Primary Care Qualifications. Each Enrollee will choose or be assigned to a PCP. The PCP must be one of the following:
a. A Primary Care Physician that is
(1) Licensed by the Commonwealth;
(2) Board-certified in Family Practice, Internal Medicine, General Practice, OB/GYN, or Geriatrics; and
(3) In good standing with the federal Medicare and Federal/State Medicaid (MassHealth) program;
b. A Registered Nurse or Advanced Practice Nurse, including Nurse Practitioner, who is:
(1) Licensed by the Commonwealth; and
(2) Certified by a nationally recognized accrediting body;
Primary Care Qualifications. Each Enrollee will choose or be assigned to a PCP. The PCP must be one of the following:
2.7.2.2.1. A Primary Care Physician that is 2.7.2.2.1.1. Licensed by the Commonwealth;
Primary Care Qualifications. Each Beneficiary will choose or be assigned to a PCP. The PCP must be one of the following:
2.7.1.1. A Primary Care Physician that is:
2.7.1.1.1. Licensed by the State of Ohio or the State in which the Provider practices;
2.7.1.1.2. Board-certified, when required by Medicare or Medicaid, in Family Practice, Internal Medicine, General Practice, OB/GYN, Pediatrics or Geriatrics; or
2.7.1.2. A Physician Extender who is:
2.7.1.2.1. A Registered Nurse Practitioner or advanced practice nurse as defined in Section 4723.43 of the ORC, or advanced practice nurse group practice within an acceptable specialty, contracting with an ICDS Plan to provide services as specified in OAC 5160-58-01.1(B) and 5160:3- 26-03.1 of the OAC; or
2.7.1.2.2. Physician Assistant who is licensed by the Board of Registration of Physician Assistants to practice in the State of Ohio or the State in which the Physician Assistant practices; and
Primary Care Qualifications. The Enrollee's care will be managed by a PCP or a PCT. The PCP and the members of the PCT must meet the following qualifications.
a. Physician A physician serving as the PCP must:
1) Be licensed by the Massachusetts Board of Registration in Medicine:
2) Obtain annual continuing medical education units in geriatric practice;
3) Have at least two years’ experience in the care of persons over the age of 65; and
4) Be a Provider in good standing with the federal Medicare program.
Primary Care Qualifications. The Enrollee's care will be managed by a PCP or a PCT. The PCP and the members of the PCT must meet the following qualifications.
Primary Care Qualifications. The Enrollee's care will be managed by a PCP or his or her designee on a PCT. The PCP and the members of the PCT must meet the following qualifications.
a. Physician A physician serving as the PCP must:
1) Be licensed by the Massachusetts Board of Registration in Medicine:
2) Obtain annual continuing medical education units in geriatric practice;
3) Have at least two years’ experience in the care of persons over the age of 65; and
4) Be a Provider in good standing with the federal Medicare program.
b. Registered Nurse or Nurse Practitioner A nurse practitioner serving as the PCP or registered nurse or nurse practitioner serving as a member of a PCT must:
1) Be licensed by the Massachusetts Board of Registration of Nursing,
2) Obtain annual continuing education units in geriatric practice; and
3) Be certified as a geriatric nurse practitioner or demonstrate at least two years’ professional experience in the care of persons over the age of 65.
c. Physician Assistant:
1) Be licensed by the Board of Registration of Physician Assistants;
2) Obtain annual continuing education units in geriatric practice; and
3) Demonstrate at least two years’ professional experience in the care of persons over the age of 65.
