{"text_format":"1","workbook":"xlsx","n_sheets":9,"sheets":["Overview","User Control","Objections","Informational Network Issues","Network Development","Provider Types","Requirements","County Designations","Validation"],"not_rendered":{"charts":0,"images":0,"macros":1,"external_links":0,"defined_names":6,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"Overview","index":0,"n_rows":20,"n_cols":3,"rows_kept":20,"cut":false,"hidden":false,"merged":[[8,2,8,14],[2,2,2,14],[5,2,5,14],[6,2,6,14],[3,2,3,14],[18,2,18,14],[19,2,19,14],[15,2,15,14],[9,2,9,14],[10,2,10,14],[11,2,11,14],[13,2,13,14],[14,2,14,14],[16,2,16,14],[12,2,12,14]]}
[]
[]
[null,null,"PY2026 Provider Access Justifications"]
[null,null,"Updated 2025/03/14"]
[]
[null,null,"1. Overview and Purpose"]
[null,null,"Arkansas Insurance Department (AID) has reviewed the data you have submitted to assess compliance with CCIIO network adequacy standards. The Department has found at least one deficiency for a network/county/specialty combination. This template enables you to communicate why you cannot correct the deficiency(ies) or how you are working to correct the deficiency(ies).  "]
[]
[null,null,"2. Tab Descriptions"]
[null,null,"This template has a total of 8 tabs, but only the  tabs User Control, Objections, and Network Development (colored orange) should be used for data entry. Issuer should review and use tab Informational Network Issues for periodic monitoring over time.  All other worksheets located in this workbook are used to provide reference data and guidance on how to properly complete the template. Please review the descriptions of each worksheet below."]
[null,null,"User Control: This tab provides the Issuer with step-by-step instructions on how to successfully complete this template. Please review your issuer information, review the notes and instructions table and then begin following the step-by-step Actions."]
[null,null,"Objections: This tab lists the access deficiencies found in the issuer's network(s). Issuers must respond to each objection and take the indicated action before returning the justifications sheet. Note: Objections are only made if the computed coverage is below the required 90% and the potential for improvement based on all providers reported to AID is greater than 1%."]
[null,null,"Informational Network Issues: This tab lists areas where deficiencies in coverage are present, but where no significant improvement is possible due to lack of providers. Issuers are not required to respond, but are encouraged to engage in recruitment as possible and monitor areas for new providers."]
[null,null,"Network Development: This tab provides the Issuer an opportuinity to communicate the ongoing network improvement activities as a means to justifying deficiencies noted on the Objections sheet."]
[null,null,"Provider Types: A complete listing of all provider taxonomies, specialties, and corresponding requirment satisfaction."]
[null,null,"Requirements: Each requirement and the time and distance limit for each requirement based on the county designation."]
[null,null,"County Designations: All counties with their corresponding FIPS code and designation"]
[]
[null,null,"4. Conclusion"]
[null,null,"Please proceed to the User Control tab to begin. If you need any clarifications on the use of this template, please contact your Compliance Officer or email insurance.rhld@arkansas.gov."]

{"sheet":"User Control","index":1,"n_rows":12,"n_cols":6,"rows_kept":12,"cut":false,"hidden":false,"merged":[[13,2,13,5],[1,2,1,5],[2,2,2,5],[4,2,4,3],[11,2,11,5],[12,2,12,5]]}
[]
[null,null,"Provider Access Justifications"]
[null,null,"User Instructions & Details"]
[]
[null,null,"Issuer Information"]
[null,null,"Issuer ID:",12345]
[null,null,"Market:","On-Market"]
[null,null,"Dental Only:","No"]
[null,null,"Date:","2025-02-28",null,"Not Validated"]
[]
[]
[null,null,"Notes & Instructions"]

{"sheet":"Objections","index":2,"n_rows":28,"n_cols":14,"rows_kept":28,"cut":false,"hidden":false,"merged":[[0,0,0,13]]}
["Network Adequacy Deficiencies and Issuer Responses"]
["HIOS ID","Network ID","County FIPS","County Name","County Designation","Criteria Code","Criteria Description","Requirement Metric","Computed Coverage","Possible Coverage","Issuer's Response","Multiple Responses","Issuer Action Required","Explanation of \"Other\" Reason"]
[12345,"ARN001",5003,"Ashley","Rural","P036","Plastic Surgery","Distance",0.70099999999999996,1,null,null,{"$f":"IF(ISNA(VLOOKUP(K3,Validation!A$3:B$10,2,FALSE)),\"\",VLOOKUP(K3,Validation!A$3:B$10,2,FALSE))","v":""}]
[12345,"ARN001",5007,"Benton","Metro","P039","Primary Care – Pediatric","Distance",0.86399999999999999,0.90800000000000003,null,null,{"$f":"IF(ISNA(VLOOKUP(K4,Validation!A$3:B$10,2,FALSE)),\"\",VLOOKUP(K4,Validation!A$3:B$10,2,FALSE))","v":""}]
[12345,"ARN001",5017,"Chicot","Rural","P037","Podiatry","Distance",0.66900000000000004,0.98299999999999998,null,null,{"$f":"IF(ISNA(VLOOKUP(K5,Validation!A$3:B$10,2,FALSE)),\"\",VLOOKUP(K5,Validation!A$3:B$10,2,FALSE))","v":""}]
[12345,"ARN001",5017,"Chicot","Rural","P036","Plastic Surgery","Distance",0.56399999999999995,1,null,null,{"$f":"IF(ISNA(VLOOKUP(K6,Validation!A$3:B$10,2,FALSE)),\"\",VLOOKUP(K6,Validation!A$3:B$10,2,FALSE))","v":""}]
[12345,"ARN001",5017,"Chicot","Rural","P027","Neurosurgery","Distance",3.3000000000000002E-2,1,null,null,{"$f":"IF(ISNA(VLOOKUP(K7,Validation!A$3:B$10,2,FALSE)),\"\",VLOOKUP(K7,Validation!A$3:B$10,2,FALSE))","v":""}]
[12345,"ARN001",5017,"Chicot","Rural","P043","Speech Therapy","Distance",0.68500000000000005,1,null,null,{"$f":"IF(ISNA(VLOOKUP(K8,Validation!A$3:B$10,2,FALSE)),\"\",VLOOKUP(K8,Validation!A$3:B$10,2,FALSE))","v":""}]
[12345,"ARN001",5021,"Clay","Rural","P023","Gynecology, OB/GYN","Distance",0.57299999999999995,0.88300000000000001,null,null,{"$f":"IF(ISNA(VLOOKUP(K9,Validation!A$3:B$10,2,FALSE)),\"\",VLOOKUP(K9,Validation!A$3:B$10,2,FALSE))","v":""}]
[12345,"ARN001",5027,"Columbia","Rural","P036","Plastic Surgery","Distance",8.9999999999999993E-3,1,null,null,{"$f":"IF(ISNA(VLOOKUP(K10,Validation!A$3:B$10,2,FALSE)),\"\",VLOOKUP(K10,Validation!A$3:B$10,2,FALSE))","v":""}]
[12345,"ARN001",5035,"Crittenden","Micro","P023","Gynecology, OB/GYN","Distance",0.78100000000000003,0.89800000000000002,null,null,{"$f":"IF(ISNA(VLOOKUP(K11,Validation!A$3:B$10,2,FALSE)),\"\",VLOOKUP(K11,Validation!A$3:B$10,2,FALSE))","v":""}]
[12345,"ARN001",5041,"Desha","Rural","P027","Neurosurgery","Distance",0.313,0.94799999999999995,null,null,{"$f":"IF(ISNA(VLOOKUP(K12,Validation!A$3:B$10,2,FALSE)),\"\",VLOOKUP(K12,Validation!A$3:B$10,2,FALSE))","v":""}]
[12345,"ARN001",5073,"Lafayette","Rural","P036","Plastic Surgery","Distance",1.6E-2,1,null,null,{"$f":"IF(ISNA(VLOOKUP(K13,Validation!A$3:B$10,2,FALSE)),\"\",VLOOKUP(K13,Validation!A$3:B$10,2,FALSE))","v":""}]
[12345,"ARN001",5077,"Lee","Rural","P012","Allergy and Immunology","Distance",0.28199999999999997,0.871,null,null,{"$f":"IF(ISNA(VLOOKUP(K14,Validation!A$3:B$10,2,FALSE)),\"\",VLOOKUP(K14,Validation!A$3:B$10,2,FALSE))","v":""}]
[12345,"ARN001",5085,"Lonoke","Micro","P023","Gynecology, OB/GYN","Distance",0.31900000000000001,0.436,null,null,{"$f":"IF(ISNA(VLOOKUP(K15,Validation!A$3:B$10,2,FALSE)),\"\",VLOOKUP(K15,Validation!A$3:B$10,2,FALSE))","v":""}]
[12345,"ARN001",5091,"Miller","Micro","P036","Plastic Surgery","Distance",0,3.9E-2,null,null,{"$f":"IF(ISNA(VLOOKUP(K16,Validation!A$3:B$10,2,FALSE)),\"\",VLOOKUP(K16,Validation!A$3:B$10,2,FALSE))","v":""}]
[12345,"ARN001",5093,"Mississippi","Rural","P023","Gynecology, OB/GYN","Distance",0.86799999999999999,0.92100000000000004,null,null,{"$f":"IF(ISNA(VLOOKUP(K17,Validation!A$3:B$10,2,FALSE)),\"\",VLOOKUP(K17,Validation!A$3:B$10,2,FALSE))","v":""}]
