Common use of Provider Website Clause in Contracts

Provider Website. The Contractor shall develop and maintain a website in an FSSA-approved format (compliant with Section 508 of the US Rehabilitation Act) to ensure compliance with existing accessibility guidelines for network and out-of-network providers. The website shall be live and meet the requirements of this section on the effective date of the Contract. OMPP shall pre-approve the Contractor’s website information and graphic presentations. The Contractor may choose to develop a separate provider website or incorporate it into the home page of the member website described in Section 4.4.2. To minimize download and wait times, the website shall avoid techniques or tools that require significant memory or disk resources or require special intervention on the user side to install plug-ins or additional software. The Contractor shall date each web page, change the date with each revision and allow users print access to the information. The provider website may have secured information available to network providers but shall, at a minimum, have the following information available to all providers:  Contractor’s contact information;  Provider Policy and Procedure Manual and associated forms;  All of Contractor’s provider communication materials, organized online in a user-friendly, searchable format by communication type and topic;  A link to the State’s preferred drug list (Hoosier Healthwise only);  Claim submission information including, but not limited to the Contractor submission and processing requirements, paper and electronic submission procedures, emergency room auto-pay lists and frequently asked questions;  Provider claims dispute resolution procedures for contracted and out-of- network providers;  Prior authorization procedures, including a complete list of services which require prior authorization;  Appeal procedures;  Entire network provider listings;  Links to FSSA and OMPP websites for general Medicaid and Hoosier Healthwise information;  HIPAA and 42 CFR Part 2 Privacy Policy and Procedures

Provider Website. The Contractor shall develop and maintain a website in an FSSA-approved format (compliant with Section 508 of the US Rehabilitation Act) to ensure compliance with existing accessibility guidelines for network and out-of-network providers. The website shall be live and meet the requirements of this section on the effective date of the Contract. OMPP shall pre-approve the Contractor’s website information and graphic presentations. The Contractor may choose to develop a separate provider website or incorporate it into the home page of the member website described in Section 4.4.2. To minimize download and wait times, the website shall avoid techniques or tools that require significant memory or disk resources or require special intervention on the user side to install plug-ins or additional software. The Contractor shall date each web page, change the date with each revision and allow users print access to the information. The provider website may have secured information available to network providers but shall, at a minimum, have the following information available to all providers:  ▪ Contractor’s contact information;  ▪ Provider Policy and Procedure Manual and associated forms;  ▪ All of Contractor’s provider communication materials, organized online in a user-user- friendly, searchable format by communication type and topic;  ▪ A link to the State’s preferred drug list (Hoosier Healthwise only);  ▪ Claim submission information including, but not limited to the Contractor submission and processing requirements, paper and electronic submission procedures, emergency room auto-pay lists and frequently asked questions;  ▪ Provider claims dispute resolution procedures for contracted and out-of- of-network providers;  ▪ Prior authorization procedures, including a complete list of services which require prior authorization;  ▪ Appeal procedures;  ▪ Entire network provider listings;  ▪ Links to FSSA and OMPP websites for general Medicaid and Hoosier Healthwise information;  ▪ HIPAA and 42 CFR Part 2 Privacy Policy and Procedures; and ▪ Network participation request information including all of the information, steps and forms that are required from the provider for a request to join the Contractor’s network and be credentialed. EXHIBIT 1.E

Provider Website. The Contractor shall develop and maintain a website in an FSSA-approved format (compliant with Section 508 of the US Rehabilitation Act) to ensure compliance with existing accessibility guidelines for network and out-of-network providers. The website shall be live and meet the requirements of this section on the effective date of the Contract. OMPP shall pre-approve the Contractor’s website information and graphic presentations. The Contractor may choose to develop a separate provider website or incorporate it into the home page of the member website described in Section 4.4.2. To minimize download and wait times, the website shall avoid techniques or tools that t hat require significant memory or disk resources or require special intervention on the user side to install plug-ins or additional software. The Contractor shall date each web page, change the date with each revision and allow users print access to the information. The provider website may have secured information available to network providers but shall, at a minimum, have the following information available to all providers:  ▪ Contractor’s contact information;  ▪ Provider Policy and Procedure Manual and associated forms;  ▪ All of Contractor’s provider communication materials, organized online in a user-user- friendly, searchable format by communication type and topic;  ▪ A link to the State’s preferred drug list (Hoosier Healthwise only);  ▪ Claim submission information including, but not limited to the Contractor submission and processing requirements, paper and electronic submission procedures, emergency room auto-pay lists and frequently asked questions;  ▪ Provider claims dispute resolution procedures for contracted and out-of- of-network providers;  ▪ Prior authorization procedures, including a complete list of services which require prior authorization;  ▪ Appeal procedures;  ▪ Entire network provider listings;  ▪ Links to FSSA and OMPP websites for general Medicaid and Hoosier Healthwise information;  ▪ HIPAA and 42 CFR Part 2 Privacy Policy and Procedures; and ▪ Network participation request information including all of the information, steps and forms that are required from the provider for a request to join the Contractor’s network and be credentialed. EXHIBIT 1.E

Provider Website. The Contractor shall develop and maintain a website in an FSSA-approved format (compliant with Section 508 of the US Rehabilitation Act) to ensure compliance with existing accessibility guidelines for network and out-of-network providers. The website shall be live and meet the requirements of this section on the effective date of the Contract. OMPP shall pre-approve the Contractor’s website information and graphic presentations. The Contractor may choose to develop a separate provider website or incorporate it into the home page of the member website described in Section 4.4.2. To minimize download and wait times, the website shall avoid techniques or tools that require significant memory or disk resources or require special intervention on the user side to install plug-ins or additional software. The Contractor shall date each web page, change the date with each revision and allow users print access to the information. The provider website may have secured information available to network providers but shall, at a minimum, have the following information available to all providers:   Contractor’s contact information;   Provider Policy and Procedure Manual and associated forms;   All of Contractor’s provider communication materials, organized online in a user-user- friendly, searchable format by communication type and topic;   A link to the State’s preferred drug list (Hoosier Healthwise only);   Claim submission information including, but not limited to the Contractor submission and processing requirements, paper and electronic submission procedures, emergency room auto-pay lists and frequently asked questions;   Provider claims dispute resolution procedures for contracted and out-of- of-network providers;   Prior authorization procedures, including a complete list of services which require prior authorization;   Appeal procedures;   Entire network provider listings;   Links to FSSA and OMPP websites for general Medicaid and Hoosier Healthwise information;   HIPAA and 42 CFR Part 2 Privacy Policy and Procedures