Common use of ADDITIONAL PROVIDER REQUIREMENTS FOR SPECIFIC ACTIVITIES Clause in Contracts

ADDITIONAL PROVIDER REQUIREMENTS FOR SPECIFIC ACTIVITIES. 4.1 Primary Care Provider (PCP) Responsibilities. The PCP must serve as the Covered Person’s initial and most important point of interaction within Subcontractor or Health Plan network. As such, PCP responsibilities must include at a minimum: (a) Serving as the Covered Person’s Primary Care Provider; (b) Making referrals for specialty care and other Medically Necessary services, both in- and out-of-plan; (c) Maintaining a current medical record for the Covered Person; and (d) Referring Covered Persons for care management services.

ADDITIONAL PROVIDER REQUIREMENTS FOR SPECIFIC ACTIVITIES. 4.1 Primary Care Provider (PCP) Responsibilities. The PCP must serve as the Covered Person’s initial and most important point of interaction within Subcontractor or Health Plan the United network. As such, PCP responsibilities must include at a minimum: (ai) Serving as the Covered Person’s Primary Care Provider; (bii) Making referrals for specialty care and other Medically Necessary services, both in- and out-of-plan; (ciii) Maintaining a current medical record for the Covered Person; and (div) Referring Covered Persons for care management services.

ADDITIONAL PROVIDER REQUIREMENTS FOR SPECIFIC ACTIVITIES. 4.1 4.1. Primary Care Provider (PCP) Responsibilities. The PCP must serve as the Covered Person’s initial and most important point of interaction within Subcontractor or Health Plan network. As such, PCP responsibilities must include at a minimum: (a) Serving as the Covered Person’s Primary Care Provider; (b) Making referrals for specialty care and other Medically Necessary services, both in- and out-of-plan; (c) Maintaining a current medical record for the Covered Person; and (d) Referring Covered Persons for care management services.