Common use of Primary Care Clause in Contracts

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: 2.5.1.1.1. Assisting with coordination of the Beneficiary’s overall care, as appropriate; 2.5.1.1.2. Recommending referrals to specialists, non-physician provider types (e.g., nutritionists, physical therapists) and to laboratory, imaging, radiology, and other diagnostic procedures, as necessary; 2.5.1.1.3. Triaging Beneficiaries according to the following: 2.5.1.1.3.1. Emergency care needs must be triaged and treated immediately on presentation at the PCP site; 2.5.1.1.3.2. Persistent symptoms must be treated no later than the end of the following working day after the initial contact with the PCP site; and 2.5.1.1.3.3. Requests for routine care must be seen within six (6) weeks. 2.5.1.1.4. Participating in the development of an ICP, and as a member of the Trans-Disciplinary Care Team. 2.5.1.2. Beneficiaries will be allowed to select a PCP from the ICDS Plan’s network of Providers, and to change the PCP no less often than monthly. Beneficiaries who do not select a PCP will be assigned a PCP by the ICDS Plan prior to the effective date of enrollment.

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: 2.5.1.1.1. Assisting with coordination of the Beneficiary’s overall care, as appropriate; 2.5.1.1.2. Recommending referrals to specialists, non-non- physician provider types (e.g., nutritionists, physical therapists) and to laboratory, imaging, radiology, and other diagnostic procedures, as necessary; 2.5.1.1.3. Triaging Beneficiaries according to the following: 2.5.1.1.3.1. Emergency care needs must be triaged and treated immediately on presentation at the PCP site; 2.5.1.1.3.2. Persistent symptoms must be treated no later than the end of the following working day after the initial contact with the PCP site; and 2.5.1.1.3.3. Requests for routine care must be seen within six (6) weeks. 2.5.1.1.4. Participating in the development of an ICP, and as a member of the Trans-Disciplinary Care Team. 2.5.1.2. Beneficiaries will be allowed to select a PCP from the ICDS Plan’s network of Providers, and to change the PCP no less often than monthly. Beneficiaries who do not select a PCP will be assigned a PCP by the ICDS Plan prior to the effective date of enrollmentEnrollment.

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: 2.5.1.1.1. Assisting with coordination of the Beneficiary’s overall care, as appropriate; 2.5.1.1.2. Recommending referrals to specialists, non-physician provider types (e.g., nutritionists, physical therapists) and to laboratory, imaging, radiology, and other diagnostic procedures, as necessary; 2.5.1.1.3. Triaging Beneficiaries according to the following: 2.5.1.1.3.1. Emergency care needs must be triaged and treated immediately on presentation at the PCP site; 2.5.1.1.3.2. Persistent symptoms must be treated no later than the end of the following working day after the initial contact with the PCP site; and 2.5.1.1.3.3. Requests for routine care must be seen within six (6) weeks. 2.5.1.1.4. Participating in the development of an ICP, and as a member of the Trans-Disciplinary Care Team. 2.5.1.2. Beneficiaries will be allowed to select a PCP from the ICDS Plan’s network of Providers, and to change the PCP no less often than monthly. Beneficiaries who do not select a PCP will be assigned a PCP by the ICDS Plan prior to the effective date of enrollmentEnrollment.