Appointment Availability Standards. The Contractor shall comply with the following appointment availability standards(1). a) For emergency care: immediately upon presentation at a service delivery site. b) For urgent care: within twenty-four (24) hours of request. c) Non-urgent "sick" visit: within forty-eight (48) to seventy-two (72) hours of request, as clinically indicated. d) Xxxxxxx non-urgent, preventive appointments: within four (4) weeks of request. e) Specialist referrals (not urgent): within four (4) to six (6) weeks of request. f) Initial prenatal visit: within three (3) weeks during first trimester, within two (2) weeks during the second trimester and within one (1) week during the third trimester. g) Adult Baseline and routine physicals: within twelve (12) weeks from enrollment. (Adults >21). h) Well child care: within four (4) weeks of request. i) Initial family planning visits: within two (2) weeks of request. j) In-plan mental health or substance abuse follow-up visits (pursuant to an emergency or hospital discharge): within five (5) days of request, or as clinically indicated. k) In-plan, non-urgent mental health or substance abuse visits: within two (2) weeks of request. 1) Initial PCP office visit for newborns: within two (2) weeks of hospital discharge.
Appears in 2 contracts
Samples: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.), Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)
Appointment Availability Standards. The Contractor shall comply with the following appointment availability standards(1)standards.
a) For emergency care: immediately upon presentation at a service delivery site.
b) For urgent care: within twenty-four (24) hours of request.
c) Non-urgent "sick" visit: within forty-eight (48) to seventy-two (72) hours of request, as clinically indicated.
d) Xxxxxxx Routine non-urgent, preventive appointments: within four (4) weeks of request.
e) Specialist referrals (not urgent): within four (4) to six (6) weeks of request.
f) Initial prenatal visit: within three (3) weeks during first trimester, within two (2) weeks during the second trimester and within one (1) week during the third trimester.
g) Adult Baseline and routine physicals: within twelve (12) weeks from enrollment. (Adults >21).
h) Well child care: within four (4) weeks of request.
i) Initial family planning visits: within two (2) weeks of request.
j) In-plan mental health or substance abuse follow-up visits (pursuant to an emergency or hospital discharge): within five (55 ) days of request, or as clinically indicated.
k) In-plan, non-urgent mental health or substance abuse visits: within two (2) weeks of request.
1l) Initial PCP office visit for newborns: within two (2) weeks of hospital discharge.
m) Provider visits to make health, mental health and substance abuse assessments for the purpose of making recommendations regarding a recipient's ability to perform work when requested by a LDSS: within ten (10) days of request by an Enrollee, in accordance with Section 10.8 of this Agreement.
Appears in 1 contract
Appointment Availability Standards. The Contractor shall comply with the following appointment availability standards(1).
a) For emergency care: immediately upon presentation at a service delivery site.
b) For urgent care: within twenty-four (24) hours of request.
c) Non-urgent "sick" visit: within forty-eight (48) to seventy-two (72) hours of request, as clinically indicated.
d) Xxxxxxx non-urgent, preventive appointments: within four (4) weeks of request.
e) Specialist referrals (not urgent): within four (4) to six (6) weeks of request.
f) Initial prenatal visit: within three (3) weeks during first trimester, within two (2) weeks during the second trimester and within one (1) week during the third trimester.
g) Adult Baseline and routine physicals: within twelve (12) weeks from enrollment. (Adults >21).
h) Well child care: within four (4) weeks of request.
i) Initial family planning visits: within two (2) weeks of request.
j) In-plan mental health or substance abuse follow-up visits (pursuant to an emergency or hospital discharge): within five (5) days of request, or as clinically indicated.
k) In-plan, non-urgent mental health or substance abuse visits: within two (2) weeks of request.
1) Initial PCP office visit for newborns: within two (2) weeks of hospital discharge.
Appears in 1 contract
Samples: Consultant Services Agreement (Wellcare Health Plans, Inc.)