[12345,"ARN001",5107,"Phillips","Rural","F007","Mammography","Distance",0.312,0.76400000000000001,null,null,{"$f":"IF(ISNA(VLOOKUP(K18,Validation!A$3:B$10,2,FALSE)),\"\",VLOOKUP(K18,Validation!A$3:B$10,2,FALSE))","v":""}]
[12345,"ARN001",5107,"Phillips","Rural","P012","Allergy and Immunology","Distance",0,0.42699999999999999,null,null,{"$f":"IF(ISNA(VLOOKUP(K19,Validation!A$3:B$10,2,FALSE)),\"\",VLOOKUP(K19,Validation!A$3:B$10,2,FALSE))","v":""}]
[12345,"ARN001",5107,"Phillips","Rural","P036","Plastic Surgery","Distance",0.82199999999999995,1,null,null,{"$f":"IF(ISNA(VLOOKUP(K20,Validation!A$3:B$10,2,FALSE)),\"\",VLOOKUP(K20,Validation!A$3:B$10,2,FALSE))","v":""}]
[12345,"ARN001",5111,"Poinsett","Rural","P023","Gynecology, OB/GYN","Distance",0.85699999999999998,0.90700000000000003,null,null,{"$f":"IF(ISNA(VLOOKUP(K21,Validation!A$3:B$10,2,FALSE)),\"\",VLOOKUP(K21,Validation!A$3:B$10,2,FALSE))","v":""}]
[12345,"ARN001",5119,"Pulaski","Metro","P023","Gynecology, OB/GYN","Distance",0.87,0.88600000000000001,null,null,{"$f":"IF(ISNA(VLOOKUP(K22,Validation!A$3:B$10,2,FALSE)),\"\",VLOOKUP(K22,Validation!A$3:B$10,2,FALSE))","v":""}]
[12345,"ARN001",5123,"St. Francis","Rural","F010","Surgical Services","Distance",0.77800000000000002,1,null,null,{"$f":"IF(ISNA(VLOOKUP(K23,Validation!A$3:B$10,2,FALSE)),\"\",VLOOKUP(K23,Validation!A$3:B$10,2,FALSE))","v":""}]
[12345,"ARN001",5125,"Saline","Metro","P039","Primary Care – Pediatric","Distance",0.78,0.82799999999999996,null,null,{"$f":"IF(ISNA(VLOOKUP(K24,Validation!A$3:B$10,2,FALSE)),\"\",VLOOKUP(K24,Validation!A$3:B$10,2,FALSE))","v":""}]
[12345,"ARN001",5131,"Sebastian","Metro","P039","Primary Care – Pediatric","Distance",0.79200000000000004,0.80700000000000005,null,null,{"$f":"IF(ISNA(VLOOKUP(K25,Validation!A$3:B$10,2,FALSE)),\"\",VLOOKUP(K25,Validation!A$3:B$10,2,FALSE))","v":""}]
[12345,"ARN001",5139,"Union","Rural","P036","Plastic Surgery","Distance",0.45900000000000002,1,null,null,{"$f":"IF(ISNA(VLOOKUP(K26,Validation!A$3:B$10,2,FALSE)),\"\",VLOOKUP(K26,Validation!A$3:B$10,2,FALSE))","v":""}]
[12345,"ARN001",5139,"Union","Rural","P042","Rheumatology","Distance",0.75700000000000001,1,null,null,{"$f":"IF(ISNA(VLOOKUP(K27,Validation!A$3:B$10,2,FALSE)),\"\",VLOOKUP(K27,Validation!A$3:B$10,2,FALSE))","v":""}]
[12345,"ARN001",5139,"Union","Rural","P019","Endocrinology","Distance",0.18,1,null,null,{"$f":"IF(ISNA(VLOOKUP(K28,Validation!A$3:B$10,2,FALSE)),\"\",VLOOKUP(K28,Validation!A$3:B$10,2,FALSE))","v":""}]

{"sheet":"Informational Network Issues","index":3,"n_rows":68,"n_cols":10,"rows_kept":68,"cut":false,"hidden":false,"merged":[[0,0,0,9],[1,0,1,9]]}
["Informational Network Adequacy Deficiencies* for ongoing monitoring"]
["   *(Deficiencies where data from all issuers combined indicated lack of enough provider(s)/provider location(s) for improvements)"]
["HIOS ID","Network ID","County FIPS","County Name","County Designation","Criteria Code","Criteria Description","Requirement Metric","Issuer's Coverage","Possible Coverage"]
[12345,"ARN001",5001,"Arkansas","Rural","P021","Gastroenterology","Distance",0.85599999999999998,0.85599999999999998]
[12345,"ARN001",5001,"Arkansas","Rural","P023","Gynecology, OB/GYN","Distance",0.875,0.875]
[12345,"ARN001",5001,"Arkansas","Rural","P037","Podiatry","Distance",0.84299999999999997,0.84299999999999997]
[12345,"ARN001",5003,"Ashley","Rural","P017","Dermatology","Distance",0.627,0.627]
[12345,"ARN001",5003,"Ashley","Rural","P039","Primary Care – Pediatric","Distance",0.89600000000000002,0.89600000000000002]
[12345,"ARN001",5003,"Ashley","Rural","P019","Endocrinology","Distance",0.41799999999999998,0.41799999999999998]
[12345,"ARN001",5007,"Benton","Metro","P023","Gynecology, OB/GYN","Distance",0.89900000000000002,0.89900000000000002]
[12345,"ARN001",5009,"Boone","Micro","P012","Allergy and Immunology","Distance",0.83699999999999997,0.83699999999999997]
[12345,"ARN001",5009,"Boone","Micro","P019","Endocrinology","Distance",0.49,0.49]
[12345,"ARN001",5017,"Chicot","Rural","P019","Endocrinology","Distance",0.52500000000000002,0.52500000000000002]
[12345,"ARN001",5017,"Chicot","Rural","P017","Dermatology","Distance",0,0]
[12345,"ARN001",5017,"Chicot","Rural","P039","Primary Care – Pediatric","Distance",0.89,0.89]
[12345,"ARN001",5023,"Cleburne","Rural","P023","Gynecology, OB/GYN","Distance",0.80300000000000005,0.80300000000000005]
[12345,"ARN001",5031,"Craighead","Metro","P023","Gynecology, OB/GYN","Distance",0.86099999999999999,0.86099999999999999]
[12345,"ARN001",5033,"Crawford","Metro","P039","Primary Care – Pediatric","Distance",0.39700000000000002,0.39900000000000002]
[12345,"ARN001",5033,"Crawford","Metro","P023","Gynecology, OB/GYN","Distance",0.55900000000000005,0.55900000000000005]
[12345,"ARN001",5033,"Crawford","Metro","P013","Cardiology","Distance",0.66200000000000003,0.66200000000000003]
[12345,"ARN001",5041,"Desha","Rural","P017","Dermatology","Distance",0.504,0.504]
[12345,"ARN001",5041,"Desha","Rural","P039","Primary Care – Pediatric","Distance",0.42599999999999999,0.435]
[12345,"ARN001",5045,"Faulkner","Metro","P039","Primary Care – Pediatric","Distance",0.82099999999999995,0.82499999999999996]
[12345,"ARN001",5045,"Faulkner","Metro","P023","Gynecology, OB/GYN","Distance",0.71799999999999997,0.71799999999999997]
[12345,"ARN001",5049,"Fulton","Rural","P023","Gynecology, OB/GYN","Distance",0.33300000000000002,0.33300000000000002]
[12345,"ARN001",5051,"Garland","Metro","P023","Gynecology, OB/GYN","Distance",0.84199999999999997,0.84399999999999997]
[12345,"ARN001",5051,"Garland","Metro","P045","Vascular Surgery","Distance",0.63700000000000001,0.63700000000000001]
[12345,"ARN001",5051,"Garland","Metro","P024","Infectious Diseases","Distance",0.78300000000000003,0.78300000000000003]
[12345,"ARN001",5057,"Hempstead","Rural","P023","Gynecology, OB/GYN","Distance",0.88700000000000001,0.88700000000000001]
[12345,"ARN001",5061,"Howard","Rural","P023","Gynecology, OB/GYN","Distance",0.182,0.182]
[12345,"ARN001",5061,"Howard","Rural","P039","Primary Care – Pediatric","Distance",0.86399999999999999,0.86399999999999999]
[12345,"ARN001",5065,"Izard","Rural","P023","Gynecology, OB/GYN","Distance",0.30199999999999999,0.30199999999999999]
[12345,"ARN001",5073,"Lafayette","Rural","P023","Gynecology, OB/GYN","Distance",0.79400000000000004,0.79400000000000004]
[12345,"ARN001",5073,"Lafayette","Rural","P039","Primary Care – Pediatric","Distance",0.86499999999999999,0.86499999999999999]
[12345,"ARN001",5077,"Lee","Rural","P037","Podiatry","Distance",0.66900000000000004,0.66900000000000004]
[12345,"ARN001",5081,"Little River","Rural","P036","Plastic Surgery","Distance",0,0]
[12345,"ARN001",5083,"Logan","Rural","P023","Gynecology, OB/GYN","Distance",0.88300000000000001,0.88300000000000001]
[12345,"ARN001",5089,"Marion","Rural","P039","Primary Care – Pediatric","Distance",0.84299999999999997,0.84299999999999997]
[12345,"ARN001",5091,"Miller","Micro","P023","Gynecology, OB/GYN","Distance",0.871,0.871]
[12345,"ARN001",5095,"Monroe","Rural","P021","Gastroenterology","Distance",0.873,0.873]
[12345,"ARN001",5095,"Monroe","Rural","P023","Gynecology, OB/GYN","Distance",0.76900000000000002,0.76900000000000002]
[12345,"ARN001",5095,"Monroe","Rural","P037","Podiatry","Distance",0.88800000000000001,0.88800000000000001]
[12345,"ARN001",5105,"Perry","Rural","P023","Gynecology, OB/GYN","Distance",0.77300000000000002,0.77300000000000002]
[12345,"ARN001",5107,"Phillips","Rural","F008","Outpatient Infusion/Chemotherapy","Distance",0.312,0.318]
[12345,"ARN001",5107,"Phillips","Rural","F010","Surgical Services","Distance",0.312,0.312]
