Timely Access. (A) The Contractor and its Network Providers shall meet the Department’s standards for timely access to Covered Services, as described in Article 10.4 of this attachment, taking into account the urgency of the need for services.
Timely Access. 36.1. CONTRACTOR shall comply with the requirements set forth in CCR, Title 9, § 1810.405, including meeting COUNTY and State Contract standards for timely access to care and services, taking into account the urgency of need for services. The COUNTY shall monitor CONTRACTOR to determine compliance with timely access requirements and shall take corrective action in the event of noncompliance.
Timely Access. A. In accordance with 42 CFR 438.206(c)(1), the Contractor shall comply with the following requirements:
Timely Access. The Contractor shall require that its Participating Providers offer hours of operation that are no less than the hours of operation offered to commercial enrollees or Medicaid Fee-For-Service enrollees, if the Participating Provider serves only Medicaid Enrollees. The Contractor shall ensure that all Covered Services are available 24 hours a day, 7 days a week, when Medically Necessary.
Timely Access e. A revocation process or other specified remedies for providers whose performance is unacceptable in one or more of the areas noted in Section 2.7.B.1.d. above. For serious Complaints involving medical provider errors, the Contractor must take immediate corrective action and file reports of corrections made with CMS and MassHealth within three business days of the Complaint.
Timely Access. (A) The Contractor shall require that its Network Providers offer hours of operation that are no less than the hours of operation offered to commercial enrollees or Medicaid Fee-For-Service enrollees, if the Network Provider serves only Medicaid Enrollees.
Timely Access. The Contractor shall require that its Participating Providers offer hours of operation that are no less than the hours of operation offered to commercial enrollees.
Timely Access. Provider shall meet Agency standards for timely access to care and services, taking into account the urgency of the need for services. Provider shall offer hours operation to Members that are no less than the hours of operation offered to commercial enrollees or comparable to Medicaid fee-for-service, if Provider serves only Medicaid enrollees. Provider services shall be available 24 hours a day, 7 days a week, when medically necessary. Provider shall provide physical access, reasonable accommodations, and accessible equipment for Members with physical or mental disabilities. 42 CFR §438.206(c).
Timely Access. (A) The Contractor and its Network Providers shall meet the Department’s standards for timely access to care and services, as described in Article 10.2.6, taking into account the urgency of the need for services.(B) The Contractor shall ensure that its Network Providers offer hours of operation that are no less than the hours of operation offered to commercial enrollees or are comparable to FFS enrollees, if the Network Provider serves only Medicaid enrollees.
Timely Access. The Contractor and its Network Providers shall meet the Department’s standards for timely access to care and services, as described in Article 10.2.6, taking into account the urgency of need for services. The Contractor shall require that its Network Providers offer hours of operation that are no less than the hours of operation offered to commercial enrollees or Medicaid Fee-For-Service enrollees, if the Network Provider serves only Medicaid Enrollees. The Contractor shall ensure that all Covered Services are available 24 hours a day, 7 days a week, when Medically Necessary.
