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Clinician Termination Policy
Clinicians who are leaving the UBH network should notify any UBH enrollee in ongoing care with them prior to the termination. UBH, in compliance with NCQA requirements, will send notices to any enrollee seeing a clinician leaving the UBH panel. The enrollee should be encouraged to contact UBH to discuss benefit options, including referral for continued care with another clinician on the UBH panel.
Clarification of Termination Policy
UBH wishes to assure its clinicians that
it has never had a policy of terminating a clinician because
he or she: (1) advocated on behalf of a member; (2) filed a complaint
against UBH; (3) appealed a decision of UBH; or (4) requested a
review or challenged a termination decision. Moreover, consistent
with the terms of the Settlement Agreement entered into in Holstein
v. Magellan Behavioral Health, UBH has adhered to this practice
both before and since the Settlement Agreement was executed. UBH
has not, and will not, terminate any clinician from any
of its clinician networks on any of the four grounds enumerated
above. Nothing in UBH’s clinician contracts should
be read to contradict or in any way modify this long-standing practice.
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