Information Required for MCP Websites a. On-line Provider Directory – The MCP must have an internet-based provider directory or link to the Medicaid Consumer Hotline’s online provider directory available in the same format as its ODM-approved provider directory, that allows members to electronically search for the MCP panel providers based on name, provider type and geographic proximity (as specified in Appendix H). MCP provider directories must include all MCP-contracted providers (except as specified by ODM) as well as certain ODM non-contracted providers.
Information Required for MCP Websites a. The MCP shall have a secure internet-based website for contracting providers through which providers can confirm a consumer’s enrollment and through which providers can submit and receive responses to prior authorization requests (an email process is an acceptable substitute if the website includes the MCP’s email address for such submissions).
Information Required for MCP Websites a. On-line Provider Directory – MCPs must have an internet-based provider directory available in the same format as their ODJFS-approved provider directory, that allows members to electronically search for the MCP panel providers based on name, provider type, geographic proximity, and population (as specified in Appendix H). MCP provider directories must include all MCP-contracted providers [except as specified by ODJFS] as well as certain ODJFS non-contracted providers. Appendix C Covered Families and Children (CFC) population Page 24
