Common use of Appropriate Clinical Timeframes Clause in Contracts

Appropriate Clinical Timeframes. Except for LTSS, Contractor shall communicate, enforce, and monitor providers’ compliance with these standards: 2.10.3.1. Contractor shall ensure that Enrollees are offered appointments for covered health care services within a time period appropriate for their condition. 2.10.3.2. Enrollees must be offered appointments within the following timeframes: 2.10.3.2.1. Xxxxxx care appointment for services that do not require prior authorization – within forty-eight (48) hours after request; 2.10.3.2.2. Urgent appointment for services that do require prior authorization within ninety-six (96) hours after request; 2.10.3.2.3. Non-urgent primary care appointments – within ten

Appropriate Clinical Timeframes. Except for LTSS, Contractor shall communicate, enforce, and monitor providers’ compliance with these standards: 2.10.3.1. Contractor shall ensure that Enrollees are offered appointments for covered health care services within a time period appropriate for their condition. 2.10.3.2. Enrollees must be offered appointments within the following timeframes: 2.10.3.2.1. Xxxxxx care Urgent Care appointment for services that do not require prior authorization – within forty-eight (48) hours after request; 2.10.3.2.2. Urgent appointment for services that do require prior authorization within ninety-six (96) hours after request; 2.10.3.2.3. Non-urgent primary care appointments – within ten

Appropriate Clinical Timeframes. Except for LTSS, Contractor shall communicate, enforce, and monitor providers’ compliance with these standards: 2.10.3.1. Contractor shall ensure that Enrollees are offered appointments for covered health care services within a time period appropriate for their condition. 2.10.3.2. Enrollees must be offered appointments within the following timeframes: 2.10.3.2.1. Xxxxxx Urgent care appointment for services that do not require prior authorization – within forty-eight (48) hours after request; 2.10.3.2.2. Urgent appointment for services that do require prior authorization within ninety-six (96) hours after request; 2.10.3.2.3. Non-urgent primary care appointments – within ten