12 RFP IV.U.4.iv iv. Network iv. Network Performance Performance Requirement Requirement Between the date of award and Between the date of the contract start date, the DBPM award and the contract must have a contracted provider start date, the DBPM network in place, sufficient in size must have a contracted and composition to meet the provider network in service requirements of its place, sufficient in size members on the contract start and composition to date. The required attestation of meet the service network sufficiency must be requirements of its submitted to MLTC a minimum of members on the thirty (30) calendar days prior to contract start date. The the contract start date. MLTC may required attestation of assess a penalty of $1,000.00, network sufficiency per calendar day, for each day must be submitted to that the provider network is not MLTC a minimum of adequate to meet the service ninety (90) calendar needs of its members. days prior to the contract start date. MLTC may assess a penalty of $1,000.00, per calendar day, for each day that the provider network is not adequate to meet the service needs of its members. 13 Attachment Provider Description: Description: 12 Network List Submit list of all Submit list of all network providers network providers via via the the provider enrollment file as provider enrollment file described in Section as described in Section IV.I - Provider Network. IV.I - Provider Network. Due Date: Due Date: 30 days prior to contract start 90 days prior to date. contract start date. 14 Attachment #58 Section IV.O Program Section IV.R Claims – – 11 Integrity Management
12 RFP IV.U.4.iv iv. Network Performance Requirement Between the date of award and the contract start date, the DBPM must have a contracted provider network in place, sufficient in size and composition to meet the service requirements of its members on the contract start date. The required attestation of network sufficiency must be submitted to MLTC a minimum of ninety (90) calendar days prior to the contract start date. MLTC may assess a penalty of $1,000.00, per calendar day, for each day that the provider network is not adequate to meet the service needs of its members. iv. Network Performance Requirement Between the date of award and the contract start date, the DBPM must have a contracted provider network in place, sufficient in size and composition to meet the service requirements of its members on the contract start date. The required attestation of network sufficiency must be submitted to MLTC a minimum of thirty (30) calendar days prior to the contract start date. MLTC may assess a penalty of $1,000.00, per calendar day, for each day that the provider network is not adequate to meet the service needs of its members. 13 Attachment 12 Provider Network List Description: Submit list of all network providers via the provider enrollment file as described in Section IV.I - Provider Network. Due Date: 90 days prior to contract start date. Description: Submit list of all network providers via the provider enrollment file as described in Section IV.I - Provider Network. Due Date: 30 days prior to contract start date. 14 Attachment 11 #58 Section IV.O – Program Integrity Section IV.R – Claims Management