PROVIDER PANEL EXCEPTIONS. If an MCP presents sufficient documentation to ODJFS to verify that they have been unable to meet certain minimum provider panel requirements in a particular service area despite all reasonable efforts on the part of the MCP to secure such a contract(s), ODJFS may specify minimum provider panel criteria for that service area which deviate from those specified in this appendix.
Appears in 2 contracts
Sources: Provider Agreement, Ohio Medical Assistance Provider Agreement for Managed Care Plan (Centene Corp)
PROVIDER PANEL EXCEPTIONS. If an ODJFS may specify minimum provider panel criteria for a service area that deviates from that specified in this appendix if: • the MCP presents sufficient documentation to ODJFS to verify that they have been unable to meet certain minimum provider panel requirements in a particular service area despite all reasonable efforts on the their part of the MCP to secure such a contract(s), ODJFS may specify minimum provider panel criteria for that service area which deviate from those specified and • when notified by ODJFS, the provider(s) in this appendixquestion fails to provide a reasonable argument why they would not contract with the MCP.
Appears in 1 contract
Sources: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Centene Corp)