Welcome to the Hometown Health Provider Network !
Thank you for choosing to participate as a network provider with Hometown Health . We are very pleased to have you as a valuable member of our expansive health care delivery team which offers the highest quality care in the areas we serve .
To enhance the health and well-being of our members , Hometown Health is committed to building strong , positive relationships with our participating physicians , hospitals and ancillary providers . We continually seek new ideas for strengthening this relationship . Our goal is to minimize the challenges that you face practicing medicine so you can focus on what matters most – caring for your patients . If you have suggestions for improving our operations , please share them with a Hometown Health representative .
To assist in the administration of Hometown Health services , we are pleased to present our Administrative Guidelines and encourage you and your staff to use this reference source to answer your questions about Hometown Health and our products and familiarize you with our policies and procedures . For purposes of this guideline , “ we ” means Hometown Health , and “ you ”, means you , the provider .
This guideline was developed as a guide to assist our contracted providers when providing services to Hometown Health members . While we have tried to cover a broad range of topics , this guide is not all encompassing and subject to change without notice .
If there is a conflict between the topics within this guide and the terms of you Provider Contract , the Provider Contract will govern .
This guide dictates the Program Requirements that Hometown Health has established for its provider network . Program Requirements or Requirements means the rules and procedures that establish conditions to be followed by Participating Providers with respect to Programs . The term “ Program Requirements ” also includes the programs , protocols and administrative procedures adopted by Hometown Health or an affiliated Payer to be followed by the physician , ancillary , provider or hospital in providing services and doing business with Hometown Health and other affiliates Payers . These Requirements may include , among other things , credentialing and re-credentialing processes , utilization management , and care management processes , quality improvement
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