Primary Care. PHYSICIAN (PCP) means, for the purpose of this agreement and for the determination of your copayment, professional providers that are family practitioners, internists, and pediatricians. Nurse practitioners and physician assistants, practicing under the supervision of these professional providers, may be reimbursed as primary care physicians. For the purpose of this agreement, gynecologists and obstetricians may be credentialed as primary care physicians or as specialist physicians.
Primary Care. 2.5.1.1. The ICDS Plan must ensure that each Beneficiary has a Network primary care provider (PCP) of their choice who will serve as an ongoing source of primary and preventive care and will perform care coordination activities appropriate to the Beneficiary’s needs. The PCP’s care coordination responsibilities include, at a minimum, the following:
Primary Care. 2.5.2.1. The PCP must:
Primary Care. The provision of coordinated, comprehensive medical services on both a first-contact and a continuous basis to a Covered Person. The provision of Primary Care incorporates an initial medical history intake, medical diagnosis and treatment, communication of information about illness prevention, health maintenance, and referral services.
Primary Care. Physician (PCP) means the Participating Physician you select when you enroll, or change to thereafter according to our rules, and who provides or arranges for all your covered health care services.
Primary Care. Physician is any of Medical Group’s Participating Providers who meet PacifiCare’s criteria for providing initial and primary care Covered Services to Medical Group Members, for maintaining the continuity of patient care, and for initiating and coordinating referrals for Covered Services to Medical Group Members.
Primary Care. Provider (PCP) -- A person responsible for supervising, coordinating, and providing initial and primary care to patients; for initiating referrals; and for maintaining the continuity of patient care. A PCP may be a physician or non-physician medical practitioner.
Primary Care. 8. The MOHLTC will:
Primary Care. Members must select a GHC Personal Physician when enrolling under the Agreement. One Personal Physician may be selected for an entire family, or a different Personal Physician may be selected for each family member. If the Personal Physician is not selected at the time of enrollment, GHC will assign a Personal Physician, and a letter of explanation will be sent to the Member. Selecting a Personal Physician or changing from one Personal Physician to another can be accomplished by contacting GHC Customer Service, or accessing the GHC website at xxx.xxx.xxx. The change will be made within twenty-four
Primary Care. GHO recommends that Members select a MHCN Personal Physician when enrolling under the Agreement. One Personal Physician may be selected for an entire family, or a different Personal Physician may be selected for each family member. Selecting a Personal Physician or changing from one Personal Physician to another can be accomplished by contacting GHO Customer Service, or accessing the GHO website at xxx.xxx.xxx. The change will be made within twenty-four (24) hours of the receipt of the request, if the selected physician’s caseload permits. A listing of MHCN Personal Physicians, Referral specialists, women’s health care providers and MHCN- Designated Self-Referral Specialists is available by contacting GHO Customer Service at (000) 000-0000 or (000) 000-0000, or by accessing GHO’s website at xxx.xxx.xxx. In the case that the Member’s Personal Physician no longer participates in the MHCN, the Member will be provided access to the Personal Physician for up to sixty (60) days following a written notice offering the Member a selection of new Personal Physicians from which to choose. Specialty Care. Unless otherwise indicated in this section, the Allowances Schedule or Section IV., Referrals are required for specialty care and specialists inside the network. MHCN-Designated Self-Referral Specialist. Members may make appointments directly with MHCN- Designated Self-Referral Specialists at Group Health-owned or -operated medical centers without a Referral from their Personal Physician. Self-Referrals are available for the following specialty care areas: allergy, audiology, cardiology, chemical dependency, chiropractic/manipulative therapy, dermatology, gastroenterology, general surgery, hospice, manipulative therapy, mental health, nephrology, neurology, obstetrics and gynecology, occupational medicine*, oncology/hematology, ophthalmology, optometry, orthopedics, otolaryngology (ear, nose and throat), physical therapy*, smoking cessation, speech/language and learning services* and urology. * Medicare patients need prior authorization for these specialists.
