Common use of Direct Access Clause in Contracts

Direct Access. The Contractor shall offer female Enrollees direct access to primary and preventive obstetrics and gynecology services, follow-up care as a result of a primary and preventive visit, and any care related to pregnancy from Participating Providers of her choice, without referral from the PCP as set forth in PHL § 4406- b(1).

Appears in 5 contracts

Samples: Medicaid Managed Care Contract, Medicaid Managed Care Contract, Medicaid Managed Care Contract

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Direct Access. The Contractor shall offer female Enrollees direct access to primary and preventive obstetrics and gynecology services, follow-up care as a result of a primary and preventive visit, and any care related to pregnancy from Participating Providers of her choice, the Contractor's network providers without referral from the PCP as set forth in PHL § 4406- Public Health Law Section 4406-b(1).

Appears in 4 contracts

Samples: Contractor Agreement (Americhoice Corp), Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.), Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)

Direct Access. The Contractor shall offer female Enrollees direct access to primary and preventive obstetrics and gynecology services, follow-up care as a result of a primary and preventive visit, and any care related to pregnancy from Participating Providers of her choice, the Contractor's network providers without referral from the PCP as set forth in PHL § 4406- b(1Public Health Law Section 4406-b(l).

Appears in 1 contract

Samples: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)

Direct Access. The Contractor shall offer female Enrollees direct access to primary and preventive obstetrics and gynecology services, follow-up care as a result of a primary and preventive visit, and any care related to pregnancy from Participating Providers of her choice, the Contractor's network providers without referral from the PCP as set forth in PHL § 4406- Public Health Law Section 4406-b(1).

Appears in 1 contract

Samples: Medicaid Managed Care Model Contract (Amerigroup Corp)

Direct Access. (a) The Contractor shall offer female Enrollees direct access to primary and preventive obstetrics and gynecology services, follow-up care as a result of a primary and preventive visit, and any care related to pregnancy from Participating Providers of her choice, the Contractor's network providers without referral from the PCP as set forth in PHL § 4406- Public Health Law Section 4406-b(1).

Appears in 1 contract

Samples: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)

Direct Access. The Contractor shall offer female Enrollees direct access to primary and preventive obstetrics and gynecology services, follow-up care as a result of a primary and preventive visit, and any care related to pregnancy from Participating Providers of her choice, the Contractor's network providers without referral from the PCP as set forth in PHL § 4406- b(1Public Health Law Section 4406 -b(l).

Appears in 1 contract

Samples: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)

Direct Access. The Contractor shall offer female Enrollees direct access to primary and preventive obstetrics and gynecology services, follow-up care as a result of a primary and preventive visit, visit and any care related to pregnancy from Participating Providers of her choice, the Contractor's network provide without referral from the PCP as set forth in PHL § 4406- Public Health Law Section 4406-b(1).

Appears in 1 contract

Samples: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)

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Direct Access. The Contractor shall offer female Enrollees direct access to primary and preventive obstetrics and gynecology services, follow-up care as a result of a primary and preventive visit, and any care related to pregnancy from Participating Providers of her choice, without referral from the PCP as set forth in PHL § 4406- b(1Section 4406-b(l).

Appears in 1 contract

Samples: Medicaid Managed Care Agreement (Amerigroup Corp)

Direct Access. The Contractor shall offer female Enrollees direct access to primary and preventive obstetrics and gynecology services, follow-up care as a result of a primary and preventive visit, and any care related to pregnancy from Participating Providers of her choice, the Contractor's network providers without referral from the PCP as set forth in PHL § 4406- b(1Public Health Law Section 4406.b(l).

Appears in 1 contract

Samples: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)

Direct Access. The Contractor shall offer female Enrollees direct access to primary and preventive obstetrics and gynecology services, follow-up care as a result of a primary and preventive visit, visit and any care related to pregnancy from Participating Providers of her choiceFHPlus - Section 10 (BENEFIT PACKAGE, COVERED AND NON-COVERED SERVICES) October 1, 2001 10-5 the Contractor's network providers or the Designated Third Party Contractor, where applicable, without a referral from the PCP as set forth in PHL § 4406- Public Health Law Section 4406-b(1).

Appears in 1 contract

Samples: Consultant Services Agreement (Wellcare Health Plans, Inc.)

Direct Access. The Contractor shall offer female Enrollees direct access to primary and preventive obstetrics and gynecology services, follow-up care as a result of a primary and preventive visit, and any care related to pregnancy from Participating Providers of her choice, without referral from the PCP as set forth in PHL § 4406- b(14406-b(l).

Appears in 1 contract

Samples: Medicaid Managed Care Contract (Wellcare Health Plans, Inc.)

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