Appointment Availability Standards. The Contractor shall comply with the following appointment availability standards(1).
a) For emergency care: immediately upon presentation at a service delivery site.
b) For urgent care: within twenty-four (24) hours of request.
c) Non-urgent "sick" visit: within forty-eight (48) to seventy-two (72) hours of request, as clinically indicated.
d) Xxxxxxx non-urgent, preventive appointments: within four (4) weeks of request.
e) Specialist referrals (not urgent): within four (4) to six (6) weeks of request.
f) Initial prenatal visit: within three (3) weeks during first trimester, within two (2) weeks during the second trimester and within one (1) week during the third trimester.
g) Adult Baseline and routine physicals: within twelve (12) weeks from enrollment. (Adults >21).
h) Well child care: within four (4) weeks of request.
i) Initial family planning visits: within two (2) weeks of request.
j) In-plan mental health or substance abuse follow-up visits (pursuant to an emergency or hospital discharge): within five (5) days of request, or as clinically indicated.
k) In-plan, non-urgent mental health or substance abuse visits: within two (2) weeks of request.
1) Initial PCP office visit for newborns: within two (2) weeks of hospital discharge.
Appears in 1 contract
Samples: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)
Appointment Availability Standards. The Contractor shall comply with the following appointment availability standards(1)standards.
a) For emergency care: immediately upon presentation at a service delivery site.
b) For urgent care: within twenty-four (24) hours of request.
c) Non-urgent "sick" visit: within forty-eight (48) to seventy-two (72) hours of request, as clinically indicated.
d) Xxxxxxx Routine non-urgent, preventive appointments: within four (4) weeks of request.
e) Specialist referrals (not urgent): within four (4) to six (6) weeks of request.
f) Initial prenatal visit: within three (3) weeks during first trimester, within two (2) weeks during the second trimester and within one (1) week during the third trimester.
g) Adult Baseline and routine physicals: within twelve (12) weeks from enrollment. enrollment (Adults >21).
h) Well child care: within four (4) weeks of request.
i) Initial family planning visits: within two (2) weeks of request.
j) In-plan mental health or substance abuse follow-up visits (pursuant to an emergency or hospital discharge): within five (5) days of request, or as clinically indicated.
k) In-plan, non-urgent mental health or substance abuse visits: within two (2) weeks of request.
1l) Initial PCP office visit for newborns: within two (2) weeks of hospital discharge.
m) Provider visits to make health, mental health and substance abuse assessments for the purpose of making recommendations regarding a recipient's ability to perform work when requested by a LDSS: within ten (10) days of request by an Enrollee, in accordance with Section 10.8 of this Agreement
Appears in 1 contract
Samples: Medicaid Managed Care Model Contract (Amerigroup Corp)
Appointment Availability Standards. The Contractor shall comply with the following appointment availability standards(1).
a) For emergency care: immediately upon presentation at a service delivery site.
b) For urgent care: within twenty-four (24) hours of request.
c) Non-urgent "sick" visit: within forty-eight (48) to seventy-two (72) hours of request, as clinically indicated.
d) Xxxxxxx Routine non-urgent, preventive appointments: within four (4) weeks of request.
e) Specialist referrals (not urgent): within four (4) to six (6) weeks of request.
f) Initial prenatal visit: within three (3) weeks during first trimester, within two (2) weeks during the second trimester and within one (1) week during the third trimester.
g) Adult Baseline and routine physicals: within twelve (12) weeks from enrollment. (Adults >21).
h) Well child care: within four (4) weeks of request.
i) Initial family planning visits: within two (2) weeks of request.
j) In-plan mental health or substance abuse follow-up visits (pursuant to an emergency or hospital discharge): within five (5) days of request, or as clinically indicated.
k) In-plan, non-urgent mental health or substance abuse visits: within two (2) weeks of request.
1l) Initial PCP office visit for newborns: within two (2) weeks of hospital discharge.
m) Provider visits to make health, mental health and substance abuse assessments for the purpose of making recommendations regarding a recipient's ability to perform work when requested by a LDSS: within ten (10) days of request by an Enrollee, in accordance with Section 10.8 of this Agreement.
