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Regional Generic Provider Agreement - Ohio Department of Job and ...

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<strong>Provider</strong> Types<br />

Pediatricians 4<br />

Total<br />

Required<br />

<strong>Provider</strong>s 1<br />

Central - Practitioners<br />

Minimum <strong>Provider</strong> Panel Requirements<br />

Crawford<br />

Delaware<br />

Fairfield<br />

Fayette<br />

Franklin<br />

Hocking<br />

Knox<br />

Licking<br />

Logan<br />

Madison<br />

Marion<br />

Morrow<br />

Perry<br />

Pickaway<br />

Pike<br />

Ross<br />

Scioto<br />

Union<br />

Additional<br />

Required<br />

<strong>Provider</strong>s 2<br />

86 4 3 55 1 2 1 1 2 1 2 2 1 11<br />

OB/GYNs 24 2 2 12 1 1 1 1 1 3<br />

Vision<br />

General<br />

31 1 2 2 15 1 1 1 1 1 1 1 1 3<br />

Surgeons 22 1 1 1 10 1 1 1 1 1 1 1 2<br />

Otolaryngologist 6 1 4 1<br />

Allergists 4 2 2<br />

Orthopedists 13 1 7 1 1 1 2<br />

Dentists 5<br />

77 1 2 3 1 45 1 2 3 1 1 2 1 1 1 1 3 2 1 5<br />

1<br />

All required providers must be located within the region.<br />

2<br />

Additional required providers may be located anywhere within the region.<br />

3<br />

Preferred <strong>Provider</strong>s are the additional provider contracts that must be<br />

secured in order for the MCP to receive bonus points.<br />

4<br />

Half <strong>of</strong> this number must be certified by the American Board <strong>of</strong> Pediatrics.<br />

5<br />

No more than two-thirds <strong>of</strong> this number can be pediatric dentists.

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