Primary Care Provider. Pharmacy must notify the patient’s primary care provider, as provided by the individual or the individual’s agent, within fourteen (14) days of the administration of the vaccination. This notification must include the name and address of individual, age if under fourteen (14) years old, name of primary care physician if provided, date vaccine given, amount administered, manufacturer, lot number, expiration date, site of vaccination and route of administration, and the name, address and title of the person administering vaccine.13
Primary Care Provider. If the individual has a primary care provider and the individual (or if the individual is incapable of consenting, the person legally responsible for the individual) consents, Pharmacy must provide the certificate of immunization to that provider within one (1) month of administration.21
Primary Care Provider. 11 Unless prohibited by the individual (or if the individual is a minor, by the individual’s parent or guardian), Pharmacy must provide documentation on the administration of vaccines to the individual’s primary care provider as indicated on the informed consent form.
Primary Care Provider. (PCP) — A practitioner of primary care selected by the Enrollee or assigned to the Enrollee by the One Care Plan and responsible for providing and coordinating the Enrollee’s health care needs, including the initiation and monitoring of referrals for specialty services when required. Primary Care Providers may be nurse practitioners, physician assistants or physicians who are board certified or eligible for certification in one of the following specialties: family practice, internal medicine, general practice, OB/GYN, or geriatrics.
Primary Care Provider. A duly licensed pediatrician, internist, family practitioner, or doctor of general medicine, obstetrician/gynecologist or group thereof or a licensed, appropriately supervised allied health professional, who has been successfully credentialed by, and is a Participating Provider with ACDE, and who is responsible for the supervision, coordination, and provision of primary care services to Members who have selected, or have been assigned to, that provider. The Primary Care Provider also is responsible for initiating any required referrals for specialty care needed by a Member and maintaining overall continuity of a Member’s care.
Primary Care Provider. PCP shall serve as the Member’s initial and most important point of contact regarding health care needs (except in emergencies or for direct access benefits). Consequently, in addition to all other requirements hereunder, Preferred Providers who are PCPs shall meet the following minimum responsibilities:
4.3.1 Providing primary and preventive care, and acting as the Member’s advocate, providing, recommending, and arranging for care;
4.3.2 Maintaining continuity of each Member’s health care;
4.3.3 Where required, making referrals for specialty and other medically necessary services, both in and out-of-network;
4.3.4 Maintaining a current medical record for the Member, including documentation of all Provider Services rendered to the Member by the PCP, as well as any specialty or referral services (including procedures that are coded using the most current ICD coding classification system);
4.3.5 Providing office hours accessible to Members for a minimum of twenty (20) hours per week and being available directly or through on-call arrangements with other qualified Preferred Providers who are PCPs twenty-four (24) hours per day, seven (7) days per week for urgent and emergency care; and
4.3.6 Any additional standards imposed by Title 28, Section 9.678 of the Department of Health regulations (28 Pa. Code §9.678) implementing Article XXI of Act 68.
Primary Care Provider. If the individual has a primary care provider, Pharmacy may provide the vaccine record information to that provider. Otherwise, Pharmacy must provide documentation on the administration of vaccines to a primary care provider in the community upon request and consent of the individual.
Primary Care Provider. “PCP”) Linkages. If Provider is a PCP, Subcontractor shall require Provider to stipulate by signing an agreement that Provider’s total number of Medicaid/CHIP members for the State Program will not exceed 2,500 lives per full-time physician or 1,000 lives per mid-level practitioner or physician extender up to a cap of 2,500 lives. Prior to executing an Agreement, Subcontractor, Provider and United shall specify the number of linkages United may link to Provider.
Primary Care Provider. If the individual has a primary care provider in the community, Pharmacy must provide the vaccine record information to that provider within seventy-two (72) hours of administration. If the individual does not identify a primary care provider, Pharmacy must ensure that the individual is directed to information describing the benefits of having a primary care physician. 22
Primary Care Provider. Pharmacy must make a good faith effort to provide notification of an individual’s vaccination to the individual’s primary care provider within fourteen (14) days of administration.14