Appears in 1 contract
Samples: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)
Appointment Availability Standards. The Contractor shall comply with the following appointment availability standards(1).
a) For emergency care: immediately upon presentation at a service delivery site.
b) For urgent care: within twenty-four (24) hours of request.
c) Non-urgent "sick" visit: within forty-eight (48) to seventy-two (72) hours of request, as clinically indicated.
d) Xxxxxxx non-urgent, preventive appointments: within four (4) weeks of request.
e) Specialist referrals (not urgent): within four (4) to six (6) weeks of request.
f) Initial prenatal visit: within three (3) weeks during first trimester, within two (2) weeks during the second trimester and within one (1) week during the third trimester.
g) Adult Baseline and routine physicals: within twelve (12) weeks from enrollment. (Adults >21).
h) Well child care: within four (4) weeks of request.
i) Initial family planning visits: within two (2) weeks of request.
j) In-plan mental health or substance abuse follow-up visits (pursuant to an emergency or hospital discharge): within five (5) days of request, or as clinically indicated.
k) In-plan, non-urgent mental health or substance abuse visits: within two (2) weeks of request.
1) Initial PCP office visit for newborns: within two (2) weeks of hospital discharge.
Appears in 1 contract
Samples: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)
Appointment Availability Standards. The Contractor shall comply with the following appointment availability standards(1).
a) For emergency care: immediately upon presentation at a service delivery site.
b) For urgent care: within twenty-four (24) hours of request.
c) Non-urgent "sick" visit: within forty-eight (48) to seventy-two (72) hours of request, as clinically indicated.
d) Xxxxxxx non-urgent, preventive appointments: within four (4) weeks of request.
e) Specialist referrals (not urgent): within four (4) to six (6) weeks of request.
f) Initial prenatal visit: within three (3) weeks during first trimester, within two (2) weeks during the second trimester and within one (1) week during the third trimester.
g) Adult Baseline and routine physicals: within twelve (12) weeks from enrollment. (Adults >21Adults>21).
h) Well child care: within four (4) weeks of request.
i) Initial family planning visits: within two (2) weeks of request.
j) In-plan mental health or substance abuse follow-up visits (pursuant to an emergency or hospital discharge): within five (5) days of request, or as clinically indicated.
k) In-plan, non-urgent mental health or substance abuse visits: within two (2) weeks 2)weeks of request.
1l) Initial PCP office visit for newborns: within two (2) weeks of hospital discharge.
m) Provider visits to make health, mental health and substance abuse assessments for the purpose of making recommendations regarding a recipient's ability to perform work when requested by a LDSS: within ten (10) days of request by an Enrollee, in accordance with Section 10.8 of this Agreement.
Appears in 1 contract
Samples: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)
Appointment Availability Standards. The Contractor shall comply with the following appointment availability standards(1).
a) For emergency care: immediately upon presentation at a service delivery site.
b) For urgent care: within twenty-four (24) hours of request.
c) Non-urgent "sick" visit: within forty-eight (48) to seventy-two (72) hours of request, as clinically indicated.
d) Xxxxxxx non-urgent, preventive appointments: within four (4) weeks of request.
e) Specialist referrals (not urgent): within four (4) to six (6) weeks of request.
f) Initial prenatal visit: within three (3) weeks during first trimester, within two (2) weeks during the second trimester and within one (1) week during the third trimester.
g) Adult Baseline and routine physicals: within twelve (12) weeks from enrollment. (Adults >> 21).
h) Well child care: within four (4) weeks of request.
i) Initial family planning visits: within two (2) weeks of request.
j) In-plan mental health or substance abuse follow-up visits (pursuant to an emergency or hospital discharge): within five (5) days of request, or as clinically indicated.
k) In-plan, non-urgent mental health or substance abuse visits: within two (2) weeks of request.
1) Initial PCP office visit for newborns: within two (2) weeks of hospital discharge.
Appears in 1 contract
Samples: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)