[12345,"ARN001",5107,"Phillips","Rural","P021","Gastroenterology","Distance",0.72599999999999998,0.72599999999999998]
[12345,"ARN001",5107,"Phillips","Rural","P024","Infectious Diseases","Distance",0.84099999999999997,0.84099999999999997]
[12345,"ARN001",5107,"Phillips","Rural","P037","Podiatry","Distance",0,0]
[12345,"ARN001",5107,"Phillips","Rural","P042","Rheumatology","Distance",0.83399999999999996,0.83399999999999996]
[12345,"ARN001",5109,"Pike","Rural","P023","Gynecology, OB/GYN","Distance",0.53400000000000003,0.54200000000000004]
[12345,"ARN001",5113,"Polk","Rural","P021","Gastroenterology","Distance",0,0]
[12345,"ARN001",5113,"Polk","Rural","P012","Allergy and Immunology","Distance",0.17899999999999999,0.17899999999999999]
[12345,"ARN001",5113,"Polk","Rural","P025","Nephrology","Distance",0.38400000000000001,0.38400000000000001]
[12345,"ARN001",5113,"Polk","Rural","P034","Physical Medicine and Rehabilitation","Distance",0.54500000000000004,0.54500000000000004]
[12345,"ARN001",5117,"Prairie","Rural","P023","Gynecology, OB/GYN","Distance",0.76600000000000001,0.76600000000000001]
[12345,"ARN001",5125,"Saline","Metro","P023","Gynecology, OB/GYN","Distance",0.69,0.69]
[12345,"ARN001",5127,"Scott","Rural","P039","Primary Care – Pediatric","Distance",0.628,0.628]
[12345,"ARN001",5129,"Searcy","Rural","P039","Primary Care – Pediatric","Distance",0.59299999999999997,0.59299999999999997]
[12345,"ARN001",5131,"Sebastian","Metro","P032","Orthopedic Surgery","Distance",0.89500000000000002,0.89500000000000002]
[12345,"ARN001",5131,"Sebastian","Metro","P023","Gynecology, OB/GYN","Distance",0.73899999999999999,0.73899999999999999]
[12345,"ARN001",5133,"Sevier","Rural","P036","Plastic Surgery","Distance",0.53800000000000003,0.53800000000000003]
[12345,"ARN001",5135,"Sharp","Rural","P023","Gynecology, OB/GYN","Distance",0.33900000000000002,0.33900000000000002]
[12345,"ARN001",5137,"Stone","Rural","P023","Gynecology, OB/GYN","Distance",0.32900000000000001,0.32900000000000001]
[12345,"ARN001",5143,"Washington","Metro","P039","Primary Care – Pediatric","Distance",0.82199999999999995,0.82199999999999995]
[12345,"ARN001",5143,"Washington","Metro","P023","Gynecology, OB/GYN","Distance",0.80100000000000005,0.80100000000000005]
[12345,"ARN001",5145,"White","Micro","P023","Gynecology, OB/GYN","Distance",0.86499999999999999,0.86499999999999999]
[12345,"ARN001",5147,"Woodruff","Rural","P023","Gynecology, OB/GYN","Distance",0.66900000000000004,0.66900000000000004]
[12345,"ARN001",5149,"Yell","Rural","P023","Gynecology, OB/GYN","Distance",0.79700000000000004,0.79700000000000004]

{"sheet":"Network Development","index":4,"n_rows":150,"n_cols":12,"rows_kept":150,"cut":false,"hidden":false,"merged":[[0,0,0,6],[7,0,7,11],[1,0,1,5],[2,0,2,5],[3,0,3,5],[4,0,4,5],[5,0,5,5]]}
["Monitoring and Mitigating Measures for Provider Network Gaps"]
["What sources do you use to monitor for new providers entering your service area? (enter all that apply)"]
["How often do you monitor your sources for new providers entering your service area?"]
["When you do not meet the network adequacy standards for a network/county/specialty combination, do you hold enrollees responsible for only in-network cost sharing for out-of-network care received?"]
["What is the number of enrollee complaints received regarding network adequacy during the prior Plan Year?"]
["What was the total enrollee PMPM covered through same network(s) during the prior Plan Year?"]
[]
["Recruitment Activity"]
["County FIPS","County Name","Criteria Met by Provider","NPI","Provider/Facility Name ","Street Address","City","State","ZIP","Provider's Point of Contact Phone Number","Status of Recruitment Efforts","Comments"]
[{"$f":"_xlfn.XLOOKUP(B10,'County Designations'!B$2:B$76,'County Designations'!A$2:A$76,\"\")","v":""}]
[{"$f":"_xlfn.XLOOKUP(B11,'County Designations'!B$2:B$76,'County Designations'!A$2:A$76,\"\")","v":""}]
[{"$f":"_xlfn.XLOOKUP(B12,'County Designations'!B$2:B$76,'County Designations'!A$2:A$76,\"\")","v":""}]
[{"$f":"_xlfn.XLOOKUP(B13,'County Designations'!B$2:B$76,'County Designations'!A$2:A$76,\"\")","v":""}]
[{"$f":"_xlfn.XLOOKUP(B14,'County Designations'!B$2:B$76,'County Designations'!A$2:A$76,\"\")","v":""}]
[{"$f":"_xlfn.XLOOKUP(B15,'County Designations'!B$2:B$76,'County Designations'!A$2:A$76,\"\")","v":""}]
[{"$f":"_xlfn.XLOOKUP(B16,'County Designations'!B$2:B$76,'County Designations'!A$2:A$76,\"\")","v":""}]
[{"$f":"_xlfn.XLOOKUP(B17,'County Designations'!B$2:B$76,'County Designations'!A$2:A$76,\"\")","v":""}]
[{"$f":"_xlfn.XLOOKUP(B18,'County Designations'!B$2:B$76,'County Designations'!A$2:A$76,\"\")","v":""}]
[{"$f":"_xlfn.XLOOKUP(B19,'County Designations'!B$2:B$76,'County Designations'!A$2:A$76,\"\")","v":""}]
[{"$f":"_xlfn.XLOOKUP(B20,'County Designations'!B$2:B$76,'County Designations'!A$2:A$76,\"\")","v":""}]
[{"$f":"_xlfn.XLOOKUP(B21,'County Designations'!B$2:B$76,'County Designations'!A$2:A$76,\"\")","v":""}]
[{"$f":"_xlfn.XLOOKUP(B22,'County Designations'!B$2:B$76,'County Designations'!A$2:A$76,\"\")","v":""}]
[{"$f":"_xlfn.XLOOKUP(B23,'County Designations'!B$2:B$76,'County Designations'!A$2:A$76,\"\")","v":""}]
[{"$f":"_xlfn.XLOOKUP(B24,'County Designations'!B$2:B$76,'County Designations'!A$2:A$76,\"\")","v":""}]
[{"$f":"_xlfn.XLOOKUP(B25,'County Designations'!B$2:B$76,'County Designations'!A$2:A$76,\"\")","v":""}]
[{"$f":"_xlfn.XLOOKUP(B26,'County Designations'!B$2:B$76,'County Designations'!A$2:A$76,\"\")","v":""}]
[{"$f":"_xlfn.XLOOKUP(B27,'County Designations'!B$2:B$76,'County Designations'!A$2:A$76,\"\")","v":""}]
[{"$f":"_xlfn.XLOOKUP(B28,'County Designations'!B$2:B$76,'County Designations'!A$2:A$76,\"\")","v":""}]
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["Important Notes Regarding Taxonomy Codes"]
["CCIIO Notes on Provider Types\nWhen discussing provider types in the following section for network adequacy, the term “behavioral health” is to encompass mental health and substance use disorders.\n•  Under the limited circumstances described below, advanced practice registered nurses (APRNs) and physician assistants (PAs) can be included in the primary care providers adult and pediatric categories.\n•  Under the limited circumstances described below, APRNs who specialize in behavioral health services can be included in the outpatient clinical behavioral health provider category.\n• The purpose of including APRNs and PAs is to inform AID of the rare instances in which an issuer contracts with non-MD/DO primary care and behavioral health services providers in underserved counties to serve as the major source of these types of care for enrollees. In these instances, organizations may include submissions under primary care and outpatient clinical behavioral health specialty codes if the contracted APRN or PA satisfies the following conditions:\n          (1) currently licensed in the state; \n          (2) meets the state’s requirements governing the qualifications of that provider type; \n          (3) fully credentialed by the organization as a provider of primary care or behavioral health services; \n          (4) functions in accordance with state law as the primary source for the enrollee’s primary care or behavioral health services (i.e., not to supplement a physician’s care); and \n          (5) practices in or renders services to enrollees residing in a Health Professional Shortage Area.\n• Acute Inpatient Hospitals are defined as hospitals that provide all-day, year-round emergency services. "]
["Criteria Code","Type","Criteria Description","Specialty","Specialty Description","Taxonomy","Taxonomy Description"]
["F001 ","Facility","Acute Inpatient Hospitals",40,"General Acute Care Hospital","N/A       ","N/A"]
