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Procedure for Termination of Practitioner Relationship

  1. Voluntary Termination:
    1. A practitioner wanting to voluntarily relinquish his/her participation with MHN may do so, without cause, by submitting at least 30 days advance written notification to the Credentials Committee
    2. In the event that a practitioner decides to terminate his/her participation with MHN for cause, written notice of the reason for termination must be provided to MHN.  MHN is allowed 30 days in which to address the allegation. 
    3. Voluntary relinquishment of clinical privileges or staff appointment while under an investigation or in exchange for not conducting an investigation is considered a termination of participation and is reported as such.
  2. Involuntary Termination:
    1. In the event that MHN decides to terminate a practitioner’s participation for cause, written notice of the reason for termination must be provided to the practitioner by the Medical Director.  The practitioner is allowed 30 days in which to address the allegation.
    2. In the event that the practitioner refutes the reason for termination, the Medical Director may convene a special meeting of the Credentials Committee to review the information.  The Credentials Committee may request a meeting with the practitioner.  A report of such meetings shall be submitted to the MHN Board of Managers with the recommendation(s) of the Committee.
    3. The MHN Board of Managers makes the final decision regarding the matter which is provided in writing via certified mail to the practitioner.
    4. Following termination, the practitioner will cooperate with MHN to assure continuity of care for enrollees under their treatment.
  3. Termination Notice: 

Termination notice is made in writing and sent by certified mail by MHN to the practitioner’s last known address.  The practitioner is expected to make written termination notice to:

MidMichigan Health Network
4000 Wellness Drive
Midland, MI  48670
ATTN:  Medical Director

ConnectCare

Utilization Management

ConnectCare's Utilization Management Staff is available to address questions and issues related to case management and utilization by using the telephone or fax numbers listed below.

ConnectCare Medical Management
4000 Wellness Drive
Midland, MI 48670
Toll free: 888-646-2429
Local: 989-839-1613
Fax: 989-839-1679
 
Hours of Operation
8:00 a.m. - 12:00 p.m.
1:00 p.m. - 5:00 p.m.
Monday - Friday (Eastern Time)

After normal business hours, inbound communications and information may be relayed via fax, confidential voice mail or electronic mail. All precertification requests and/or communications received after normal business hours are returned on the next business day and communications received after midnight on Monday through Friday are responded to on the same business day.

Certified by NCQA since 2007

NCQA Certified Utilization Management"Achieving Utilization Management Certification from NCQA demonstrates that ConnectCare has the systems, process and personnel in place to conduct utilization management in accordance with the strictest quality standards." -- Margaret E. O'Kane, President, NCQA

NCQA has reviewed and certified ConnectCare's Utilization Management functions only. For complete details on the scope of this review, visit www.ncqa.org.