Common use of Referral Assistance for TOP Beneficiaries Clause in Contracts

Referral Assistance for TOP Beneficiaries. The TOP contractor (working in concert with the MTF Commander) shall ensure optimal use of MTFs and to xxxxxx coordination of all care delivered in the civilian sector and care referred to and from the MTF. The TOP HCF is the primary mechanism for achieving these objectives. The referral services of the TOP HCF are primarily to ensure access to care for enrolled beneficiaries, but the TOP HCF is also available to assist non-enrollees in finding network/non-network purchased care sector providers. For TOP Prime/TOP Prime Remote enrollees, the referral is generally initiated by the beneficiary’s PCM. The PCM or beneficiary contacts the TOP HCF for assistance in locating an appropriate purchased care sector provider and to obtain authorization for the care (see Sections 17 and 18 for additional information on HCF referral assistance).‌‌

Appears in 4 contracts

Samples: manuals.health.mil, manuals.health.mil, manuals.health.mil

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Referral Assistance for TOP Beneficiaries. The TOP contractor (working in concert with the MTF Commander) shall is required to ensure optimal use of MTFs and to xxxxxx coordination of all care delivered in the civilian sector and care referred to and from the MTF. The TOP HCF is the primary mechanism for achieving these objectives. The referral services of the TOP HCF are primarily to ensure access to care for enrolled beneficiaries, but the TOP HCF is also available to assist non-enrollees in finding network/non-non- network purchased care sector providers. For TOP Prime/TOP Prime Remote enrollees, the referral is generally initiated by the beneficiary’s PCM. The PCM or beneficiary contacts the TOP HCF for assistance in locating an appropriate purchased care sector provider and to obtain authorization for the care (see Sections 17 and 18 for additional information on HCF referral assistance).‌‌assistance).

Appears in 2 contracts

Samples: manuals.health.mil, manuals.health.mil

Referral Assistance for TOP Beneficiaries. The TOP contractor (working in concert with the MTF Commander) shall ensure optimal use of MTFs and to xxxxxx coordination of all care delivered in the civilian sector and care referred to and from the MTF. The TOP HCF is the primary mechanism for achieving these objectives. The referral services of the TOP HCF are primarily to ensure access to care for enrolled beneficiaries, but the TOP HCF is also available to assist non-enrollees in finding network/non-network purchased care sector providers. For TOP Prime/TOP Prime Remote enrollees, the referral is generally initiated by the beneficiary’s PCM. The PCM or beneficiary contacts the TOP HCF for assistance in locating an appropriate purchased care sector provider and to obtain authorization for the care (see Sections 17 and 18 for additional information on HCF referral assistance).‌‌assistance).

Appears in 2 contracts

Samples: manuals.health.mil, manuals.health.mil

Referral Assistance for TOP Beneficiaries. The TOP contractor (working in concert with the MTF Commander) shall is required to ensure optimal use of MTFs and to xxxxxx coordination of all care delivered in the civilian sector and care referred to and from the MTF. The TOP HCF is the primary mechanism for achieving these objectives. The referral services of the TOP HCF are primarily to ensure access to care for enrolled beneficiaries, but the TOP HCF is also available to assist non-enrollees in finding network/non-non- network purchased care sector host nation providers. For TOP Prime/TOP Prime Remote enrollees, the referral is generally initiated by the beneficiary’s PCM. The PCM or beneficiary contacts the TOP HCF for assistance in locating an appropriate purchased care sector host nation provider and to obtain authorization for the care (see Sections 17 and 18 for additional information on HCF referral assistance).‌‌assistance).

Appears in 1 contract

Samples: manuals.health.mil

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Referral Assistance for TOP Beneficiaries. The TOP contractor (working in concert with the MTF Commander) shall is required to ensure optimal use of MTFs and to xxxxxx coordination of all care delivered in the civilian sector and care referred to and from the MTF. The TOP HCF is the primary mechanism for achieving these objectives. The referral services of the TOP HCF are primarily to ensure access to care for enrolled beneficiaries, but the TOP HCF is also available to assist non-enrollees in finding network/non-non- network purchased care sector host nation providers. For TOP Prime/TOP Prime Remote enrollees, the referral is generally initiated by the beneficiary’s Primary Care Manager (PCM). The PCM or beneficiary contacts the TOP HCF for assistance in locating an appropriate purchased care sector host nation provider and to obtain authorization for the care (see Sections 17 and 18 for additional information on HCF referral assistance).‌‌assistance).

Appears in 1 contract

Samples: manuals.health.mil

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