Advanced Medical Home Providers. Providers who are an Advanced Medical Home (AMH) as defined by the State Contract agree to comply with the Department’s Advanced Medical Home Program. The requirements include, but are not limited to:
i) Accept Covered Persons and be listed as a primary care provider in Health Plan or Subcontractor’s Covered Person-facing materials for the purpose of providing care to Covered Persons and managing their health care needs;
ii) Provide primary care and patient care coordination services to each Covered Person, in accordance with Health Plan and Subcontractor’s policies;
iii) Provide or arrange for primary care coverage for services, consultation or referral, and treatment for emergency medical conditions, 24 hours per day, 7 days per week. Automatic referral to the hospital emergency department for services does not satisfy this requirement;
iv) Provide direct patient care a minimum of 30 office hours per week;
v) Provide preventive services, in accordance with Section VII.
Advanced Medical Home Providers. Providers who are an Advanced Medical Home (AMH) as defined by the State Contract agree to comply with the Department’s Advanced Medical Home Program. The requirements include, but are not limited to:
i) Accept Covered Persons and be listed as a primary care provider in United’s Covered Person-facing materials for the purpose of providing care to Covered Persons and managing their health care needs;
ii) Provide primary care and patient care coordination services to each Covered Person, in accordance with United’s policies;
iii) Provide or arrange for primary care coverage for services, consultation orreferral, and treatment for emergency medical conditions, 24 hours per day, 7 days per week. Automatic referral to the hospital emergency department for services does not satisfy this requirement;
iv) Provide direct patient care a minimum of 30 office hours perweek;
v) Provide preventive services, in accordance with Section VII.