["F002 ","Facility","Cardiac Catheterization Services",42,"Cardiac Catheterization Services","N/A       ","N/A"]
["F003 ","Facility","Cardiac Surgery Program",41,"Cardiac Surgery Program","N/A       ","N/A"]
["F004 ","Facility","Critical Care Services",43,"Critical Care Services - Intensive Care Units (ICU)","N/A       ","N/A"]
["F005 ","Facility","Diagnostic Radiology",47,"Diagnostic Radiology ","261QM1200X","Magnetic Resonance Imaging (MRI) Clinic/Center"]
["F005 ","Facility","Diagnostic Radiology",47,"Diagnostic Radiology ","261QR0200X","Radiology Clinic/Center"]
["F006 ","Facility","Inpatient or Residential Behavioral Health Facility Services",52,"Inpatient Psychiatry","273R00000X","Psychiatric Hospital Unit"]
["F006 ","Facility","Inpatient or Residential Behavioral Health Facility Services",52,"Inpatient Psychiatry","283Q00000X","Psychiatric Hospital"]
["F006 ","Facility","Inpatient or Residential Behavioral Health Facility Services",72,"Substance Abuse Rehabilitation Facility","276400000X","Substance Use Disorder Rehabilitation Hospital Unit"]
["F006 ","Facility","Inpatient or Residential Behavioral Health Facility Services",72,"Substance Abuse Rehabilitation Facility","324500000X","Substance Abuse Rehabilitation Facility"]
["F006 ","Facility","Inpatient or Residential Behavioral Health Facility Services",76,"Mental Health Residential Treatment Facility","320800000X","Mental Illness Community Based Residential Treatment Facility"]
["F006 ","Facility","Inpatient or Residential Behavioral Health Facility Services","P072","Pediatric Substance Abuse Facility","3245S0500X","Children's Substance Abuse Rehabilitation Facility"]
["F006 ","Facility","Inpatient or Residential Behavioral Health Facility Services","P076","Children's Residential Treatment Facility","322D00000X","Emotionally Disturbed Childrens' Residential Treatment Facility"]
["F006 ","Facility","Inpatient or Residential Behavioral Health Facility Services","P076","Children's Residential Treatment Facility","323P00000X","Psychiatric Residential Treatment Facility"]
["F007 ","Facility","Mammography",48,"Mammography","261QR0206X","Mammography Clinic/Center"]
["F008 ","Facility","Outpatient Infusion/Chemotherapy",57,"Outpatient Infusion Therapy/Oncology/Radiology","261QI0500X","Infusion Therapy Clinic/Center"]
["F008 ","Facility","Outpatient Infusion/Chemotherapy",57,"Outpatient Infusion Therapy/Oncology/Radiology","261QX0200X","Oncology Clinic/Center"]
["F008 ","Facility","Outpatient Infusion/Chemotherapy",57,"Outpatient Infusion Therapy/Oncology/Radiology","261QX0203X","Radiation Oncology Clinic/Center"]
["F009 ","Facility","Skilled Nursing Facilities",46,"Skilled Nursing Facilities","314000000X","Skilled Nursing Facility"]
["F009 ","Facility","Skilled Nursing Facilities",46,"Skilled Nursing Facilities","3140N1450X","Pediatric Skilled Nursing Facility"]
["F010 ","Facility","Surgical Services",45,"Surgical Services (Ambulatory Surgical Centers and Outpatient Hospital)","261QA1903X","Ambulatory Surgical Clinic/Center"]
["F010 ","Facility","Surgical Services",45,"Surgical Services (Ambulatory Surgical Centers and Outpatient Hospital)","261QS0132X","Ophthalmologic Surgery Clinic/Center"]
["F011 ","Facility","Urgent Care",80,"Urgent Care","261QU0200X","Urgent Care Clinic/Center"]
["P012 ","Individual","Allergy and Immunology",7,"Allergy and Immunology","207K00000X","Allergy & Immunology Physician"]
["P012 ","Individual","Allergy and Immunology",7,"Allergy and Immunology","207KA0200X","Allergy Physician"]
["P012 ","Individual","Allergy and Immunology",7,"Allergy and Immunology","207KI0005X","Clinical & Laboratory Immunology (Allergy & Immunology) Physician"]
["P012 ","Individual","Allergy and Immunology",7,"Allergy and Immunology","207RA0201X","Allergy & Immunology (Internal Medicine) Physician"]
["P012 ","Individual","Allergy and Immunology",7,"Allergy and Immunology","207RI0001X","Clinical & Laboratory Immunology (Internal Medicine) Physician"]
["P012 ","Individual","Allergy and Immunology",7,"Allergy and Immunology","2080P0201X","Pediatric Allergy/Immunology Physician"]
["P013 ","Individual","Cardiology",8,"Cardiovascular Disease","207RA0001X","Advanced Heart Failure and Transplant Cardiology Physician"]
["P013 ","Individual","Cardiology",8,"Cardiovascular Disease","207RA0002X","Adult Congenital Heart Disease Physician"]
["P013 ","Individual","Cardiology",8,"Cardiovascular Disease","207RC0000X","Cardiovascular Disease Physician"]
["P013 ","Individual","Cardiology",8,"Cardiovascular Disease","207RI0011X","Interventional Cardiology Physician"]
["P013 ","Individual","Cardiology",8,"Cardiovascular Disease","2080P0202X","Pediatric Cardiology Physician"]
["P014 ","Individual","Cardiothoracic Surgery",35,"Cardiothoracic Surgery","208G00000X","Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician"]
["P015 ","Individual","Chiropractor",10,"Chiropracty","111N00000X","Chiropractor"]
["P015 ","Individual","Chiropractor",10,"Chiropracty","111NI0900X","Internist Chiropractor"]
["P015 ","Individual","Chiropractor",10,"Chiropracty","111NN0400X","Neurology Chiropractor"]
["P015 ","Individual","Chiropractor",10,"Chiropracty","111NN1001X","Nutrition Chiropractor"]
["P015 ","Individual","Chiropractor",10,"Chiropracty","111NP0017X","Pediatric Chiropractor"]
["P015 ","Individual","Chiropractor",10,"Chiropracty","111NR0200X","Radiology Chiropractor"]
["P015 ","Individual","Chiropractor",10,"Chiropracty","111NR0400X","Rehabilitation Chiropractor"]
["P015 ","Individual","Chiropractor",10,"Chiropracty","111NS0005X","Sports Physician Chiropractor"]
["P015 ","Individual","Chiropractor",10,"Chiropracty","111NT0100X","Thermography Chiropractor"]
["P015 ","Individual","Chiropractor",10,"Chiropracty","111NX0100X","Occupational Health Chiropractor"]
["P015 ","Individual","Chiropractor",10,"Chiropracty","111NX0800X","Orthopedic Chiropractor"]
["P016 ","Individual","Dental",201,"Dental - General","122300000X","Dentist"]
["P016 ","Individual","Dental",201,"Dental - General","1223G0001X","General Practice Dentistry"]
["P016 ","Individual","Dental",202,"Dental - Orthodontist","1223X0400X","Orthodontics and Dentofacial Orthopedic Dentist"]
["P016 ","Individual","Dental",203,"Dental - Periodontist","1223P0300X","Periodontist"]
["P016 ","Individual","Dental",204,"Dental - Endodontist","1223E0200X","Endodontist"]
["P016 ","Individual","Dental",206,"Dental - Prosthodontist","1223P0700X","Prosthodontist"]
["P016 ","Individual","Dental","P201","Pediatric Dental","1223P0221X","Pediatric Dentist"]
["P017 ","Individual","Dermatology",11,"Dermatology","207N00000X","Dermatology Physician"]
["P017 ","Individual","Dermatology",11,"Dermatology","207ND0101X","MOHS-Micrographic Surgery Physician"]
["P017 ","Individual","Dermatology",11,"Dermatology","207ND0900X","Dermatopathology Physician"]
["P017 ","Individual","Dermatology",11,"Dermatology","207NI0002X","Clinical & Laboratory Dermatological Immunology Physician"]
["P017 ","Individual","Dermatology",11,"Dermatology","207NP0225X","Pediatric Dermatology Physician"]
["P017 ","Individual","Dermatology",11,"Dermatology","207NS0135X","Procedural Dermatology Physician"]
["P018 ","Individual","Emergency Medicine",37,"Emergency Medicine","207P00000X","Emergency Medicine Physician"]
["P018 ","Individual","Emergency Medicine",37,"Emergency Medicine","207PE0005X","Undersea and Hyperbaric Medicine (Emergency Medicine) Physician"]
["P018 ","Individual","Emergency Medicine",37,"Emergency Medicine","207PH0002X","Hospice and Palliative Medicine (Emergency Medicine) Physician"]
["P018 ","Individual","Emergency Medicine",37,"Emergency Medicine","207PP0204X","Pediatric Emergency Medicine (Emergency Medicine) Physician"]
