Common use of Timely Access to Care Clause in Contracts

Timely Access to Care. Provider shall comply with State standards for timely access to care and services, as specified in the State Contract, taking into account the urgency of the need for services, in accordance with 42 C.F.R. §438.206(c)(1)(i). Provider shall offer hours of operation that are no less than the hours of operation offered to commercial enrollees, or if Provider serves only Medicaid Enrollees, hours of operation comparable to other State Medicaid populations, in accordance with 42 C.F.R. §438.206(c)(1)(ii). Provider shall comply with any corrective action directed by Company to remedy any failure to comply with timely access to care obligations. (State Contract § 1.13.1.2)

Appears in 3 contracts

Samples: Provider Agreement, Facility Agreement, Hospital Agreement

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Timely Access to Care. Provider shall comply with State standards for timely access to care and services, as specified in the State Contract, taking into account the urgency of the need for services, in accordance with 42 C.F.R. §§ 438.206(c)(1)(i). Provider shall offer hours of operation that are no less than the hours of operation offered to commercial enrollees, or if Provider serves only Medicaid EnrolleesCovered Persons, hours of operation comparable to other State Medicaid populations, in accordance with 42 C.F.R. §§ 438.206(c)(1)(ii). Provider shall comply with any corrective action directed by Company to remedy any failure to comply with these timely access to care obligations. (State Model Contract § 1.13.1.21.12.1.2)

Appears in 1 contract

Samples: Participating Provider Agreement

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