Requirements For Membership - Hospital and Ancillary Facility Criteria

In order to be admitted as a Participating Provider and to remain a Participating Provider, Hospital and/or Ancillary Facility ("Facility") must satisfy the following requirements. (Each panel within the PHO Network will have its own criteria as established by PHO Network from time to time that will be in addition to the qualifications set forth in this Exhibit "A.")

  • Facility shall be engaged in the active practice of rendering health care or health care related services;
  • Facility shall maintain and provide evidence of all corporate, local, state and federal licenses as required by applicable regulatory bodies;
  • Facility must require all employees to maintain all local, state, and federal licenses as applicable;
  • Facility must maintain and provide evidence of coverage for professional liability insurance in an amount that is consistent with the minimum of the PHO Network which is

          $1m/$3m for hospitals
          $200,000/600,000 for ancillary facilities*;
          General liability and other insurance in an amount that is consistent with industry standards;

    *Exception: If the facility is a municipal hospital authority covered by the Texas Municipal Tort Liability Act which limits the hospital’s maximum liability to $100,000/occurrence and $300,000/aggregate, then the hospital will be required to carry liability insurance coverage in those amounts.

  • Facility must maintain and provide evidence of full accreditation by the Joint Commission on Accreditation of Health Care (JCAHO) and/or appropriate State Licensing Board. Facilities not meeting these accreditation standards will not be considered for membership in PHO Network;
  • Facility must be currently qualified to participate in Medicare and Medicaid and any other successor federal, state, and/or insurance program enacted in connection with any national health reform initiative;
  • Facility must abide by the terms and conditions of the PHO Network Provider Agreement, as may be amended from time to time;
  • Facility must abide by the Policies and Procedures and PHO Network Participation Criteria.
*Exception: If the facility is a municipal hospital authority covered by the Texas Municipal Tort Liability Act which limits the hospital’s maximum liability to $100,000/occurrence and $300,000/aggregate, then the hospital will be required to carry liability insurance coverage in those amounts.