["P018 ","Individual","Emergency Medicine",37,"Emergency Medicine","207PS0010X","Sports Medicine (Emergency Medicine) Physician"]
["P018 ","Individual","Emergency Medicine",37,"Emergency Medicine","207PT0002X","Medical Toxicology (Emergency Medicine) Physician"]
["P018 ","Individual","Emergency Medicine",37,"Emergency Medicine","2080P0204X","Pediatric Emergency Medicine (Pediatrics) Physician"]
["P019 ","Individual","Endocrinology",12,"Endocrinology","207RE0101X","Endocrinology, Diabetes & Metabolism Physician"]
["P019 ","Individual","Endocrinology",12,"Endocrinology","2080P0205X","Pediatric Endocrinology Physician"]
["P020 ","Individual","ENT/Otolaryngology",13,"ENT/Otolaryngology","207Y00000X","Otolaryngology Physician"]
["P020 ","Individual","ENT/Otolaryngology",13,"ENT/Otolaryngology","207YP0228X","Pediatric Otolaryngology Physician"]
["P020 ","Individual","ENT/Otolaryngology",13,"ENT/Otolaryngology","207YS0012X","Sleep Medicine (Otolaryngology) Physician"]
["P020 ","Individual","ENT/Otolaryngology",13,"ENT/Otolaryngology","207YS0123X","Facial Plastic Surgery Physician"]
["P020 ","Individual","ENT/Otolaryngology",13,"ENT/Otolaryngology","207YX0007X","Plastic Surgery within the Head & Neck (Otolaryngology) Physician"]
["P020 ","Individual","ENT/Otolaryngology",13,"ENT/Otolaryngology","207YX0602X","Otolaryngic Allergy Physician"]
["P020 ","Individual","ENT/Otolaryngology",13,"ENT/Otolaryngology","207YX0901X","Otology & Neurotology Physician"]
["P020 ","Individual","ENT/Otolaryngology",13,"ENT/Otolaryngology","207YX0905X","Otolaryngology/Facial Plastic Surgery Physician"]
["P021 ","Individual","Gastroenterology",14,"Gastroenterology","207RG0100X","Gastroenterology Physician"]
["P021 ","Individual","Gastroenterology",14,"Gastroenterology","2080P0206X","Pediatric Gastroenterology Physician"]
["P022 ","Individual","General Surgery",15,"General Surgery","204F00000X","Transplant Surgery Physician"]
["P022 ","Individual","General Surgery",15,"General Surgery","208600000X","Surgery Physician"]
["P022 ","Individual","General Surgery",15,"General Surgery","2086H0002X","Hospice and Palliative Medicine (Surgery) Physician"]
["P022 ","Individual","General Surgery",15,"General Surgery","2086S0102X","Surgical Critical Care Physician"]
["P022 ","Individual","General Surgery",15,"General Surgery","2086S0120X","Pediatric Surgery Physician"]
["P022 ","Individual","General Surgery",15,"General Surgery","2086S0127X","Trauma Surgery Physician"]
["P022 ","Individual","General Surgery",15,"General Surgery","208C00000X","Colon & Rectal Surgery Physician"]
["P023 ","Individual","Gynecology, OB/GYN",16,"Gynecology (OB/GYN)","207V00000X","Obstetrics & Gynecology Physician"]
["P023 ","Individual","Gynecology, OB/GYN",16,"Gynecology (OB/GYN)","207VB0002X","Obesity Medicine (Obstetrics & Gynecology) Physician"]
["P023 ","Individual","Gynecology, OB/GYN",16,"Gynecology (OB/GYN)","207VC0200X","Critical Care Medicine (Obstetrics & Gynecology) Physician"]
["P023 ","Individual","Gynecology, OB/GYN",16,"Gynecology (OB/GYN)","207VE0102X","Reproductive Endocrinology Physician"]
["P023 ","Individual","Gynecology, OB/GYN",16,"Gynecology (OB/GYN)","207VF0040X","Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician"]
["P023 ","Individual","Gynecology, OB/GYN",16,"Gynecology (OB/GYN)","207VG0400X","Gynecology Physician"]
["P023 ","Individual","Gynecology, OB/GYN",16,"Gynecology (OB/GYN)","207VH0002X","Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician"]
["P023 ","Individual","Gynecology, OB/GYN",16,"Gynecology (OB/GYN)","207VM0101X","Maternal & Fetal Medicine Physician"]
["P023 ","Individual","Gynecology, OB/GYN",16,"Gynecology (OB/GYN)","207VX0000X","Obstetrics Physician"]
["P023 ","Individual","Gynecology, OB/GYN",16,"Gynecology (OB/GYN)","207VX0201X","Gynecologic Oncology Physician"]
["P024 ","Individual","Infectious Diseases",17,"Infectious Diseases","207RI0200X","Infectious Disease Physician"]
["P024 ","Individual","Infectious Diseases",17,"Infectious Diseases","2080P0208X","Pediatric Infectious Diseases Physician"]
["P025 ","Individual","Nephrology",18,"Nephrology","207RN0300X","Nephrology Physician"]
["P025 ","Individual","Nephrology",18,"Nephrology","2080P0210X","Pediatric Nephrology Physician"]
["P026 ","Individual","Neurology",19,"Neurology","2084A2900X","Neurocritical Care Physician"]
["P026 ","Individual","Neurology",19,"Neurology","2084B0040X","Behavioral Neurology & Neuropsychiatry Physician"]
["P026 ","Individual","Neurology",19,"Neurology","2084N0008X","Neuromuscular Medicine (Psychiatry & Neurology) Physician"]
["P026 ","Individual","Neurology",19,"Neurology","2084N0400X","Neurology Physician"]
["P026 ","Individual","Neurology",19,"Neurology","2084N0402X","Neurology with Special Qualifications in Child Neurology Physician"]
["P026 ","Individual","Neurology",19,"Neurology","2084P0005X","Neurodevelopmental Disabilities Physician"]
["P026 ","Individual","Neurology",19,"Neurology","2084P0301X","Brain Injury Medicine (Psychiatry & Neurology) Physician"]
["P026 ","Individual","Neurology",19,"Neurology","2084V0102X","Vascular Neurology Physician"]
["P027 ","Individual","Neurosurgery",20,"Neurosurgery","207T00000X","Neurological Surgery Physician"]
["P028 ","Individual","Occupational Therapy",50,"Occupational Therapist","225X00000X","Occupational Therapist"]
["P028 ","Individual","Occupational Therapy",50,"Occupational Therapist","225XE0001X","Environmental Modification Occupational Therapist"]
["P028 ","Individual","Occupational Therapy",50,"Occupational Therapist","225XE1200X","Ergonomics Occupational Therapist"]
["P028 ","Individual","Occupational Therapy",50,"Occupational Therapist","225XF0002X","Feeding, Eating & Swallowing Occupational Therapist"]
["P028 ","Individual","Occupational Therapy",50,"Occupational Therapist","225XG0600X","Gerontology Occupational Therapist"]
["P028 ","Individual","Occupational Therapy",50,"Occupational Therapist","225XH1200X","Hand Occupational Therapist"]
["P028 ","Individual","Occupational Therapy",50,"Occupational Therapist","225XH1300X","Human Factors Occupational Therapist"]
["P028 ","Individual","Occupational Therapy",50,"Occupational Therapist","225XL0004X","Low Vision Occupational Therapist"]
["P028 ","Individual","Occupational Therapy",50,"Occupational Therapist","225XM0800X","Mental Health Occupational Therapist"]
["P028 ","Individual","Occupational Therapy",50,"Occupational Therapist","225XN1300X","Neurorehabilitation Occupational Therapist"]
["P028 ","Individual","Occupational Therapy",50,"Occupational Therapist","225XP0019X","Physical Rehabilitation Occupational Therapist"]
["P028 ","Individual","Occupational Therapy",50,"Occupational Therapist","225XP0200X","Pediatric Occupational Therapist"]
["P028 ","Individual","Occupational Therapy",50,"Occupational Therapist","225XR0403X","Driving and Community Mobility Occupational Therapist"]
["P029 ","Individual","Oncology - Medical, Surgical",21,"Oncology - Medical & Surgical","207RH0003X","Hematology & Oncology Physician"]
["P029 ","Individual","Oncology - Medical, Surgical",21,"Oncology - Medical & Surgical","207RX0202X","Medical Oncology Physician"]
["P029 ","Individual","Oncology - Medical, Surgical",21,"Oncology - Medical & Surgical","207VX0201X","Gynecologic Oncology Physician"]
["P029 ","Individual","Oncology - Medical, Surgical",21,"Oncology - Medical & Surgical","2080P0207X","Pediatric Hematology & Oncology Physician"]
["P029 ","Individual","Oncology - Medical, Surgical",21,"Oncology - Medical & Surgical","2086X0206X","Surgical Oncology Physician"]
["P030 ","Individual","Oncology - Radiation",22,"Oncology - Radiation","2085R0001X","Radiation Oncology Physician"]
