Common use of Primary Care Responsibilities Clause in Contracts

Primary Care Responsibilities. The CONTRACTOR shall ensure that the following are met by the PCP, or in another manner: (1) the PCP shall provide twenty-four hour, seven day a week access; (2) the PCP shall ensure coordination and continuity of care with providers who participate with the CONTRACTOR’s network and with providers outside the CONTRACTOR’s network according to the CONTRACTOR’s policy; and (3) the PCP shall ensure that the Member receives appropriate prevention services for the Member’s age group. The CONTRACTOR shall have a formal process for provider education regarding Medicaid, the conditions of participation in the network and the provider’s responsibilities to the CONTRACTOR and its Members. HSD shall be provided documentation upon request that such provider education is being conducted.

Primary Care Responsibilities. The CONTRACTOR shall ensure that the following are met by the PCP, or in another manner: (1) the PCP shall provide twenty-four hour, seven day a week access; (2) the PCP shall ensure coordination and continuity of care with providers who participate with the CONTRACTOR’s network and with providers outside the CONTRACTOR’s network according to the CONTRACTOR’s policy; and (3) the PCP shall ensure that the Member receives appropriate prevention services for the Member’s age group. The CONTRACTOR shall have a formal process for provider education regarding Medicaid, the conditions of participation in the network and the provider’s responsibilities to the CONTRACTOR and its Members. HSD The State shall be provided documentation upon request that such provider education is being conducted.

Primary Care Responsibilities. A. The CONTRACTOR shall ensure that the following primary care responsibilities are met by the PCP, or in another manner: (1) i. the PCP shall provide twenty-four hour(24)-hour, seven day a (7)-day-a-week access; (2) ii. the PCP shall ensure coordination and continuity of care with providers who participate with the CONTRACTOR’s CONTRACTOR network and with providers outside the CONTRACTOR’s CONTRACTOR network according to the CONTRACTOR’s CONTRACTOR policy; and (3) iii. the PCP shall ensure that the Member member receives appropriate prevention services for the Membermember’s age group. The CONTRACTOR shall have a formal process for provider education regarding Medicaid, the conditions of participation in the network and the provider’s responsibilities to the CONTRACTOR and its Membersmembers. HSD HSD/MAD shall be provided documentation upon request that such provider education is being conducted.