Common use of Core Competencies Clause in Contracts

Core Competencies. Complementary Medicine will provide the following core services: ▪ Initial evaluation and dictated report on referred patients listed under the ‘Consultation Guidelines’. ▪ Acupuncture: For conditions outlined under ‘Consultation Guidelines for Acupuncture’. ▪ Chiropractic: All referrals must be of a musculoskeletal nature, please refer to ‘Consultation Guidelines for Chiropractic’. ▪ Clinical Massage Therapy: Is an adjunct service to Chiropractic care and is not a direct referral modality. ▪ Patients with acute pain of six (6) months or less with no associated chronic pain ▪ Patients in the Chronic Pain program (with or without a pain agreement) will not be seen by CMC Women’s Health will provide the following core services: ▪ Initial work-up and diagnosis based on referral guidelines ▪ Primary role in the care of pregnant women ▪ Primary role in the care of patients with complex gynecological conditions Access Agreements Complementary Medicine will provide the following access: ▪ Chiropractic Evaluation within 5 days ▪ Acupuncture Evaluation within 5 days ▪ Access to Clinical Massage Therapy is prescription only by a Chiropractic Provider. ▪ Same day / next day access for Pregnancy induced nausea ▪ Pregnant non-beneficiaries may be seen by an Acupuncture Provider for pregnancy related hyperemesis and smoking cessation only. ▪ All patients will be scheduled for an examination with a Chiropractic Provider except for referrals to Acupuncture listed under ‘Consultation Guidelines for Acupuncture’. ▪ The Complementary Medicine Department agrees to accept referrals for eligible customers from SCF Primary care medical providers for customers who live in the immediate Anchorage area. Service is provided for eligible customers with residence in: Anchorage, Big Lake, Birchwood, Chugiak, Chickaloon, Elmendorf Air Force Base, Eagle River, Eklutna, Ft. Richardson, Girdwood, Houston, Indian, Knik, Palmer, Sutton, Wasilla, and Willow. Women’s Health will provide the following access: ▪ Twenty four hour per day consultation and inpatient care ▪ Five day access for any outpatient consult ▪ Continuity appointments offered within 5 days for a clinic appointment Consultation Process ▪ All customers seen in Complementary Medicine Department will be from provider-initiated referrals ▪ 8:00 a.m. – 4:30 p.m. use standard ANMC evaluation and consultation process (see flowchart) ▪ 4:30 p.m. – 8:00 a.m. fax /scan evaluation and consultation form to CMC ▪ All referrals are to be sent via fax (4102). ▪ Appointments made with the Consult phone (4313 or 8030), must be followed with a faxed referral (4102).

Core Competencies. Complementary Medicine will provide the following core services: ▪ Initial evaluation and dictated report on referred patients listed under the ‘Consultation Guidelines’. ▪ Acupuncture: For conditions outlined under ‘Consultation Guidelines for Acupuncture’. ▪ Chiropractic: All referrals must be of a musculoskeletal nature, please refer to ‘Consultation Guidelines for Chiropractic’. ▪ Clinical Massage Therapy: Is an adjunct service to Chiropractic care and is not a direct referral modality. ▪ Patients with acute pain of six (6) months or less with no associated chronic pain ▪ Patients in the Chronic Pain program (with program, or without on a pain agreement) contract, will not be seen by CMC Women’s Health Valley Native Primary Care Center will provide the following core services: ▪ Initial work-up and diagnosis based on referral guidelines ▪ Primary role in the care Management of pregnant women ▪ Primary role in the care of patients with complex gynecological conditions chronic pain Access Agreements Complementary Medicine will provide the following access: ▪ Chiropractic Evaluation within 5 days ▪ Acupuncture Evaluation within 5 days ▪ Access to Clinical Massage Therapy is prescription only by a Chiropractic Provider. ▪ Same day / next day access for Pregnancy induced nausea ▪ Pregnant non-beneficiaries may be seen by an Acupuncture Provider for pregnancy related hyperemesis and smoking cessation only. ▪ All patients will be scheduled for an examination with a Chiropractic Provider except for referrals to Acupuncture listed under ‘Consultation Guidelines for Acupuncture’. ▪ Appointments must be scheduled and kept within 30 days of referral date. ▪ The Complementary Medicine Department agrees to accept referrals for eligible customers from SCF Primary care medical providers for customers who live in the immediate Anchorage area. Service is provided for eligible customers with residence in: Anchorage, Big Lake, Birchwood, Chugiak, Chickaloon, Elmendorf Air Force Base, Eagle River, Eklutna, Ft. Richardson, Girdwood, Houston, Indian, Knik, Palmer, Sutton, Wasilla, and Willow. Women’s Health Valley Native Primary Care Center will provide the following access: ▪ Twenty four hour per day consultation and inpatient care ▪ Five Same day access offered for any outpatient consult ▪ Continuity appointments offered within 5 days for a clinic appointment Consultation Process ▪ All customers seen in Complementary Medicine Department will be from provider-initiated referrals ▪ 8:00 a.m. – Valley Native Primary Care Center empanelled patient who can arrive prior to 4:30 p.m. use standard ANMC evaluation and consultation process (see flowchart) ▪ 4:30 p.m. – 8:00 a.m. fax /scan evaluation and consultation form to CMC ▪ All referrals are to be sent via fax (4102). ▪ Appointments made with the Consult phone (4313 or 8030), must be followed with a faxed referral (4102).Monday-Friday