["P031 ","Individual","Ophthalmology",23,"Ophthalmology","207W00000X","Ophthalmology Physician"]
["P031 ","Individual","Ophthalmology",23,"Ophthalmology","207WX0009X","Glaucoma Specialist (Ophthalmology) Physician"]
["P031 ","Individual","Ophthalmology",23,"Ophthalmology","207WX0107X","Retina Specialist (Ophthalmology) Physician"]
["P031 ","Individual","Ophthalmology",23,"Ophthalmology","207WX0108X","Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician"]
["P031 ","Individual","Ophthalmology",23,"Ophthalmology","207WX0109X","Neuro-ophthalmology Physician"]
["P031 ","Individual","Ophthalmology",23,"Ophthalmology","207WX0110X","Pediatric Ophthalmology and Strabismus Specialist Physician Physician"]
["P031 ","Individual","Ophthalmology",23,"Ophthalmology","207WX0120X","Cornea and External Diseases Specialist Physician"]
["P031 ","Individual","Ophthalmology",23,"Ophthalmology","207WX0200X","Ophthalmic Plastic and Reconstructive Surgery Physician"]
["P032 ","Individual","Orthopedic Surgery",25,"Orthopedic Surgery","207X00000X","Orthopaedic Surgery Physician"]
["P032 ","Individual","Orthopedic Surgery",25,"Orthopedic Surgery","207XP3100X","Pediatric Orthopaedic Surgery Physician"]
["P032 ","Individual","Orthopedic Surgery",25,"Orthopedic Surgery","207XS0106X","Orthopaedic Hand Surgery Physician"]
["P032 ","Individual","Orthopedic Surgery",25,"Orthopedic Surgery","207XS0114X","Adult Reconstructive Orthopaedic Surgery Physician"]
["P032 ","Individual","Orthopedic Surgery",25,"Orthopedic Surgery","207XS0117X","Orthopaedic Surgery of the Spine Physician"]
["P032 ","Individual","Orthopedic Surgery",25,"Orthopedic Surgery","207XX0004X","Orthopaedic Foot and Ankle Surgery Physician"]
["P032 ","Individual","Orthopedic Surgery",25,"Orthopedic Surgery","207XX0005X","Sports Medicine (Orthopaedic Surgery) Physician"]
["P032 ","Individual","Orthopedic Surgery",25,"Orthopedic Surgery","207XX0801X","Orthopaedic Trauma Physician"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",102,"Licensed Clinical Social Workers","104100000X","Social Worker"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",102,"Licensed Clinical Social Workers","1041C0700X","Clinical Social Worker"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",102,"Licensed Clinical Social Workers","1041S0200X","School Social Worker"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",103,"Psychology","103T00000X","Psychologist"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",103,"Psychology","103TA0400X","Addiction (Substance Use Disorder) Psychologist "]
["P033 ","Individual","Outpatient Clinical Behavioral Health",103,"Psychology","103TA0700X","Adult Development & Aging Psychologist"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",103,"Psychology","103TB0200X","Cognitive & Behavioral Psychologist"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",103,"Psychology","103TC0700X","Clinical Psychologist"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",103,"Psychology","103TC1900X","Counseling Psychologist"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",103,"Psychology","103TC2200X","Clinical Child & Adolescent Psychologist"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",103,"Psychology","103TE1100X","Exercise & Sports Psychologist"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",103,"Psychology","103TF0000X","Family Psychologist"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",103,"Psychology","103TF0200X","Forensic Psychologist"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",103,"Psychology","103TH0004X","Health Psychologist"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",103,"Psychology","103TH0100X","Health Service Psychologist"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",103,"Psychology","103TM1800X","Intellectual & Developmental Disabilities Psychologist"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",103,"Psychology","103TP0016X","Prescribing (Medical) Psychologist"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",103,"Psychology","103TP0814X","Psychoanalysis Psychologist"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",103,"Psychology","103TP2701X","Group Psychotherapy Psychologist"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",103,"Psychology","103TR0400X","Rehabilitation Psychologist"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",103,"Psychology","103TS0200X","School Psychologist"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",105,"Marriage and Family Therapist","106H00000X","Marriage & Family Therapist"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",106,"Addiction Counselor","101YA0400X","Addiction (Substance Use Disorder) Counselor"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",107,"Counselor (Mental Health)","101Y00000X","Counselor"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",107,"Counselor (Mental Health)","101YM0800X","Mental Health Counselor"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",107,"Counselor (Mental Health)","101YP2500X","Professional Counselor"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",108,"Behavioral Health APRN","363LP0808X","Psychiatric/Mental Health Nurse Practitioner"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",108,"Behavioral Health APRN","364SP0808X","Psychiatric/Mental Health Clinical Nurse Specialist"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",800,"Addiction Medicine Physician","207LA0401X","Addiction Medicine (Anesthesiology) Physician"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",800,"Addiction Medicine Physician","207QA0401X","Addiction Medicine (Family Medicine) Physician"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",800,"Addiction Medicine Physician","207RA0401X","Addiction Medicine (Internal Medicine) Physician"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",800,"Addiction Medicine Physician","2083A0300X","Addiction Medicine (Preventive Medicine) Physician"]
["P033 ","Individual","Outpatient Clinical Behavioral Health",801,"Behavioral Analyst","103K00000X","Behavior Analyst"]
["P034 ","Individual","Physical Medicine and Rehabilitation",26,"Physical Medicine & Rehabilitation","208100000X","Physical Medicine & Rehabilitation Physician"]
["P034 ","Individual","Physical Medicine and Rehabilitation",26,"Physical Medicine & Rehabilitation","2081H0002X","Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician"]
["P034 ","Individual","Physical Medicine and Rehabilitation",26,"Physical Medicine & Rehabilitation","2081N0008X","Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician"]
["P034 ","Individual","Physical Medicine and Rehabilitation",26,"Physical Medicine & Rehabilitation","2081P0004X","Spinal Cord Injury Medicine Physician"]
["P034 ","Individual","Physical Medicine and Rehabilitation",26,"Physical Medicine & Rehabilitation","2081P0010X","Pediatric Rehabilitation Medicine Physician"]
["P034 ","Individual","Physical Medicine and Rehabilitation",26,"Physical Medicine & Rehabilitation","2081P0301X","Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician"]
["P034 ","Individual","Physical Medicine and Rehabilitation",26,"Physical Medicine & Rehabilitation","2081P2900X","Pain Medicine (Physical Medicine & Rehabilitation) Physician"]
["P034 ","Individual","Physical Medicine and Rehabilitation",26,"Physical Medicine & Rehabilitation","2081S0010X","Sports Medicine (Physical Medicine & Rehabilitation) Physician"]
["P035 ","Individual","Physical Therapy",49,"Physical Therapy ","225100000X","Physical Therapist"]
["P035 ","Individual","Physical Therapy",49,"Physical Therapy ","2251C2600X","Cardiopulmonary Physical Therapist"]
["P035 ","Individual","Physical Therapy",49,"Physical Therapy ","2251E1200X","Ergonomics Physical Therapist"]
