Patient Centered Primary Care. Contractor shall develop and use PCPCH and other patient-centered primary care approaches to achieve the goals of Health System Transformation. In this connection, Contractor shall:
Patient Centered Primary Care. Home (PCPCH) Program and Behavioral Health Integration Primary care providers shall be able to opt into Health Plan’s Base or Program Participation PCPCH Program.
Patient Centered Primary Care. Homes (PCPCH). The duties and obligations of Exhibit B, Part 4. Section 9 shall apply to TCMC and RAE only to the extent that RAE is licensed to perform, and does actually provide the applicable category or type of Covered Services to Members. If RAE does not provide the applicable category or type of Covered Services to Members, such duties and obligations shall not apply to TCMC or RAE.
Patient Centered Primary Care. Homes (PCPCH) Contractor shall include in its network, to the greatest extent possible, Patient-Centered Primary Care Homes recognized by the OHA. Contractor shall provide support for moving providers along the spectrum of the PCPCH model (from Tier 1 to Tier 3). Contractor shall assist Providers within its delivery system to establish PCPCHs. The following provisions are based on CMS approval of Oregon’s PPACA Section 2703 Medicaid State Plan Amendment (SPA) and additional related state plan changes needed for federal authorization to implement Oregon’s Patient Centered Primary Care Home model in the Medicaid program.
Patient Centered Primary Care. Homes (PCPCH)
