Provider Termination Report. HMO must also include in the Provider Network Change Report information identifying any providers who cease to participate in HMO's provider network, either voluntarily or involuntarily. The information must include the provider's name, Medicaid number, the reason for the provider's termination, and whether the termination was voluntary or involuntary.
Appears in 2 contracts
Sources: Contract for Services (Centene Corp), Contract for Services (Amerigroup Corp)