["P035 ","Individual","Physical Therapy",49,"Physical Therapy ","2251E1300X","Clinical Electrophysiology Physical Therapist"]
["P035 ","Individual","Physical Therapy",49,"Physical Therapy ","2251G0304X","Geriatric Physical Therapist"]
["P035 ","Individual","Physical Therapy",49,"Physical Therapy ","2251H1200X","Hand Physical Therapist"]
["P035 ","Individual","Physical Therapy",49,"Physical Therapy ","2251H1300X","Human Factors Physical Therapist"]
["P035 ","Individual","Physical Therapy",49,"Physical Therapy ","2251N0400X","Neurology Physical Therapist"]
["P035 ","Individual","Physical Therapy",49,"Physical Therapy ","2251P0200X","Pediatric Physical Therapist"]
["P035 ","Individual","Physical Therapy",49,"Physical Therapy ","2251S0007X","Sports Physical Therapist"]
["P035 ","Individual","Physical Therapy",49,"Physical Therapy ","2251X0800X","Orthopedic Physical Therapist"]
["P036 ","Individual","Plastic Surgery",27,"Plastic Surgery","208200000X","Plastic Surgery Physician"]
["P036 ","Individual","Plastic Surgery",27,"Plastic Surgery","2082S0099X","Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician"]
["P036 ","Individual","Plastic Surgery",27,"Plastic Surgery","2082S0105X","Surgery of the Hand (Plastic Surgery) Physician"]
["P036 ","Individual","Plastic Surgery",27,"Plastic Surgery","2086S0122X","Plastic and Reconstructive Surgery Physician"]
["P037 ","Individual","Podiatry",28,"Podiatry","213E00000X","Podiatrist"]
["P037 ","Individual","Podiatry",28,"Podiatry","213EP0504X","Public Medicine Podiatrist"]
["P037 ","Individual","Podiatry",28,"Podiatry","213EP1101X","Primary Podiatric Medicine Podiatrist"]
["P037 ","Individual","Podiatry",28,"Podiatry","213ER0200X","Radiology Podiatrist"]
["P037 ","Individual","Podiatry",28,"Podiatry","213ES0000X","Sports Medicine Podiatrist"]
["P037 ","Individual","Podiatry",28,"Podiatry","213ES0103X","Foot & Ankle Surgery Podiatrist"]
["P037 ","Individual","Podiatry",28,"Podiatry","213ES0131X","Foot Surgery Podiatrist"]
["P038 ","Individual","Primary Care – Adult",1,"General Practice","208D00000X","General Practice Physician"]
["P038 ","Individual","Primary Care – Adult",2,"Family Medicine","207Q00000X","Family Medicine Physician"]
["P038 ","Individual","Primary Care – Adult",2,"Family Medicine","207QA0000X","Adolescent Medicine (Family Medicine) Physician"]
["P038 ","Individual","Primary Care – Adult",2,"Family Medicine","207QA0505X","Adult Medicine Physician"]
["P038 ","Individual","Primary Care – Adult",2,"Family Medicine","207QB0002X","Obesity Medicine (Family Medicine) Physician"]
["P038 ","Individual","Primary Care – Adult",3,"Internal Medicine","207R00000X","Internal Medicine Physician"]
["P038 ","Individual","Primary Care – Adult",3,"Internal Medicine","207RA0000X","Adolescent Medicine (Internal Medicine) Physician"]
["P038 ","Individual","Primary Care – Adult",3,"Internal Medicine","207RB0002X","Obesity Medicine (Internal Medicine) Physician"]
["P038 ","Individual","Primary Care – Adult",4,"Geriatrics","207QG0300X","Geriatric Medicine (Family Medicine) Physician"]
["P038 ","Individual","Primary Care – Adult",4,"Geriatrics","207RG0300X","Geriatric Medicine (Internal Medicine) Physician"]
["P038 ","Individual","Primary Care – Adult",5,"Primary Care - Physician Assistant","363A00000X","Physician Assistant"]
["P038 ","Individual","Primary Care – Adult",5,"Primary Care - Physician Assistant","363AM0700X","Medical Physician Assistant"]
["P038 ","Individual","Primary Care – Adult",6,"Primary Care - Nurse Practitioner","363LA2200X","Adult Health Nurse Practitioner"]
["P038 ","Individual","Primary Care – Adult",6,"Primary Care - Nurse Practitioner","363LF0000X","Family Nurse Practitioner"]
["P038 ","Individual","Primary Care – Adult",6,"Primary Care - Nurse Practitioner","363LP2300X","Primary Care Nurse Practitioner"]
["P039 ","Individual","Primary Care – Pediatric",101,"Pediatrics - Routine/Primary Care","208000000X","Pediatrics Physician"]
["P039 ","Individual","Primary Care – Pediatric",101,"Pediatrics - Routine/Primary Care","2080A0000X","Pediatric Adolescent Medicine Physician"]
["P040 ","Individual","Psychiatry",29,"Psychiatry","2084A0401X","Addiction Medicine (Psychiatry & Neurology) Physician"]
["P040 ","Individual","Psychiatry",29,"Psychiatry","2084P0015X","Psychosomatic Medicine Physician"]
["P040 ","Individual","Psychiatry",29,"Psychiatry","2084P0800X","Psychiatry Physician"]
["P040 ","Individual","Psychiatry",29,"Psychiatry","2084P0802X","Addiction Psychiatry Physician"]
["P040 ","Individual","Psychiatry",29,"Psychiatry","2084P0804X","Child & Adolescent Psychiatry Physician"]
["P041 ","Individual","Pulmonology",30,"Pulmonology","207RP1001X","Pulmonary Disease Physician"]
["P041 ","Individual","Pulmonology",30,"Pulmonology","2080P0214X","Pediatric Pulmonology Physician"]
["P042 ","Individual","Rheumatology",31,"Rheumatology","207RR0500X","Rheumatology Physician"]
["P042 ","Individual","Rheumatology",31,"Rheumatology","2080P0216X","Pediatric Rheumatology Physician"]
["P043 ","Individual","Speech Therapy",51,"Speech Therapy","235500000X","Speech/Language/Hearing Specialist/Technologist"]
["P043 ","Individual","Speech Therapy",51,"Speech Therapy","235Z00000X","Speech-Language Pathologist"]
["P044 ","Individual","Urology",33,"Urology","208800000X","Urology Physician"]
["P044 ","Individual","Urology",33,"Urology","2088F0040X","Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician"]
["P044 ","Individual","Urology",33,"Urology","2088P0231X","Pediatric Urology Physician"]
["P045 ","Individual","Vascular Surgery",34,"Vascular Surgery","2086S0129X","Vascular Surgery Physician"]

{"sheet":"Requirements","index":6,"n_rows":47,"n_cols":13,"rows_kept":47,"cut":false,"hidden":false,"merged":[[0,3,0,4],[0,5,0,6],[0,7,0,8],[0,9,0,10],[0,11,0,12]]}
[null,null,"County Designation =>","Large Metro",null,"Metro",null,"Micro",null,"Rural",null,"CEAC"]
["Criteria Code","Type","Criteria Description","Distance","Time","Distance","Time","Distance","Time","Distance","Time","Distance","Time"]
["F001 ","Facility","Acute Inpatient Hospitals",10,20,30,45,60,80,60,75,100,110]
["F002 ","Facility","Cardiac Catheterization Services",15,30,40,60,120,160,120,145,140,155]
["F003 ","Facility","Cardiac Surgery Program",15,30,40,60,120,160,120,145,140,155]
["F004 ","Facility","Critical Care Services",10,20,30,45,120,160,120,145,140,155]
["F005 ","Facility","Diagnostic Radiology",10,20,30,45,60,80,60,75,100,110]
["F006 ","Facility","Inpatient or Residential Behavioral Health Facility Services",15,30,45,70,75,100,75,90,140,155]
["F007 ","Facility","Mammography",10,20,30,45,60,80,60,75,100,110]
["F008 ","Facility","Outpatient Infusion/Chemotherapy",10,20,30,45,60,80,60,75,100,110]
["F009 ","Facility","Skilled Nursing Facilities",10,20,30,45,60,80,60,75,85,95]
["F010 ","Facility","Surgical Services",10,20,30,45,60,80,60,75,100,110]
["F011 ","Facility","Urgent Care",10,20,30,45,60,80,60,75,100,110]
["P012 ","Individual","Allergy and Immunology",15,30,30,45,60,80,75,90,110,125]
["P013 ","Individual","Cardiology",10,20,20,30,35,50,60,75,85,95]
["P014 ","Individual","Cardiothoracic Surgery",15,30,40,60,75,100,90,110,130,145]
["P015 ","Individual","Chiropractor",15,30,30,45,60,80,75,90,110,125]
["P016 ","Individual","Dental",15,30,30,45,60,80,75,90,110,125]
["P017 ","Individual","Dermatology",10,20,30,45,45,60,60,75,100,110]
["P018 ","Individual","Emergency Medicine",10,20,30,45,60,80,60,75,100,110]
["P019 ","Individual","Endocrinology",15,30,40,60,75,100,90,110,130,145]
["P020 ","Individual","ENT/Otolaryngology",15,30,30,45,60,80,75,90,110,125]
["P021 ","Individual","Gastroenterology",10,20,30,45,45,60,60,75,100,110]
