Care Delivery Model. Primary Care The PCP must: 1. Provide primary medical services, including acute and preventive care; 2. Refer the Enrollee, in coordination with the ICT and in accordance with the Contractor’s policies, to Covered Service providers, as medically appropriate; and 3. Lead the ICT, together with the Care Coordinator, and if indicated, with the behavioral health clinician.
Appears in 4 contracts
Samples: Three Way Contract for Capitated Model, Three Way Contract for Capitated Model, Three Way Contract for Capitated Model
Care Delivery Model. 2.6.1. Primary Care Care
2.6.1.1. The PCP must:
12.6.1.1.1. Provide primary medical services, including acute and preventive care;
22.6.1.1.2. Manage, in coordination with the ICT, an Enrollee’s medical situations;
2.6.1.1.3. Oversee, in coordination with the ICT, an Enrollee’s use of specialists and inpatient care; and,
2.6.1.1.4. Refer the Enrollee, in coordination with the ICT and in accordance with the Contractor’s policies, to Covered Service network providers, as medically appropriate; and
3. Lead the ICT, together with the Care Coordinator, and if indicated, with the behavioral health clinician.
Appears in 1 contract
Samples: Contract
