Library: Policy

317:55-5-11. Network adequacy standards

Revised 9-12-22

        In accordance with 42 C.F.R. ' 438.604, the MCO or DBM will submit documentation for which OHCA will base its certification to CMS that the MCO or DBM has complied with requirements for availability and accessibility of services, including health professional shortage areas and adequacy of the MCO's or DBM's network, as set forth in 42 C.F.R. '' 438.206, 438.14 and 438.68.