["P022 ","Individual","General Surgery",10,20,20,30,35,50,60,75,85,95]
["P023 ","Individual","Gynecology, OB/GYN",5,10,10,15,20,30,30,40,60,70]
["P024 ","Individual","Infectious Diseases",15,30,40,60,75,100,90,110,130,145]
["P025 ","Individual","Nephrology",15,30,30,45,60,80,75,90,110,125]
["P026 ","Individual","Neurology",10,20,30,45,45,60,60,75,100,110]
["P027 ","Individual","Neurosurgery",15,30,40,60,75,100,90,110,130,145]
["P028 ","Individual","Occupational Therapy",10,20,30,45,60,80,60,75,100,110]
["P029 ","Individual","Oncology - Medical, Surgical",10,20,30,45,45,60,60,75,100,110]
["P030 ","Individual","Oncology - Radiation",15,30,40,60,75,100,90,110,130,145]
["P031 ","Individual","Ophthalmology",10,20,20,30,35,50,60,75,85,95]
["P032 ","Individual","Orthopedic Surgery",10,20,20,30,35,50,60,75,85,95]
["P033 ","Individual","Outpatient Clinical Behavioral Health",5,10,10,15,20,30,30,40,60,70]
["P034 ","Individual","Physical Medicine and Rehabilitation",15,30,30,45,60,80,75,90,110,125]
["P035 ","Individual","Physical Therapy",10,20,30,45,60,80,60,75,100,110]
["P036 ","Individual","Plastic Surgery",15,30,40,60,75,100,90,110,130,145]
["P037 ","Individual","Podiatry",10,20,30,45,45,60,60,75,100,110]
["P038 ","Individual","Primary Care – Adult",5,10,10,15,20,30,30,40,60,70]
["P039 ","Individual","Primary Care – Pediatric",5,10,10,15,20,30,30,40,60,70]
["P040 ","Individual","Psychiatry",10,20,30,45,45,60,60,75,100,110]
["P041 ","Individual","Pulmonology",10,20,30,45,45,60,60,75,100,110]
["P042 ","Individual","Rheumatology",15,30,40,60,75,100,90,110,130,145]
["P043 ","Individual","Speech Therapy",10,20,30,45,60,80,60,75,100,110]
["P044 ","Individual","Urology",10,20,30,45,45,60,60,75,100,110]
["P045 ","Individual","Vascular Surgery",15,30,40,60,75,100,90,110,130,145]

{"sheet":"County Designations","index":7,"n_rows":76,"n_cols":3,"rows_kept":76,"cut":false,"hidden":false,"merged":[]}
["CountyFIPS","CountyName","Designation"]
[5001,"Arkansas","Rural"]
[5003,"Ashley","Rural"]
[5005,"Baxter","Micro"]
[5007,"Benton","Metro"]
[5009,"Boone","Micro"]
[5011,"Bradley","Rural"]
[5013,"Calhoun","CEAC"]
[5015,"Carroll","Rural"]
[5017,"Chicot","Rural"]
[5019,"Clark","Rural"]
[5021,"Clay","Rural"]
[5023,"Cleburne","Rural"]
[5025,"Cleveland","Rural"]
[5027,"Columbia","Rural"]
[5029,"Conway","Rural"]
[5031,"Craighead","Metro"]
[5033,"Crawford","Metro"]
[5035,"Crittenden","Micro"]
[5037,"Cross","Rural"]
[5039,"Dallas","CEAC"]
[5041,"Desha","Rural"]
[5043,"Drew","Rural"]
[5045,"Faulkner","Metro"]
[5047,"Franklin","Rural"]
[5049,"Fulton","Rural"]
[5051,"Garland","Metro"]
[5053,"Grant","Rural"]
[5055,"Greene","Micro"]
[5057,"Hempstead","Rural"]
[5059,"Hot Spring","Micro"]
[5061,"Howard","Rural"]
[5063,"Independence","Rural"]
[5065,"Izard","Rural"]
[5067,"Jackson","Rural"]
[5069,"Jefferson","Micro"]
[5071,"Johnson","Rural"]
[5073,"Lafayette","Rural"]
[5075,"Lawrence","Rural"]
[5077,"Lee","Rural"]
[5079,"Lincoln","Rural"]
[5081,"Little River","Rural"]
[5083,"Logan","Rural"]
[5085,"Lonoke","Micro"]
[5087,"Madison","Rural"]
[5089,"Marion","Rural"]
[5091,"Miller","Micro"]
[5093,"Mississippi","Rural"]
[5095,"Monroe","Rural"]
[5097,"Montgomery","Rural"]
[5099,"Nevada","Rural"]
[5101,"Newton","CEAC"]
[5103,"Ouachita","Rural"]
[5105,"Perry","Rural"]
[5107,"Phillips","Rural"]
[5109,"Pike","Rural"]
[5111,"Poinsett","Rural"]
[5113,"Polk","Rural"]
[5115,"Pope","Micro"]
[5117,"Prairie","Rural"]
[5119,"Pulaski","Metro"]
[5121,"Randolph","Rural"]
[5123,"St. Francis","Rural"]
[5125,"Saline","Metro"]
[5127,"Scott","Rural"]
[5129,"Searcy","Rural"]
[5131,"Sebastian","Metro"]
[5133,"Sevier","Rural"]
[5135,"Sharp","Rural"]
[5137,"Stone","Rural"]
[5139,"Union","Rural"]
[5141,"Van Buren","Rural"]
[5143,"Washington","Metro"]
[5145,"White","Micro"]
[5147,"Woodruff","Rural"]
[5149,"Yell","Rural"]

{"sheet":"Validation","index":8,"n_rows":47,"n_cols":9,"rows_kept":47,"cut":false,"hidden":false,"merged":[[0,4,0,8],[0,0,0,1]]}
["Objections Tab",null,null,null,"Network Development Tab"]
["Issuer Responses","Issuer Action Required",null,null,"Requirement",null,"Frequency","Cost Sharing","Recruitment"]
["PTNP updates needed for provider(s)","Include details in Network Development tab; suggest change(s) in next PTNP round and abide by the outcome of the process.",null,null,"F001 : Acute Inpatient Hospitals",null,"Daily","Yes. In-network cost sharing is used automatically.","Good faith offer rejected"]
["Existing providers were omitted from NA Template","List providers on Network Development tab and resubmit updated NA Template",null,null,"F002 : Cardiac Catheterization Services",null,"Weekly","Yes, but consumer must request in-network cost sharing.","Not licensed, accredited, or certified by the state"]
["Issuer disagrees with provider location reported by other issuers","Include provider NPI, criteria, and address in dispute along with reason on Network Development tab",null,null,"F003 : Cardiac Surgery Program",null,"Monthly","No. Out of network cost sharing always applies.","Moved/retired or facility closed"]
["Issuer is pursuing contract with provider(s)","Include details in Network Development tab",null,null,"F004 : Critical Care Services",null,"Every other month",null,"Does not contract with any commercial insurance organizations"]
["Available Provider(s) unwilling to contract","Include details in Network Development tab",null,null,"F005 : Diagnostic Radiology",null,"Quarterly",null,"Contract negotiations being conducted"]
["Available Provider(s) have not met credentialing or licensing requirements","Include details in Network Development tab",null,null,"F006 : Inpatient or Residential Behavioral Health Facility Services"]
["Available Provider(s) do not accept ARHome","Include details in Network Development tab",null,null,"F007 : Mammography"]
["Other","Include detailed explanation in comments =>",null,null,"F008 : Outpatient Infusion/Chemotherapy"]
[null,null,null,null,"F009 : Skilled Nursing Facilities"]
[null,null,null,null,"F010 : Surgical Services"]
[null,null,null,null,"F011 : Urgent Care"]
[null,null,null,null,"P012 : Allergy and Immunology"]
[null,null,null,null,"P013 : Cardiology"]
[null,null,null,null,"P014 : Cardiothoracic Surgery"]
[null,null,null,null,"P015 : Chiropractor"]
[null,null,null,null,"P016 : Dental"]
[null,null,null,null,"P017 : Dermatology"]
[null,null,null,null,"P018 : Emergency Medicine"]
[null,null,null,null,"P019 : Endocrinology"]
[null,null,null,null,"P020 : ENT/Otolaryngology"]
[null,null,null,null,"P021 : Gastroenterology"]
[null,null,null,null,"P022 : General Surgery"]
[null,null,null,null,"P023 : Gynecology, OB/GYN"]
[null,null,null,null,"P024 : Infectious Diseases"]
[null,null,null,null,"P025 : Nephrology"]
[null,null,null,null,"P026 : Neurology"]
[null,null,null,null,"P027 : Neurosurgery"]
[null,null,null,null,"P028 : Occupational Therapy"]
[null,null,null,null,"P029 : Oncology - Medical, Surgical"]
[null,null,null,null,"P030 : Oncology - Radiation"]
[null,null,null,null,"P031 : Ophthalmology"]
[null,null,null,null,"P032 : Orthopedic Surgery"]
[null,null,null,null,"P033 : Outpatient Clinical Behavioral Health"]
[null,null,null,null,"P034 : Physical Medicine and Rehabilitation"]
[null,null,null,null,"P035 : Physical Therapy"]
[null,null,null,null,"P036 : Plastic Surgery"]
[null,null,null,null,"P037 : Podiatry"]
[null,null,null,null,"P038 : Primary Care – Adult"]
[null,null,null,null,"P039 : Primary Care – Pediatric"]
[null,null,null,null,"P040 : Psychiatry"]
[null,null,null,null,"P041 : Pulmonology"]
[null,null,null,null,"P042 : Rheumatology"]
[null,null,null,null,"P043 : Speech Therapy"]
[null,null,null,null,"P044 : Urology"]
[null,null,null,null,"P045 : Vascular Surgery"]