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

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Baseline Covered Families and Children (CFC) Population Page 12 The parties have executed this agreement the date first written above. The agreement is hereby accepted and considered binding in accordance with the terms and conditions set forth in the preceding statements. MANAGED CARE PLAN: BY: ___________________________________________ DATE: _________ MANAGED CARE PLAN PRESIDENT/CEO OHIO DEPARTMENT OF JOB AND FAMILY SERVICES: BY: ___________________________________________ DATE: _________ HELEN E. JONES-KELLY, DIRECTOR
APPENDIX A OAC RULES 5101:3-26 The managed care program rules can be accessed electronically through the BMHC page of the ODJFS website.
Page 1 and 2: Baseline Covered Families and Child
Page 11: Baseline Covered Families and Child
Page 15 and 16: Appendix C Covered Families and Chi
Page 41 and 42: Appendix D Covered Families and Chi
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Page 45: APPENDIX E RATE METHODOLOGY CFC ELI
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APPENDIX F REGIONAL RATES 2. AT-RIS
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Appendix G Covered Families and Chi
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Appendix H Covered Families and Chi
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Appendix H Page 10 ensure that the
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General Hospital 1 Hospital System
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Minimum Provider Panel Requirements
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Minimum Provider Panel Requirements
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General Hospital 1 Total Required H
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PCPs Capacity 1 North East Central
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County Capacity 1 Central Region -
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PCPs Capacity 1 Total Required Adam
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County Capacity 1 North West Region
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Provider Types Pediatricians 4 Nort
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Provider Types Pediatricians 4 Tota
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Provider Types Pediatricians 4 Sout
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Provider Types Pediatricians 4 Nort
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Appendix I Covered Families and Chi
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Appendix I Covered Families and Chi
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Appendix J Page 2 h. Prompt Pay Rep
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Appendix J Page 4 If the financial
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Appendix J Page 6 Penalty for nonco
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Appendix J Page 8 6. NOTIFICATION O
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Appendix K Covered Families and Chi
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Appendix L Covered Families and Chi
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Appendix M Covered Families and Chi
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Appendix N Covered Families and Chi
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Appendix O Covered Families and Chi
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Appendix P Covered Families and Chi
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Appendix P Covered Families and Chi
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Regional Generic Provider Agreement - Ohio Department of Job and ...

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