Notice of Provider Termination. The Contractor shall notify LDSS and SDOH of any notice of termination of an IPA, hospital or medical group provider agreement which affects an Enrollee's access to care. Such notification to the LDSS and the SDOH shall be made ninety (90) days prior to the effective date of the termination of the provider agreement or immediately upon notice from such provider if less than ninety (90) days. The Contractor shall also notify LDSS and SDOH in the event that the Contractor and the providers have failed to re-execute a renewal provider agreement forty-five (45) days prior to the expiration of the agreement. The Contractor shall submit a contingency plan to LDSS and SDOH, at least forty-five (45) days prior to the termination of expiration of the agreement, identifying the number of Enrollees affected by the potential withdrawal, if applicable, and specifying how services previously furnished by the participating providers will be provided in the event of their withdrawal. If the provider is a participating hospital, the Contractor shall identify the number of doctors who would not have admitting privileges in the absence of such participating hospital. The Contractor shall develop a transition plan for patients of the departing providers subject to approval by LDSS and SDOH. SDOH and LDSS may direct the Contractor to provide notice to the patients of PCPs or specialists including available options for the patients, and availability of continuing care, consistent with Section 13.7, not less than thirty (30) days prior to the termination of the provider agreement. In the event that provider agreements are terminated with less than the notice period required by this section, the Contractor shall immediately notify LDSS and SDOH, and develop a transition plan on an expedited basis and provide notice to patients subject to the consent of LDSS and SDOH. Upon Contractor notice of failure to re-execute, or termination of, a provider agreement, the SDOH and the LDSS, in their sole discretion, may waive the requirement of submission of a contingency plan upon a determination by the SDOH and the LDSS that:
Notice of Provider Termination. Pursuant to 42 CFR 438.10(f)(5) the Contractor must make a good faith effort to give written notice of termination of a contracted provider, within 15 days after receipt or issuance of the termination notice, to each beneficiary who received his or her SUD treatment services from, or was seen on a regular basis by, the terminated provider.
Notice of Provider Termination. The MAO must make a good faith effort to give written notice of termination of a contracted provider, within 15 days after receipt or issuance of the termination notice, to each enrollee who received his or her primary care from, or was seen on a regular basis by, the terminated provider.
Notice of Provider Termination. When either DMA or MCO terminates the services of a Provider, the MCO shall give written notice of the termination to all Enrollees who have been receiving services from the terminated Provider on a regular basis. MCO shall make good faith efforts to give that notice within 15 days after MCO receives notice that DMA has terminated the Provider or within 15 days after MCO terminates the Provider.
Notice of Provider Termination. Section 21 (PROVIDER NETWORK AND AGREEMENTS) October 1, 1999 21-1 At least thirty (30 ) days prior to termination, of any Provider Agreement that substantially alters or limits Enrollees access to the Contractor's services, as determined by the LDSS, the Contractor shall notify the LDSS and SDOH and specify how services previously furnished by the Participating Provider will be provided. In the event a Provider Agreement is terminated effective immediately or with less than thirty (30) days notice, the Contractor shall notify LDSS and SDOH promptly and in no event in more than seventy-two (72) hours after the termination becomes effective.
Notice of Provider Termination. The Contractor shall immediately notify SDOH of any notice of termination of a provider agreement to the Contractor's provider network received from the following providers
Notice of Provider Termination. When either DMA or the LME terminates the services of a Provider, the LME shall give written notice of the termination to all Enrollees who have been receiving services from the terminated Provider on a regular basis. The LME shall make good faith efforts to give that notice within 15 days after the LME receives notice that DMA has terminated the Provider or within 15 days after the LME terminates the Provider.
