PCP Selection. The Contractor shall: a. Allow each Enrollee to choose his or her PCP and other health care professionals to the extent possible and appropriate; b. Make its best efforts to assist and encourage each Enrollee to select a PCP. Such best efforts shall include, but not be limited to, providing interpreter services where necessary to assist the Enrollee in choosing a PCP, making efforts to contact those Enrollees who have not contacted the Contractor and, in the case of children in the care or custody of DCF or youth affiliated with DYS (either detained or committed), making efforts to contact the child’s state caseworker through the EOHHS-appointed DCF or DYS liaison (see Section 2.6.F.3); and c. Assist Enrollees in selecting a PCP, within 15 days after their Effective Date of Enrollment, by eliciting information on prior PCP affiliations that the Enrollee may have had and providing the Enrollee with relevant information on PCPs in close proximity to the Enrollee, including providing information regarding the experience of the PCP in treating special populations, for example, homeless persons, individuals with disabilities, and children in the care or custody of DCF or youth affiliated with DYS (either detained or committed).
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Samples: Masshealth Managed Care Organization Contract, Accountable Care Partnership Plan Contract, Contract
PCP Selection. The Contractor shall:
a. : Allow each Enrollee to choose his or her PCP and other health care professionals to the extent possible and appropriate;
b. ; Make its best efforts to assist and encourage each Enrollee to select a PCP. Such best efforts shall include, but not be limited to, providing interpreter services where necessary to assist the Enrollee in choosing a PCP, making efforts to contact those Enrollees who have not contacted the Contractor and, in the case of children in the care or custody of DCF or youth affiliated with DYS (either detained or committed), making efforts to contact the child’s state caseworker through the EOHHS-appointed DCF or DYS liaison (see Section 2.6.F.3); and
c. and Assist Enrollees in selecting a PCP, within 15 days after their Effective Date of Enrollment, by eliciting information on prior PCP affiliations that the Enrollee may have had and providing the Enrollee with relevant information on PCPs in close proximity to the Enrollee, including providing information regarding the experience of the PCP in treating special populations, for example, homeless persons, individuals with disabilities, and children in the care or custody of DCF or youth affiliated with DYS (either detained or committed).
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