Physician Specialists Sample Clauses

Physician Specialists. 2.11.3.2.1 The CONTRACTOR shall establish and maintain a network of physician specialists that is adequate and reasonable in number, in specialty type, and in geographic distribution to meet the medical and behavioral health needs of its members (adults and children) without excessive travel requirements. This means that, at a minimum:
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Physician Specialists. Because of the large number of physician specialties that exist, Contractor is not required to maintain specific member-to-specialist provider ratios. However, Contractor agrees to provide adequate access to physician specialists for PCP referrals, and to employ or contract with specialists in sufficient numbers and locations to ensure specialty services can be made available in a timely manner. Networks shall include specialists experienced with adult health specialty needs.
Sample 1
Physician Specialists. The Contractor shall establish and maintain a network of physician specialists that is adequate and reasonable in number, in specialty type, and in geographic distribution to meet the medical and behavioral health needs of its Enrolled Members without excessive travel requirements. This means that, at a minimum: (i) the Contractor has signed Provider agreements with Providers of the specialty types listed in Special Contract Exhibit C who accept new Enrolled Members and are available on at least a referral basis; and (ii) the Contractor is in compliance with the Access and availability requirements set forth in Special Contract Exhibit C.
Sample 1

Related to Physician Specialists

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