Common use of Primary Care Physicians (PCPs) Clause in Contracts

Primary Care Physicians (PCPs). This provision applies to Providers who are PCPs. When a PCP has initiated medication management services for a Covered Person to treat a behavioral health disorder and it is subsequently determined by the PCP, Health Plan and/or Subcontractor that the Covered Person should be transferred to a Regional Behavioral Health Authority (RBHA) prescriber for evaluation and/or continued medication management services, the PCP shall cooperate with Health Plan and/or Subcontractor, as applicable, in coordinating the transfer of the Covered Person’s care to the RBHA. Provider agrees that, the Integrated RBHA--entity contracted with ADHS to provide, manage and coordinate all medically necessary behavioral healthcare services for Title XIX eligible adults and all medically necessary physical health services for individuals with serious mental illness--will provide the full continuum of care including all outpatient and inpatient medical and behavioral health care as well as supportive services, per Member’s eligibility and Covered Services.

Primary Care Physicians (PCPs). This provision applies to Providers who are PCPs. When a PCP has initiated medication management services for a Covered Person to treat a behavioral health disorder and it is subsequently determined by the PCP, PCP or Health Plan and/or Subcontractor that the Covered Person should be transferred to a Regional Behavioral Health Authority (RBHA) prescriber for evaluation and/or continued medication management services, the PCP shall cooperate with Health Plan and/or Subcontractor, as applicable, Subcontractor in coordinating the transfer of the Covered Person’s care to the RBHA. Provider agrees that, the Integrated RBHA--entity contracted with ADHS to provide, manage and coordinate all medically necessary behavioral healthcare services for Title XIX eligible adults and all medically necessary physical health services for individuals with serious mental illness--will provide the full continuum of care including all outpatient and inpatient medical and behavioral health care as well as supportive services, per Member’s eligibility and Covered Services.

Primary Care Physicians (PCPs). This provision applies to Providers who are PCPs. When a PCP has initiated medication management services for a Covered Person to treat a behavioral health disorder and it is subsequently determined by the PCP, PCP or Health Plan and/or Subcontractor that the Covered Person should be transferred to a Regional Behavioral Health Authority (RBHA) prescriber for evaluation and/or continued medication management services, the PCP shall cooperate with Health Plan and/or Subcontractor, as applicable, in coordinating the transfer of the Covered Person’s care to the RBHA. Provider agrees that, the Integrated RBHA--entity contracted with ADHS to provide, manage and coordinate all medically necessary behavioral healthcare services for Title XIX eligible adults and all medically necessary physical health services for individuals with serious mental illness--will provide the full continuum of care including all outpatient and inpatient medical and behavioral health care as well as supportive services, per Member’s eligibility and Covered Services.