs shall have procedures to address changes in its network that negatively affect access to care. Changes in provider network organization and/or composition that the MDCH determines to negatively affect the CMHSP's ability to meet its service obligations under MCL 330.1206(1) to priority populations (MCL 330.1208) may be grounds for sanctions. F. Assure that the provider network responds to the cultural, racial and linguistic needs (including interpretive services as necessary) of the service area. G. Assure that services are accessible, taking into account travel time, availability of public transportation, and other factors that may determine accessibility. H. Assure that network providers do not segregate the CMHSP's recipients in any way from other people receiving their services. I. The CMHSP shall assure HIPAA compliant access to information about persons receiving services in their contractual residential settings by individuals who have completed training and are working under the auspices of the Dignified Lifestyles Community Connections program.

Provider Network Services. The CMHSP is responsible for maintaining and continually evaluating an effective provider network adequate to fulfill the obligations of this contract. In this regard, the CMHSP agrees to: A. Maintain a regular means of communicating and providing information on changes in policies and procedures to its providers. This may include guidelines for answering written correspondence to providers, offering provider-dedicated phone lines, and a regular provider newsletter. B. Have clear written mechanisms to address provider grievances and complaints, and an appeal system to resolve disputes. C. Provide a copy of the CMHSP's prior authorization policies to the provider when the provider joins the CMHSP's provider network. The CMHSP must notify providers of any changes to prior authorization policies as changes are made. D. Provide to the MDCH in the format specified by the MDCH, provider agency information profiles that contain a complete listing and description of the provider network available to recipients in the service area. E. Notify MDCH within seven (7) days of any changes to the composition of the provider network organizationsorganizations that negatively affect access to care. CMHSPs shall have procedures to address changes in its network that negatively affect access to care. Changes in provider network organization and/or composition that the MDCH determines to negatively affect the CMHSP's ability to meet its service obligations under MCL 330.1206(1) to priority populations (MCL 330.1208) may be grounds for sanctions. F. Assure that the provider network responds to the cultural, racial and linguistic needs (including interpretive services as necessary) of the service area. G. Assure that services are accessible, taking into account travel time, availability of public transportation, and other factors that may determine accessibility. H. Assure that network providers do not segregate the CMHSP's recipients in any way from other people receiving their services. I. G. The CMHSP shall assure HIPAA compliant access to information about persons receiving services in their contractual residential settings by individuals who have completed training and are working under the auspices of the Dignified Lifestyles Community Connections program.