Core Competencies. Complementary Medicine will provide the following core services: ▪ Initial evaluation and dictated report on referred patients listed under the ‘Consultation Guidelines’. ▪ Acupuncture: For conditions outlined under ‘Consultation Guidelines for Acupuncture’. ▪ Chiropractic: All referrals must be of a musculoskeletal nature, please refer to ‘Consultation Guidelines for Chiropractic’. ▪ Clinical Massage Therapy: Is an adjunct service to Chiropractic care and is not a direct referral modality. ▪ Patients with acute pain of six (6) months or less with no associated chronic pain ▪ Patients in the Chronic Pain program (with program, or without on a pain agreement) contract, will not be seen by CMC Women’s Health Primary Care Department will provide the following core services: ▪ Initial work-up and diagnosis based on referral guidelines ▪ Primary role in the care Management of pregnant women ▪ Primary role in the care of patients with complex gynecological conditions chronic pain Access Agreements Complementary Medicine will provide the following access: ▪ Chiropractic Evaluation within 5 days ▪ Acupuncture Evaluation within 5 days ▪ Access to Clinical Massage Therapy is prescription only by a Chiropractic Provider. ▪ Same day / next day access for Pregnancy induced nausea ▪ Pregnant non-beneficiaries may be seen by an Acupuncture Provider for pregnancy related hyperemesis and smoking cessation onlyhyperemesis. ▪ All patients will be scheduled for an examination with a Chiropractic Provider except for referrals to Acupuncture listed under ‘Consultation Guidelines for Acupuncture’. ▪ Appointments must be scheduled and kept within 30 days of referral date. ▪ The Complementary Medicine Department agrees to accept referrals for eligible customers from SCF Primary care medical providers for customers who live in the immediate Anchorage area. Service is provided for eligible customers with residence in: Anchorage, Big Lake, Birchwood, Chugiak, Chickaloon, Elmendorf Air Force Base, Eagle River, Eklutna, Ft. RichardsonXxxxxxxxxx, GirdwoodXxxxxxxx, Houston, Indian, Knik, PalmerXxxxxx, SuttonXxxxxx, Wasilla, and WillowXxxxxx. Women’s Health Primary Care Departments will provide the following access: ▪ Twenty four hour per day consultation and inpatient care ▪ Five Same day access offered for any outpatient consult ▪ Continuity appointments offered within 5 days for a clinic appointment Consultation Process ▪ All customers seen in Complementary Medicine Department will be from provider-initiated referrals ▪ 8:00 a.m. – Primary Care empanelled patient who can arrive prior to 4:30 p.m. use standard ANMC evaluation and consultation process (see flowchart) ▪ 4:30 p.m. – 8:00 a.m. fax /scan evaluation and consultation form to CMC ▪ All referrals are to be sent via fax (4102). ▪ Appointments made with the Consult phone (4313 or 8030), must be followed with a faxed referral (4102).Monday-Friday

Core Competencies. Complementary Medicine will provide the following core services: ▪ Initial evaluation and dictated report on referred patients listed under the ‘Consultation Guidelines’. ▪ Acupuncture: For conditions outlined under ‘Consultation Guidelines for Acupuncture’. ▪ Chiropractic: All referrals must be of a musculoskeletal nature, please refer to ‘Consultation Guidelines for Chiropractic’. ▪ Clinical Massage Therapy: Is an adjunct service to Chiropractic care and is not a direct referral modality. ▪ Patients with acute pain of six (6) months or less with no associated chronic pain ▪ Patients in the Chronic Pain program (with program, or without on a pain agreement) contract, will not be seen by CMC Women’s Health Valley Native Primary Care Center will provide the following core services: ▪ Initial work-up and diagnosis based on referral guidelines ▪ Primary role in the care Management of pregnant women ▪ Primary role in the care of patients with complex gynecological conditions chronic pain Access Agreements Complementary Medicine will provide the following access: ▪ Chiropractic Evaluation within 5 days ▪ Acupuncture Evaluation within 5 days ▪ Access to Clinical Massage Therapy is prescription only by a Chiropractic Provider. ▪ Same day / next day access for Pregnancy induced nausea ▪ Pregnant non-beneficiaries may be seen by an Acupuncture Provider for pregnancy related hyperemesis and smoking cessation only. ▪ All patients will be scheduled for an examination with a Chiropractic Provider except for referrals to Acupuncture listed under ‘Consultation Guidelines for Acupuncture’. ▪ Appointments must be scheduled and kept within 30 days of referral date. ▪ The Complementary Medicine Department agrees to accept referrals for eligible customers from SCF Primary care medical providers for customers who live in the immediate Anchorage area. Service is provided for eligible customers with residence in: Anchorage, Big Lake, Birchwood, Chugiak, Chickaloon, Elmendorf Air Force Base, Eagle River, Eklutna, Ft. RichardsonXxxxxxxxxx, GirdwoodXxxxxxxx, Houston, Indian, Knik, PalmerXxxxxx, SuttonXxxxxx, Wasilla, and WillowXxxxxx. Women’s Health Valley Native Primary Care Center will provide the following access: ▪ Twenty four hour per day consultation and inpatient care ▪ Five Same day access offered for any outpatient consult ▪ Continuity appointments offered within 5 days for a clinic appointment Consultation Process ▪ All customers seen in Complementary Medicine Department will be from provider-initiated referrals ▪ 8:00 a.m. – Valley Native Primary Care Center empanelled patient who can arrive prior to 4:30 p.m. use standard ANMC evaluation and consultation process (see flowchart) ▪ 4:30 p.m. – 8:00 a.m. fax /scan evaluation and consultation form to CMC ▪ All referrals are to be sent via fax (4102). ▪ Appointments made with the Consult phone (4313 or 8030), must be followed with a faxed referral (4102).Monday-Friday